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An ABA billing company manages your entire revenue cycle from insurance verification through final payment. This includes verifying eligibility before each session, submitting claims with the correct CPT codes (97151, 97153, 97155, 97156, 97158), tracking prior authorizations, managing denials, posting payments, and reconciling balances. The goal is to make sure every session your team delivers gets paid accurately and on time.

ABA therapy billing involves time-based CPT codes, payer-specific modifier rules, prior authorization tracking across multiple insurers and BCBA credentialing requirements that generalist billing companies frequently get wrong. A single expired authorization or incorrect modifier can trigger mass denials across an entire month of sessions. Specialized ABA billing services are built around these specific rules, not adapted from a general medical billing workflow.

Yes. We work with Medicaid managed care organizations, state Medicaid fee-for-service programs, and commercial payers including Aetna, Cigna, UnitedHealthcare, and BlueCross BlueShield. ABA coverage rules and modifier requirements vary significantly across payers. We apply payer-specific billing rules to every claim rather than a one-size approach.