Frontdesk runs real-time insurance eligibility verification for therapy practices — BCBS, Aetna, Cigna, UnitedHealthcare, Humana, Kaiser, TRICARE, Medicaid, and Medicare — through Availity, Office Ally, Trizetto Provider Solutions, Waystar, ClaimMD, Apex EDI, and Change Healthcare. Results sync directly into SimplePractice, TherapyNotes, Jane App, CentralReach, TheraNest, and Fusion Web Clinic.
< 0s
Verification SLA
Availity + 0
Clearinghouses
BCBS, Aetna, Cigna +
Payors
SimplePractice +0
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
Front-office staff toggle between Availity, Office Ally, Trizetto Provider Solutions, Waystar, ClaimMD, Apex EDI, and Change Healthcare — running one verification at a time for BCBS, Aetna, Cigna, UnitedHealthcare, Humana, Kaiser, TRICARE, Medicaid, and Medicare.
Even when verification runs, the result lives in a payor portal screenshot or a sticky note. SimplePractice, TherapyNotes, Jane App, CentralReach, TheraNest, and Fusion Web Clinic don’t get structured benefits data.
Therapy benefits differ from medical — telehealth, family vs individual, session caps, prior-auth windows. Generic medical eligibility doesn’t surface these, so denials hit weeks later.
Eligibility changes mid-year — benefits reset, deductibles reset, prior-auths expire. Manual re-verification is too tedious to run consistently.
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 runs eligibility through Availity, Office Ally, Trizetto Provider Solutions, Waystar, ClaimMD, Apex EDI, and Change Healthcare — automatically picking the right clearinghouse per payor.
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
Frontdesk verifies BCBS, Aetna, Cigna, UnitedHealthcare, Humana, Kaiser, TRICARE, every state Medicaid (commercial-MCO + fee-for-service), and Medicare Part B — with therapy-specific benefits.
More capabilities
Frontdesk parses CPT 90791, 90834, 90837, 97155 (ABA), 92507 (SLP), 97110 (OT/PT), 90847 (couples), and telehealth modifiers — surfacing session caps, prior-auth requirements, family vs individual coverage, and deductible status.
Verification results flow as structured benefits records into SimplePractice, TherapyNotes, Jane App, CentralReach, TheraNest, and Fusion Web Clinic — copay, coinsurance, deductible, session cap, prior-auth status.
Frontdesk re-verifies eligibility at intake, at year-end deductible reset, at prior-auth expiration, and on payor change — so denials get caught before the session is billed.
Every verification request and response is logged for audit, PHI is encrypted in transit and at rest, BAA in place, and access is restricted via SSO + RBAC.
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
Solo therapists verifying 10–30 new clients per month
Group mental-health practices with multi-payor mix
ABA clinics with Medicaid waiver verification
SLP / OT / PT clinics with telehealth + in-person
Psychiatry / med-management practices
EAP-heavy practices on Headway, Alma, SonderMind
Multi-location therapy groups standardizing verification
Medicaid-heavy practices verifying state waivers
TRICARE practices serving military families
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 Insurance, Billing & Intake
AI for eligibility verification, prior auth, copay, Medicaid, Medicare, intake forms.
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 Insurance Eligibility Verification for Therapy.
Built for therapy practices losing hours per week to manual eligibility checks across commercial PPO/HMO and Medicaid/Medicare. Unlike Spruce Health, which doesn’t verify eligibility at all, Frontdesk autonomously verifies coverage, benefits, deductible status, copay, coinsurance, prior-auth status, and telehealth-specific coverage — and pushes structured results into the EHR before the first session. HIPAA-compliant by design with BAA, encrypted PHI in transit and at rest, and audit logs across SLP, ABA, mental health, psychiatry, OT, and PT.
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, ClaimMD, Apex EDI, and Change Healthcare. Frontdesk auto-picks the right clearinghouse per payor and auto-falls-back if one is degraded.
Launch Frontdesk in minutes, capture more leads, and automate repetitive front-office workflows from day one.
