Frontdesk screens Medicare eligibility for therapy clients — Part B mental health, Medicare Advantage plans, dual-eligible Medicare + Medicaid — through Availity, Office Ally, Trizetto Provider Solutions, Waystar, ClaimMD, Apex EDI, and Change Healthcare. Results sync into SimplePractice, TherapyNotes, Jane App, CentralReach, TheraNest, and Fusion Web Clinic.
< 0s
Verification SLA
Part B + Advantage
Coverage
Availity + 0
Clearinghouses
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
Medicare 90834 vs 90837 vs 97110 vs 92507 each have different deductible rules and copays. Manual verification through Availity, Office Ally, Trizetto, Waystar misses the nuance.
A client with "Medicare" may actually have Humana Medicare Advantage or UnitedHealthcare Medicare Advantage — different copays, different networks, different PA requirements.
A Medicare + Medicaid dual-eligible client has a different copay structure — and verification requires both Medicare and state Medicaid checks.
Spruce Health, Klara, Weave, Solutionreach send reminders but don’t verify Medicare benefits or detect Advantage plan changes.
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 traditional Medicare Part B and every major Medicare Advantage plan — Humana, UnitedHealthcare, Aetna, Cigna, Kaiser, BCBS — through Availity, Office Ally, Trizetto Provider Solutions, Waystar, ClaimMD, Apex EDI, and 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
Frontdesk parses Medicare benefits per CPT — 90834, 90837 for mental health; 97110 / 97112 / 97530 for OT/PT; 92507 / 92521-92524 for SLP — including deductible status, copay, coinsurance, and PA requirements.
More capabilities
For dual-eligible clients, Frontdesk runs both Medicare and state Medicaid verification — surfacing the right copay structure and avoiding improper billing.
Medicare benefits, Advantage plan, copay per CPT, and dual-eligible status flow into SimplePractice, TherapyNotes, Jane App, CentralReach, TheraNest, and Fusion Web Clinic.
Medicare benefit periods reset annually — Frontdesk re-verifies at January, on Advantage plan changes, and on deductible reset, alerting the practice to changes.
Every Medicare verification 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
Geriatric mental-health practices
Outpatient OT / PT clinics serving Medicare
SLP clinics for stroke and aphasia recovery
Psychiatry / med-management on Medicare
Dual-eligible Medicare + Medicaid practices
Skilled nursing facility therapy partners
Home-health therapy practices
Multi-location therapy groups with Medicare mix
Practices replacing Spruce Health, Klara, Weave, Solutionreach
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 Medicare Eligibility Screener.
Built for therapy practices serving Medicare clients — geriatric mental health, outpatient OT/PT, SLP for stroke recovery, Medicare Advantage psychiatry. Unlike Spruce Health, which doesn’t verify eligibility, Frontdesk autonomously checks Medicare Part B + Advantage coverage, deductible status, copay per CPT, and dual-eligible Medicaid status in real time. HIPAA-compliant by design with BAA, encrypted PHI in transit and at rest, and audit logs across SLP, 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 supportYes — traditional Medicare Part B and every major Medicare Advantage plan including Humana, UnitedHealthcare, Aetna, Cigna, Kaiser, and BCBS. Verification through Availity, Office Ally, Trizetto Provider Solutions, Waystar, ClaimMD, Apex EDI, and Change Healthcare.
Launch Frontdesk in minutes, capture more leads, and automate repetitive front-office workflows from day one.
