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For ABA providers

Appeal ABA hours reductions with the units, goals and data side by side.

ClaimParrot drafts appeal packets for ABA hours reductions, partial approvals and re-authorization denials from a de-identified summary: a letter draft that answers the plan's stated reason, an evidence checklist built for ABA, and a deadline plan. A person checks every packet; your BCBA completes the patient details, signs and submits. $29 a packet, and your first one is free.

Editable drafts. Human review before delivery.

Denial notice

CP-2051 · Fictional sample · no PHI

Awaiting BCBA sign-off
PayerMedicaid managed care plan
Care settingABA
Review stageRe-authorization
Denial typePartial approval · hours reduced
97153 units a weekRequested 100 · approved 48
Deadline60 days from the notice date · verify on the notice
Next actionAppeal · ask for an ABA-experienced reviewer

The workflow

From intake to a reviewable packet.

  1. 01

    Send the denial, de-identified

    Type the plan's stated reason, the review stage, the payer and the units requested and approved for each code on the authorization (97151, 97153, 97155, 97156), with a clinical summary. No names, member or authorization numbers, or dates.

  2. 02

    Get the packet back

    The packet engine drafts the appeal letter and the evidence checklist, and a person checks it before release, within 3 business days (or 1 business day for $40 more).

  3. 03

    Your BCBA finishes it

    Fill the bracketed placeholders from the treatment plan and the authorization, attach the records the checklist names, sign, and submit by the route on the notice. ClaimParrot never contacts the payer.

Built for the work

Less packet assembly. More informed review.

The interface keeps the notice, evidence, deadline, draft, and approval state connected to the same case.

The cut, code by code

Hours reductions hide in a single number. Send the requested and approved units for each code, and the letter draft is built around those numbers and what each cut removes (goals, settings or caregiver training), as your summary describes them.

An ABA evidence checklist

Hours delivered against hours authorized, graphed progress for each goal with baselines and mastery criteria, dated assessment results, the caregiver-training log and the updated treatment plan.

Coverage levers, named not invented

Where they apply to the member's plan: a state autism-coverage law, Medicaid EPSDT for members under 21, and the parity rules' criteria disclosure. Rules that do not apply to the plan stay out of the letter.

No PHI, no BAA

Requests are de-identified and packets come back with placeholders, so no protected health information reaches ClaimParrot and no BAA is needed. You attach the treatment plan and graphs yourselves when you submit.

Start with one ABA denial

Send an ABA denial. Get the appeal packet back.

Software drafts the packet from your de-identified summary and a person checks it before it reaches your team.

ABA appeal packet

$29 / packet

Appeal letter draft, ABA evidence checklist and deadline plan, within 3 business days. Your first packet is free. The request form shows the exact price before you send.

A recurring workspace

Keep the team, evidence, and next action aligned.

Designed for recurring claim operations, with a clear human approval boundary around every generated packet.

Appeal Desk 10

$590 / month

10 packets a month within 2 business days, about $59 a packet. For ABA denials alone, $29 packets cost less; the Desk fits groups that also send level-of-care denials or want the shorter turnaround.

Example workflows

What the workflow organizes.

Representative product examples, not verified customer outcomes.

Example re-authorization workflow

A re-authorization approves 12 of the 25 weekly hours of 97153 requested and removes 97156 caregiver training. The summary lists both cuts, and the letter draft asks the plan how the approved number was set.

Fictional product scenario - no outcome claim

Example focused-versus-comprehensive workflow

The notice says a focused program is enough. The draft answers from the goals and domains the summary lists and asks the plan to quote the policy language it applied.

Fictional product scenario - the BCBA reviews and signs

Questions

Questions ABA providers ask

Hours reductions and partial approvals at initial authorization or re-authorization, denials of a re-authorization request, cuts to protocol modification (97155) or caregiver training (97156), and medical-necessity denials of ABA. Units billed beyond the authorization and coding rejections are usually fixed on the claim rather than appealed.

An ABA hours or re-authorization denial is a $29 appeal packet, and your first packet is free. Add $40 for delivery within 1 business day. The request form shows the exact price before you send.

The $29 appeal packet holds the letter draft, evidence checklist and deadline plan; a written peer-to-peer brief comes with the $99 level-of-care packet. The free peer-to-peer guide and the ABA mode of the free peer-to-peer prep sheet cover what to prepare, including asking for a reviewer experienced in ABA such as a BCBA, and the ABA letter template asks the plan to schedule the call between a BCBA reviewer and your supervising BCBA.

Not yet. The published sample packet is a fictional level-of-care (PHP) case, and the ABA letter template shows how an hours-reduction appeal is laid out. The quickest way to see an ABA packet is your own: the first packet is free, with no card and no contract.

No. ClaimParrot accepts de-identified information only and does not sign business associate agreements, so none is needed. Summarize the assessment results, goals and progress in the form without identifiers; you attach the records themselves when you submit the appeal.

It works alongside it. You type a de-identified summary into the request form and get the packet back; nothing connects to CentralReach or any other system, and no patient data leaves your practice.

Reviewed by a person.Every packet.

You agree to our Terms and Privacy Policy. ClaimParrot is not a law firm, and no outcome is promised.

Details

Essential storage only, no tracking (cookie notice). Nor is ClaimParrot an insurer or clinical provider: packets are drafts your clinician reviews, signs and submits. ClaimParrot is operated by KERA Tech Solutions L.L.C., Prizren, Kosovo.