Run a real ABA prior authorization scenario.
See exactly which payer rules pass or fail —
and the exact fix for each one —
before it reaches the payer.
Why this matters
⏱
45–60 days of delayed revenue after a denial.
Your clinic absorbs the cost while families wait.
📋
Most denials are preventable.
Wrong modifier. Missing EPSDT language.
Assessment outside the validity window.
Not clinical failure — documentation failure.
🔄
Every payer has different rules.
Aetna ≠ Medicaid ≠ UHC.
No clinical team should memorize all of them.
What AuraComply checks
10 RULES
Data IntegrityR01
ABA Unit LimitsR02
Modifier Threshold (HO, GT, HQ)R03
CMS MUE Daily CapR04
Clinical Necessity + EPSDTR05
Assessment Validity WindowR06
Telehealth ComplianceR07
Comorbidity FlagR08
BCBA Credential VerificationR09
Family Capacity AssessmentR10
Run a compliance check
Change any field and see the risk score update instantly
Insurance Payer
payer rules differ by contract
CPT 97153 — Units Requested
try 180 to see high risk
units/wk
Supervisor Credential
Supervision Hours / Month
payer minimum varies
hrs/mo
ICD-10 Diagnosis
primary
Clinical Narrative
medical necessity language
Free · No account · Your BCBA reviews every output
Running 10 compliance rules...
Decision
—
Rules
—
Revenue
—
⚠DRAFT — Mandatory BCBA review required before submission.
AuraComply is a decision support tool. Your clinician owns every submission.
Compliance Report
Need the full prior authorization draft with all CPT codes, provider details, and clinical narrative?