Frontdesk
Prior auth without the spreadsheet

AI prior authorization coordinator that opens, tracks, and renews every PA

Frontdesk opens prior authorizations through Availity, Office Ally, Trizetto Provider Solutions, Waystar, ClaimMD, Apex EDI, and Change Healthcare — for BCBS, Aetna, Cigna, UnitedHealthcare, Humana, Kaiser, TRICARE, Medicaid, and Medicare — tracks PA windows, fires renewal outreach, and syncs PA status into SimplePractice, TherapyNotes, Jane App, CentralReach, TheraNest, and Fusion Web Clinic.

  • HIPAA-compliant by design
  • 24/7 coverage
  • Works with your EHR

0 / 14 / 7 days

Renewal alert

Availity + 0

Clearinghouses

BCBS, Aetna +

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

PA submission is manual and slow

Front-office staff hand-fill PA requests across Availity, Office Ally, Trizetto, Waystar, and Change Healthcare — payor by payor, PA by PA. ABA clinics often have hundreds of active PAs.

$40K+/year per location in PA labor

PA expiration sneaks up

A Medicaid waiver PA expires on Wednesday — but nobody flagged it. Thursday’s sessions get denied weeks later.

Denied claims, surprise bills, payor escalation

PA status isn’t visible in the EHR

PA approval lives in a payor portal screenshot or a fax. Clinicians can’t see remaining sessions per PA in SimplePractice, TherapyNotes, Jane App, CentralReach, TheraNest, or Fusion Web Clinic.

Clinicians over-deliver into denied sessions

PA renewal outreach is inconsistent

Without autonomous renewal flow, the practice gets surprised by the same expiration every year — and Spruce Health, Klara, Weave, Solutionreach can’t help.

Repeat denials, audit risk, retention impact

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.

Live call

+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?”

Answered in 0.4s
01

Autonomous PA submission across clearinghouses

Frontdesk submits prior-auth requests through Availity, Office Ally, Trizetto Provider Solutions, Waystar, ClaimMD, Apex EDI, and Change Healthcare — auto-picking the right clearinghouse per payor.

  • Availity PA submission
  • Office Ally + Trizetto + Waystar workflows
  • ClaimMD + Apex EDI + Change Healthcare
  • Payor-specific PA forms auto-filled
  • PHI minimization on every submission
Qualification

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

Budget$2,400
Layout2BR
Move-inFeb 15
Pets1 dog, 35 lbs
02

PA tracking across every payor

Frontdesk tracks PA status across BCBS, Aetna, Cigna, UnitedHealthcare, Humana, Kaiser, TRICARE, every state Medicaid (waiver + MCO), and Medicare — with remaining-sessions surfaced per PA.

  • BCBS / Aetna / Cigna / UnitedHealthcare / Humana / Kaiser
  • TRICARE East / West / For Life
  • State Medicaid waivers (ABA, autism, IDD)
  • Medicare Part B PA tracking
  • Remaining-sessions surfaced per PA

More capabilities

Everything else your team needs

03

EHR-level PA status display

PA status flows into SimplePractice, TherapyNotes, Jane App, CentralReach, TheraNest, and Fusion Web Clinic — clinicians see remaining sessions, expiration date, and renewal status without leaving the chart.

  • PA status in SimplePractice client chart
  • TherapyNotes PA card sync
  • Jane App + CentralReach + TheraNest + Fusion Web Clinic
  • Per-session remaining-PA decrement
  • Clinician dashboard of active PAs
04

PA renewal outreach 30/14/7 days before expiration

Frontdesk fires renewal workflows at 30, 14, and 7 days before PA expiration — opening the renewal request, gathering clinical justification, and submitting through the right clearinghouse.

  • 30-day renewal alert + submission
  • 14-day escalation if pending
  • 7-day clinician escalation if not approved
  • Auto-resubmission on rejection
  • Clinical justification template per CPT
05

ABA-specific PA workflows

ABA PAs are uniquely complex — Medicaid waivers, BCBS state plans, military TRICARE — and require session caps, supervision hours, and BCBA-signed letters. Frontdesk handles each.

  • Medicaid waiver-specific PA forms
  • TRICARE ABA Demonstration PAs
  • BCBA-signed clinical justification
  • Supervision-hour PA tracking
  • CentralReach + Rethink Behavioral Health sync
06

HIPAA-compliant audit logs

Every PA request, response, and renewal is logged for audit, PHI is encrypted in transit and at rest, BAA in place, and access is restricted via SSO + RBAC.

  • HIPAA-compliant by design (BAA, encrypted PHI)
  • PA submission + response audit logs
  • PHI minimization on every transaction
  • SSO + RBAC access controls
  • CMS + payor audit-ready reporting

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

  • SimplePractice (mental health, speech, OT/PT) bidirectional sync
  • TherapyNotes for solo and group mental health practices
  • Jane App for multi-discipline clinics (SLP / OT / PT / mental health)
  • TheraNest for mental health and counseling practices
  • IntakeQ + Practice Better for HIPAA intake form automation
  • Kareo (Tebra), athenahealth, eClinicalWorks for medical-grade EHR sync
  • WebPT and NetHealth (Optima) for OT/PT clinics
  • Fusion Web Clinic, ClinicSource, PtEverywhere for pediatric SLP/OT/PT
  • CentralReach, Rethink Behavioral Health, Catalyst, AccuPoint, Lumary, Total ABA for ABA + autism services
  • Theralytics, TheraBe for ABA data + clinical operations
  • Eligibility + benefits verification: Availity, Office Ally, Trizetto, Waystar, Change Healthcare
  • Telehealth: Doxy.me, Zoom for Healthcare, SimplePractice telehealth, healow
  • HIPAA-compliant by design: BAA available, encrypted PHI, audit logs

Who it's for

ABA clinics with Medicaid waiver PAs

Mental-health practices with session-cap PAs

SLP clinics with medical-necessity PAs

OT / PT clinics with visit-limit PAs

Psychiatry / med-management with med PAs

TRICARE ABA Demonstration clinics

Multi-state ABA franchises

Pediatric SLP / OT / PT with school + medical PAs

EAP-heavy practices on Headway, Alma, SonderMind

The journey

Every step syncs to Yardi, RealPage, Entrata, AppFolio, Buildium, or ResMan in real time.

01

Step 1

AI captures every client and caregiver interaction

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.

02

Step 2

Records sync to your EHR, scheduling, and billing

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.

03

Step 3

Automation runs reminders, recovery, and outreach

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.

04

Step 4

Analytics surface what matters across the practice

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.

What this page covers

Topics, integrations, channels, practice types, and workflows covered by AI Prior Authorization Coordinator.

Built for therapy practices drowning in prior-auth tracking — ABA Medicaid waivers, SLP medical-necessity PAs, mental-health session caps, OT/PT visit limits. Unlike Spruce Health, which has no PA awareness, Frontdesk autonomously submits authorization requests, monitors approval status, alerts on expiration, and re-files renewals before sessions hit the cap. 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.

EHR & practice management

  • SimplePractice
  • SimplePractice telehealth
  • 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 (ABA)
  • Rethink Behavioral Health (ABA)
  • Catalyst (ABA)
  • AccuPoint (ABA)
  • Lumary (ABA)
  • Total ABA
  • Theralytics
  • TheraBe

Telehealth, scheduling & communication

  • Doxy.me
  • Zoom for Healthcare
  • Google Meet for Healthcare
  • SimplePractice telehealth
  • TheraNest video
  • healow
  • Acuity Scheduling
  • Calendly Health
  • NexHealth
  • Solutionreach
  • Weave
  • Spruce Health
  • Klara
  • Updox
  • OhMD

Billing, payor & eligibility

  • Availity eligibility
  • Office Ally
  • Trizetto Provider Solutions
  • Waystar
  • ClaimMD
  • Apex EDI
  • Change Healthcare
  • TriZetto
  • Medicaid eligibility verification
  • Medicare eligibility verification
  • Commercial payor verification (BCBS, Aetna, Cigna, UnitedHealthcare, Humana, Kaiser)
  • TRICARE eligibility
  • TriCare West / TriCare East
  • Good Faith Estimate (No Surprises Act)
  • Superbills + self-pay invoicing
  • EAP (Employee Assistance Program) intake
  • Headway / Alma / SonderMind / Grow Therapy panel onboarding

Therapy workflows automated

  • AI new-client intake (HIPAA-aware)
  • AI insurance eligibility + benefits verification
  • AI appointment scheduling and reschedule
  • AI no-show recovery + cancellation backfill
  • AI waitlist management and slot-fill outreach
  • AI prior-authorization coordination
  • AI superbill + receipt generation
  • AI session reminders (24h, 2h, 30min cadences)
  • AI parent / caregiver coordination (pediatric)
  • AI crisis-line and suicide-risk triage with live escalation
  • AI IEP/504 meeting coordination (school-based therapy)
  • AI recurring appointment series management
  • AI discharge planning + handoff
  • AI review-request automation (Google, Healthgrades, Zocdoc)
  • AI referral-source follow-up + thank-yous

Therapy specialties served

  • Speech-Language Pathology (SLP)
  • Pediatric speech therapy
  • Adult speech therapy
  • AAC evaluation and therapy
  • Stuttering / fluency therapy
  • Feeding and swallowing therapy
  • Voice therapy
  • Myofunctional therapy
  • Applied Behavior Analysis (ABA)
  • BCBA-supervised clinics
  • Autism diagnostic evaluation
  • Mental health and counseling
  • Couples and family therapy
  • Teen and adolescent therapy
  • Trauma therapy / EMDR
  • Eating-disorder treatment
  • Substance-use intake
  • Psychiatry / med management
  • Occupational therapy (OT)
  • Pediatric OT / sensory integration
  • Physical therapy (PT)
  • Orthopedic rehab
  • Vestibular therapy
  • Pelvic floor therapy
  • Hand therapy
  • Pediatric PT
  • School-based therapy services

Communication channels

  • Inbound voice (24/7 intake, after-hours hotline)
  • Outbound AI voice (recall, no-show recovery, waitlist fill)
  • HIPAA-compliant SMS and texting
  • WhatsApp Business
  • Web chat (practice site + EHR portal)
  • Email
  • 30+ languages (Spanish-speaking SLP, bilingual mental health, ASL referral routing)

Competitive alternatives

  • SimplePractice Telehealth + Reminders alternative
  • TherapyNotes Telehealth alternative
  • Spruce Health alternative for voice + outbound
  • Klara alternative
  • Updox alternative
  • Weave alternative for SMB therapy
  • Solutionreach alternative
  • NexHealth alternative
  • OhMD alternative
  • Headway / Alma / SonderMind / Grow Therapy front office

FAQ

Common questions about AI Prior Authorization Coordinator

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 support

BCBS, Aetna, Cigna, UnitedHealthcare, Humana, Kaiser, TRICARE (East / West / For Life), every state Medicaid plan (waiver + MCO), and Medicare Part B + Advantage. Plus EAP networks like Headway, Alma, SonderMind.

Launch Frontdesk in minutes, capture more leads, and automate repetitive front-office workflows from day one.

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