Real rules, real output — exactly what your BCBA reviews before every submission.
Aetna requires "sustained deficits in adaptive behavior" language. Current narrative uses generic language that may be insufficient.
Add: "Patient demonstrates sustained deficits in adaptive behavior across social communication and restricted/repetitive behaviors as documented by VB-MAPP."
ABA clinics lose thousands every month to preventable denials — not because the care wasn't necessary, but because the paperwork didn't match payer rules.
Unit limits, modifier requirements, and documentation standards shift each plan year — and denials arrive weeks after submission.
BCBAs spend hours cross-referencing payer PDFs, CPT lookups, and MUE tables — time stolen from direct client care.
A denied PA delays authorization, delays treatment, and triggers an appeals cycle — costing weeks of cash flow and BCBA admin time.
Peer-to-peer appeal letters require payer-specific language — and every BCBA writes them differently, making outcomes unpredictable.
Solo BCBAs can't afford a billing team — so the BCBA becomes the coder, biller, and compliance officer by default.
One compliance check catches every rule violation before you submit — giving your BCBA a clear fix list and payer-specific language, in under 60 seconds.
No training needed. No billing expertise required. Answer the questions — AuraComply does the compliance work.
Select payer, enter CPT codes, units requested, assessment date, and patient context — all in one structured form.
All 10 payer-specific rules run instantly — unit limits, clinical necessity, modifiers, credentials, assessment validity, and more.
Each flagged item shows exactly what's wrong and how to fix it — with payer-specific language your BCBA can paste directly.
Once all rules pass, your BCBA reviews and signs off — then submits a PA checked against every rule for that specific payer.
Each rule is coded from each payer's published clinical policy documents. When a payer updates their policy, we update the rule.
Rules are deterministic: the same input always produces the same result. No guessing, no AI interpretation — just the rule as written by the payer, executed in code.
10-rule pass/fail breakdown with risk score, flagged items, and total revenue at risk — for every PA, every time.
Every flagged rule includes the exact language your BCBA needs to resolve it — written for the specific payer, not generic boilerplate.
A guided form collecting all required fields — payer, CPT codes, units, assessment details — before the compliance check runs.
A 0–100 denial risk score tells your BCBA whether to fix and resubmit, or submit with confidence. Updated as you resolve flags.
Generate a payer-specific peer-to-peer appeal letter when a PA is denied — grounded in the compliance report, reviewed by your BCBA before sending.
Track each PA from draft to outcome — Approved, Denied, Pending Appeal — so nothing falls through the cracks in a busy clinic.
Founded by an RN with direct ABA clinical experience — every rule reflects real-world prior auth friction, not theoretical billing problems.
Compliance rules are deterministic code — same input, same result, every time. No black boxes, no probabilistic errors.
Each rule is coded from the payer's published clinical policy document — version-tracked so you can verify the source yourself.
AuraComply is a clinical decision support tool. Every output requires mandatory BCBA review before submission — we never replace clinical judgment.
Early access pricing — waitlist members lock in this rate forever. Price increases after launch.
✦ Founding member rate — locks in forever
For solo BCBAs and small practices just getting started.
✦ Founding member rate — locks in forever
For growing clinics with multiple BCBAs and higher PA volume.
For RCM companies and multi-location groups managing ABA billing at scale.
"I built AuraComply because I watched brilliant BCBAs lose hours every week to payer paperwork — time that should have gone to their clients. Every rule in this software is one I saw cause a denial in the real world."
Early members get founding-member pricing and first access to new payer rules.
Join ABA clinics using rule-based compliance checks to submit cleaner PAs — and recover hours every week.