Don't let insurance companies dictate your clinical judgment. We fight for the hours your clients need.
Insurance funders are increasingly issuing partial or full denials for ABA services based on incorrect "Medical Necessity" criteria. For a small agency, a single denial can mean thousands of dollars in lost revenue.
We analyze your data to draft irrefutable addendums proving medical necessity.
We prepare your analysts for these high stakes reviews and take part ourselves if permitted.
Send us the treatment plan & denial letter.
We identify the "weak points" flagged by the funder.
We write the appeal or addendum for you.
We guide your submission for best success.
Time is a factor. Appeals typically have a 30-60 day window.
Review My Denial