Frontdesk handles ABA insurance verification end-to-end — Medicaid waivers (state-specific), commercial autism mandates, TRICARE Echo, BCBS Federal, school-district funding, and Single Case Agreements. Integrates with Availity, Office Ally, Trizetto Provider Solutions, Waystar, and Change Healthcare. Pushes verification status into CentralReach, Rethink Behavioral Health, Catalyst, AccuPoint, Lumary, Total ABA, Theralytics, and TheraBe. HIPAA-compliant by design.
< 0 min
Verification time
0/7
Coverage
0+
Payor clearinghouses
CentralReach, Catalyst, +
EHRs
Works with every major EHR & practice management system
SimplePractice
Mental health, speech, OT/PT
TherapyNotes
Mental health practices
Jane App
Multi-discipline clinics
CentralReach
ABA + autism services
TheraNest
Therapy + counseling
Fusion Web Clinic
Pediatric SLP/OT/PT
The Problem
Medicaid ABA coverage rules vary dramatically by state — different waivers, different prior-auth requirements, different session caps. Manual verification through Availity, Office Ally is hours per client.
Commercial autism mandate coverage varies by state and plan — fully-insured vs self-funded plans have different rules. Mis-verification leads to denied claims.
ABA prior-auth requires BCBA evaluation reports, treatment plans, medical necessity letters — coordinated across multiple parties. Manual coordination delays service start.
When clients have out-of-network ABA needs, Single Case Agreement negotiation with payors is time-consuming. Manual SCA tracking drops the ball.
How Frontdesk Works
Built for therapy practices and clinics on SimplePractice, TherapyNotes, Jane App, CentralReach, TheraNest, Fusion Web Clinic — and every other major EHR. HIPAA-compliant by design with BAA, encrypted PHI, and audit logs.
+1 (415) 555-0142
Inbound · Zillow Rentals lead
AI Transcript
“Hi! I’d love to tour the 2-bedroom at Maple Heights. Any availability this Saturday?”
Frontdesk AI
“Yes! The 2BR at Maple Heights is $2,450/mo with a Feb 1 move-in. Saturday 11am or 2pm works for tours. Shall I book one?”
Frontdesk verifies state-specific Medicaid waiver eligibility for ABA — capturing waiver type, prior-auth requirements, session caps, BCBA/RBT credential requirements — through Availity, Office Ally, Trizetto, Waystar, Change Healthcare.
Looking for a 2BR around $2,400, move-in mid-February. Do you allow pets?
We have a 2BR at $2,450/mo available Feb 15. Cats and dogs under 50 lbs welcome. What’s your move-in date?
Captured
Verifies commercial autism mandate coverage — fully-insured vs self-funded plans, BCBS, Aetna, Cigna, UnitedHealthcare, Humana, Kaiser — capturing benefit details, deductibles, copays.
More capabilities
Verifies TRICARE Echo (autism services), BCBS Federal autism benefit, school-district ABA contracts, and military insurance through Availity, Office Ally, Trizetto, Waystar.
Coordinates prior-auth submission — BCBA evaluation reports, treatment plans, medical necessity letters — and tracks status through Availity, Office Ally, Trizetto.
Tracks SCA negotiation with payors — capturing terms, BCBA hours, RBT hours, session caps, and rate negotiation status.
Frontdesk syncs bidirectionally with the full ABA EHR + practice management stack.
Integrations
Frontdesk is EHR-agnostic and integrates bidirectionally with SimplePractice, TherapyNotes, TheraNest, Jane App, IntakeQ, Practice Better, Kareo (Tebra), athenahealth, eClinicalWorks, WebPT, NetHealth (Optima), ChiroTouch, ClinicSource, Fusion Web Clinic, PtEverywhere, Power Diary, OwlPractice, TherapyAppointment, CentralReach, Rethink Behavioral Health, Catalyst, AccuPoint, Lumary, Total ABA, Theralytics, and TheraBe. New-client intake, scheduling, eligibility, prior-auth, superbills, and recall campaigns sync in real time — and every conversation is HIPAA-compliant by design.
SimplePractice
Mental health, speech, OT/PT
TherapyNotes
Mental health practices
Jane App
Multi-discipline clinics
CentralReach
ABA + autism services
TheraNest
Therapy + counseling
Fusion Web Clinic
Pediatric SLP/OT/PT
Full integration coverage
Customer stories
Real practices using Frontdesk to handle scheduling, intake, no-show recovery, and insurance verification — without adding front-desk headcount.
Who it's for
Medicaid waiver ABA verification
Commercial autism mandate verification
TRICARE Echo eligibility
BCBS Federal autism benefit
School-district ABA contracts
Single Case Agreement (SCA) negotiation tracking
Out-of-network ABA verification
Multi-state ABA payor verification
The journey
Every step syncs to Yardi, RealPage, Entrata, AppFolio, Buildium, or ResMan in real time.
Step 1
Inbound voice, outbound AI voice, HIPAA-compliant SMS, web chat, and email are answered instantly with practice-aware context — across speech-language pathology (SLP), applied behavior analysis (ABA), mental health and counseling, psychiatry, occupational therapy (OT), and physical therapy (PT). Works with SimplePractice, TherapyNotes, TheraNest, Jane App, IntakeQ, Kareo, CentralReach, Rethink Behavioral Health, Fusion Web Clinic, and WebPT.
Step 2
New-client intake, scheduled appointments, reschedules, cancellations, waitlist updates, eligibility checks, prior-authorization status, and superbills flow into SimplePractice, TherapyNotes, TheraNest, Jane App, IntakeQ, Practice Better, Kareo, athenahealth, WebPT, NetHealth (Optima), Fusion Web Clinic, ClinicSource, CentralReach, Rethink, AccuPoint, and Catalyst in real time.
Step 3
24h, 2h, and 30min appointment reminders, no-show recovery within 5 minutes, cancellation backfill from the waitlist, eligibility verification, prior-auth follow-up, recall campaigns, review-request automation, and parent/caregiver coordination fire automatically across voice, HIPAA-compliant SMS, and email.
Step 4
Cross-discipline dashboards track new-client conversion, first-call answer rate, average response time, no-show rate, waitlist-fill rate, recall response rate, schedule density, and revenue impact — across SLP, ABA, mental health, OT, and PT lines of service.
Explore more
More from ABA / Autism Services
AI for ABA clinics, BCBA scheduling, parent intake, RBT coordination, Medicaid.
Therapy AI hub
Frontdesk runs scheduling, intake, no-show recovery, and insurance verification — and integrates with every EHR therapy practices and clinics use.
What this page covers
Topics, integrations, channels, practice types, and workflows covered by AI ABA Insurance Verification.
Purpose-built for ABA clinics with complex payor mix — Medicaid waiver ABA, commercial autism mandate verification, TRICARE Echo eligibility, BCBS Federal autism benefit, school-district ABA contracts, Single Case Agreement (SCA) negotiation tracking, and out-of-network ABA. Handles eligibility verification through Availity, Office Ally, Trizetto Provider Solutions, Waystar, Change Healthcare — capturing benefit details, deductibles, copays, prior-auth requirements, session caps, and BCBA/RBT credential requirements. Integrates with CentralReach, Rethink Behavioral Health, Catalyst, AccuPoint, Lumary, Total ABA, Theralytics, TheraBe, SimplePractice, TherapyNotes, Jane App, and Fusion Web Clinic. HIPAA-compliant by design (BAA, encrypted PHI, audit logs).
FAQ
Frontdesk integrates with Yardi Voyager, Yardi Breeze, RentCafe, RealPage OneSite, Knock CRM, Entrata, AppFolio, Buildium, ResMan, Rent Manager, and MRI Software. Here's what therapy practices and clinics ask most.
Contact supportAvaility, Office Ally, Trizetto Provider Solutions, Waystar, and Change Healthcare. Frontdesk verifies Medicaid waivers (state-specific), commercial autism mandates, TRICARE Echo, BCBS Federal, school-district ABA contracts, and tracks prior-auth status.
Launch Frontdesk in minutes, capture more leads, and automate repetitive front-office workflows from day one.
