Pick an ABA service and one of your payers. The agent checks the rule, drafts the medical-necessity letter, submits, and if it's denied, writes the appeal. The whole loop, hands-off.
Built for Jake Heimovits · by Laureen Nicholson, AutomatedRCM
No patient data, everInteractive demo
Heads up: this is an interactive walkthrough to show how the agent works. It is not a live billing system, and every determination, letter, and result below is a made-up example for illustration.
Step 1 · Choose the request
Step 2 · Agent determination
Step 3 · Auto-drafted letter
Sample output for illustration — not a real patient letter.
PAT is drafting the medical-necessity letter…
Step 4 · Outcome
Simulated result for illustration — no claim is actually submitted.
What the real agent does behind this demo
Checks the rule instantly. Knows which of your payers require PA for each ABA code, the criteria, and the turnaround window — no more digging through portals.
Writes the medical-necessity letter from the assessment and treatment plan, every time, in seconds.
Submits and tracks the authorization, then watches the approved units burn down and flags you before they run out mid-cycle — the leak that costs ABA practices the most.
Turns denials into appeals automatically, citing the payer's own policy and EPSDT for members under 21, and teeing up a peer-to-peer.
Interactive demonstration using synthetic, illustrative data only. No patient, member, or claim information is used or stored. Determinations and letters shown are representative examples for discussion, not a coverage guarantee. AutomatedRCM · getautomatedrcm.com