Nurse-led · HIPAA-aware · All 50 states

Nurse-led AI for ABA
prior authorizations

Generate and validate complete payer-aware ABA PA drafts in 60 seconds. Built for BCBAs, billing teams, and clinic owners across all 50 states.

11
section draft output
60s
end-to-end workflow
100+
payer-aware validation checks
AuraComply Draft Preview ✓ Ready in 60 sec
State
California
Payer
Anthem
CPT Codes
97153 · 97155
Auth Type
Initial
Sections Generated
11 of 11 complete
All compliance checks passed — ready for BCBA review
100+ Payer-State Combinations
Clinician-First Design
HIPAA-Aware Platform
Appeal Letter Generator
FHIR-Ready Output
Deep payer-specific rules built in at launch
Medicaid (all 50 states)
UnitedHealthcare
Anthem
Blue Cross Blue Shield
Aetna
Cigna
Molina Healthcare
+ more added monthly
What AuraComply AI does

Turns clinical notes into
submission-ready PA drafts

Payer-aware intelligence, built-in validation, and real clinical knowledge — not generic AI templates.

📋

Complete 11-Section Drafts

Generates full, professionally structured PA documents including medical necessity letters, SMART goals, and signature placeholders.

⚙️

Payer-Aware Intelligence

Adapts language, unit caps, modifiers, and justification wording to each payer's specific requirements in real time.

Pre-Submission Validation

Flags missing fields, weak clinical justification, wrong modifiers, and denial risks before you submit to the payer.

60-Second Workflow

From patient data input to a polished, payer-ready draft in under one minute — designed for busy BCBAs and billing teams.

Features

Everything BCBAs and billing teams need

Built on real clinical knowledge — not generic AI.

Core Engine

Payer-Aware Rule Engine

  • Medicaid EPSDT, state-specific unit caps, and therapy-week limitations baked into every PA draft.
  • Commercial payers — Anthem, UHC, BCBS, Aetna, Cigna, Molina — rules modeled into all 11 sections.
  • AI-powered pre-submission checks flag wrong modifiers, exceeded unit caps, and documentation gaps.
Compliance

Pre-Submission Validator

  • Compliance score 0–100, converted into a payer-specific denial-risk rating per ABA service line.
  • Catches: missing BCBA credentials, wrong unit cap per payer, absent family-training logs, and functional-status justification gaps.
  • Every denied PA auto-surfaces a one-click appeal draft with federal parity-law citations.
Appeals

Appeal Letter Generator

  • Auto-generates appeal letters tailored to each payer's style — Aetna vs Medicaid state-specific language.
  • Uses denial-reason logic and federal parity law to build the strongest possible appeal case.
  • Every denied PA becomes a one-click appeal draft — no starting from scratch.
Interoperability

FHIR-Ready and ePA-Smart

  • Designed for CMS-0057-style Prior Authorization APIs coming in 2027.
  • Auto-encodes CPTs, units, and payer-specific PA sections into structured formats for ePA portals.
  • AuraComply AI drafts plug directly into standard prior-authorization FHIR bundles.
Clinical AI

Clinically Aware Intelligence

Knows why Aetna rejects CPT 97155. Knows Medicaid EPSDT requirements. Built on deep ABA clinical expertise — not off-the-shelf AI templates. Every payer rule update deepens the clinical moat.

Security

HIPAA-Aware Design

No PHI stored. No patient data logged. Clinician review gate required before any draft can be downloaded. BCBA signature placeholders on every export. Built for trust from day one.

How it works

BCBA-first design — three steps to a submission-ready PA

No training required. No templates to fill. Clinical data in — complete payer-specific draft out.

1

Enter Patient Data

Select state, payer, and ABA CPT code (97153–97158). Fill in patient diagnosis, assessment scores, BCBA credentials, and family-training details.

2

AI Generates Payer-Specific Draft

AuraComply AI creates a complete 11-section PA draft in 60 seconds — embedded with the correct payer wording, unit caps, and modifiers for that state and insurer.

3

BCBA Review and Approval

BCBA reviews the draft, checks the compliance and denial-risk score, then approves before download. No draft can be exported without the clinician-review gate and signature placeholders.

What you get

Complete 11-section PA draft

Every section a payer needs — payer-specific wording, nothing missing, nothing invented.

Section 1 — PA Header with payer, state, and auth type
Section 2 — Patient metadata block
Section 3 — CPT service data and payer unit caps
Section 4 — BCBA credentialing block
Section 5 — Clinical documentation and SMART goals
Section 6 — Setting, modality, and telehealth flags
Section 7 — Parent and caregiver involvement (97156)
Section 8 — Authorization flags and MUE compliance
Section 9 — Medical necessity letter (LMN format)
Section 10 — Pre-submission checklist (5 checkboxes)
Section 11 — AuraComply AI compliance alignment
BCBA and physician signature placeholders
About the founder

Built by a nurse, not a tech company

The clinical expertise behind every PA draft.

N
"I watched BCBAs spend 3 hours per patient on prior auth forms that still got denied. So I built the tool they actually needed."

AuraComply AI was founded by a nurse with 5 years of clinical hospital experience and a Bachelor of Science in Nursing. The platform was built to reduce administrative burden, improve compliance accuracy, and help ABA clinics spend less time on paperwork and more time on patient care.

Unlike generic AI tools, AuraComply is built on real clinical knowledge — the kind that knows why Aetna rejects a CPT 97155 claim, and exactly how to fix it.

✓ BSN · 5 Years Clinical Experience · Nurse-led AI
Real results

What ABA teams are saying

From BCBAs and billing teams using AuraComply AI in their practices.

★★★★★

"Cut my prior auth time from hours to minutes. The payer-specific logic is outstanding — it actually knows our payer's requirements."

Sarah M.
BCBA Clinical Director
★★★★★

"Denials are noticeably down since we started using it. The validation flags and one-click appeal feature are genuine game changers for our billing team."

Michael Torres
Billing Manager, ABA Clinic
★★★★★

"Finally a tool that actually understands clinical ABA workflows. This isn't generic AI — it knows the CPT codes, modifiers, and payer quirks. Highly recommended."

Dr. Rachel Kim
Clinic Owner and BCBA
Pricing

Simple, transparent pricing

Start free. Scale as you grow. Cancel anytime.

Starter
$49/mo
per month, billed monthly
For solo BCBAs
✓ 30 days free to start
30 PA drafts per month
All 6 CPT codes (97153–97158)
Core draft generation
Pre-submission checklist
Email support
Get Started
Pro
$249/mo
per month, billed monthly
For multi-site teams
✓ Custom onboarding included
Everything in Growth
Team seats and permissions
Custom payer rules and overrides
Dedicated onboarding session
Enterprise FHIR integration
Monthly payer update alerts
Contact Sales
FAQ

Frequently asked questions

Everything you need to know about AuraComply AI.

Is AuraComply AI HIPAA compliant?
Yes. AuraComply AI is built with HIPAA security standards and BAAs in place. No PHI is stored or logged by the platform. Clinician review is required before any draft can be exported. We recommend using de-identified data during onboarding and testing.
Does it support all payers and states?
Yes. AuraComply AI supports all 50 states with deep rules for Medicaid, UnitedHealthcare, Anthem, Blue Cross Blue Shield, Aetna, Cigna, Molina Healthcare, and more — totaling 100+ payer-state combinations at launch. New payers are added monthly based on user feedback and policy changes.
Do I still need a BCBA to review the output?
Yes — and that's by design. AuraComply AI is a powerful clinical assistant, not a replacement for a qualified clinician. Every draft requires BCBA review and approval before download. No PA can be exported without passing through the clinician-review gate and BCBA signature placeholders. The final submission decision always rests with the clinician.
Which CPT codes are supported?
All six core ABA therapy CPT codes are supported: 97153 (DTT 1:1), 97154 (Group ABA), 97155 (BCBA supervision), 97156 (Family training), 97157 (Group family training), and 97158 (Group adaptive behavior). Payer-specific unit caps and modifiers for each code are built into the rule engine.
What happens if my PA is denied?
Every denied PA automatically generates a one-click appeal draft with payer-specific language, denial-reason logic, and citations to federal parity law. The Appeal Letter Generator is included in the Growth and Pro plans. You never have to start an appeal from scratch.
How does the free trial work?
Your first 30 days are completely free with no credit card required on the Growth plan. You get full access to all features including unlimited PA drafts, the payer-aware rule engine, validation, and appeal letter generator. At the end of 30 days, the plan is $99/month. Cancel anytime before then at no cost.
Get started today

Ready to reclaim time for patient care?

Join ABA clinics using nurse-led AI to simplify prior authorizations, cut denial rates, and spend less time on paperwork.