ABA billing software for practices + billing agencies
ABA billing you can prove.
AltraSync is ABA billing software, ABA practice management, and a done-for-you ABA revenue cycle management (RCM) service in one platform. We audit session documentation, review every ERA line, verify insurance eligibility, track authorization utilization, and work the denials — with evidence attached to every finding. Rather not touch billing at all? Our ABA billing services team runs it end to end for a small percentage of what we collect.
NO SALES CALL · NO CREDIT CARD · NO COMMITMENT — JUST YOUR EMAIL FOR THE ACCESS LINK
835 ERA · CHK 48211 $1,240.80 POSTED PAID ✓
SERVICE LOG · PG 2/2 PROVIDER SIGNATURE MISSING ⚑
ERA pull — clearinghouse → reviewLive preview · no PHI
835 ERA · CHK 48211 · $1,240.80 POSTED97153 ×8 · ALLOWED $32.10 · PAID ✓271 ELIGIBILITY · ACTIVE · COPAY $0.00CONTRACT $36.00 · PAID $32.10 · Δ −$3.90 ⚑AUTH 22-4471 · USED 61/80 H · 76%DENIAL CO-197 · RESUBMITTED · DAY 6SIG PAGE 2 · MISSING ⚑ · SENT BACKCHK 48212 · $2,908.12 · RECONCILED ✓270 SENT 07:00:00 · 271 RECV 07:00:04ERA BATCH 06/18 · 42 LINES · 0 DUPES
06+ABA billing workflows, one system
835 + 271Clearinghouse ERA & eligibility
Read-onlyClient revenue portal
% of collectionsDone-for-you ABA billing
Sample findings · fictional data
See exactly what our ABA documentation audit catches.
Every example below is fictional and intentionally incomplete. Open a finding to compare the sample document against what AltraSync flagged — and the recommended next step before the ABA claim goes out.
Session summary: The client participated in structured play, communication trials, and transitions. Data were recorded for all active targets. The provider used prompting, reinforcement, and visual supports according to the treatment plan.
Taylor Example, RBT Provider name / credential
MissingProvider signature
06/18/2026 Date
Sample appointment note — page 1 of 2Fictional data
ReviewSession summary: The client worked on requesting, waiting, and following one-step directions. The therapist used visual prompts and differential reinforcement. The client completed all planned activities.
Concern: The participant field lists the mother, but the narrative does not describe her presence, participation, training, or observation.
Still needed: insurance card back, caregiver email, member ID confirmation, signed consent form.
The ABA practice management platform
Everything your ABA billing office touches every day.
One organized ABA billing system for the work billing and therapy teams repeat constantly — uploads, documentation audits, insurance claims, 270/271 eligibility checks, denial follow-ups, authorization tracking, and management visibility.
AUD
ABA Documentation Audit
Review calendars, service logs, appointment notes, evidence packets, corrections, and follow-ups in one office workflow.
⚑SIG PAGE 2 · MISSING → SENT BACK
ERA
ABA Billing & EOB / ERA Review
Pull payer ERAs from your clearinghouse with a duplicate guard, then sort into paid, patient responsibility, denied, and follow-up lanes.
✓835 · CHK 48211 · $1,240.80 POSTED
ELG
Insurance Eligibility Verification
Run 270/271 insurance eligibility checks through your clearinghouse, manage provider NPIs, and turn 271 responses into clear active-coverage views.
✓271 · ACTIVE · COPAY $0.00
CRM
Denial Management CRM
Track ABA claim denials and patient responsibility with proof-focused notes so nothing slips through the cracks.
↻ CO-197 · RESUBMITTED · DAY 6
AUTH
Authorization Utilization Tracking
Turn ABA authorization data into weekly capture views, expiration alerts, and client-level summaries.
▮ 61/80 H USED · 76% CAPTURE
REV
Client Revenue Portal
Give client companies a read-only view of collected amounts, patient responsibility, and aging — scoped by access.
✓COLLECTED MTD $48,912.44
Exhibits
Short videos. Real ABA billing outcomes.
These previews show what AltraSync’s ABA billing software does — without exposing internal rules, SFTP details, or PHI.
Exhibit ANo PHI
Payer ERA Pull
Pull payer ERAs from your clearinghouse with a duplicate guard so totals stay accurate.
Exhibit BNo PHI
Denial Follow-up CRM
Organize denials and follow-ups with proof and reconciliation.
Exhibit CNo PHI
Real-Time Eligibility Verification
Run 270/271 coverage checks and turn responses into clean results.
Exhibit DNo PHI
Client Revenue Portal
Read-only revenue visibility for approved client companies.
The ABA revenue cycle
Watch the ABA billing workflow, step by step.
Short walkthroughs of the full ABA revenue cycle built with sample data only — no real company names, no real children. From a flagged service log, to EOB review, to a QuickBooks invoice, to invoice reconciliation and revenue tracking.
Step 1 of 5Sample data
Scan & flag problems
The documentation audit scans a service log and flags issues — a weekend School place-of-service and a missing signature — automatically.
Step 2 of 5Sample data
Review the EOB
ERA/EOB responses sort into lanes — needs attention, paid, patient responsibility — with counts and dollar totals.
Step 3 of 5Sample data
Invoice in QuickBooks
Patient responsibility connects to QuickBooks and becomes a ready-to-send invoice in a couple of clicks.
Step 4 of 5Sample data
Reconcile invoices
Compares your practice-management session export against your invoice file — matched lines, missing invoices, and quantity mismatches, instantly.
Step 5 of 5Sample data
Track your revenue
See total billed, collected, collection rate, AR aging, and a read-only service-line ledger with every kid’s record.
Sample / demo walkthroughs — names, IDs, and amounts are fictional placeholders.
ABA underpayment recovery
Catch the underpayments payers hope you miss.
AltraSync compares the allowed amount per unit on every ERA against your contracted rate for that payer, CPT, and modifier — then flags the exact shortfall. It checks allowed vs. contract, not paid, so it catches money left on the table even when an ABA claim looks “paid in full.”
✓Per-payer, per-CPT, per-modifier contracted rates you control
✓Learned-rate fallback from your own remittance history when no contract is loaded
✓Estimated recoverable shortfall surfaced as a KPI and a per-claim flag
✓Built into Billing EOB Review and the Revenue Portal — the same number everywhere
CPT 97153 · MOD HN412 units · Q2
Allowed / unit$32.10
Contract rate$36.00
Variance / unit−$3.90Short
Recoverable−$1,606.80Flagged
Illustrative math — fictional payer, rates, and amounts.
Underpayment detectionSample data
Underpayment / contract variance detection
Sample data only — fictional names, IDs, and amounts.
For ABA billing agencies
Billing for multiple ABA practices? Run every sub-company from one login.
If you provide ABA billing services for multiple practices, AltraSync gives you one account to switch between every client company you manage — scoped, organized, and audit-logged.
✓One account, unlimited managed sub-companies
✓Switch working company before scanning or billing
✓Per-company audit history, ERAs, and revenue portals
✓Give each client read-only visibility into their own numbers
Hand your ABA billing to the AltraSync team — a full ABA revenue cycle management service on the same platform you’d use yourself. Claims, ERAs, denials, eligibility, and follow-up, for a small percentage of what we collect.
✓We submit, track, and follow up on claims for you
✓Denials and patient responsibility worked every week
✓Full transparency through your live revenue portal
✓You only pay a percentage of what actually gets collected
No base fee, no per-claim charges. If nothing gets collected, you owe nothing.
How the handoff works
Four steps to hand off your ABA billing.
1
Quick onboarding
We connect your providers, payers, and clearinghouse securely.
2
We bill & track
Claims go out, ERAs come in, and our team works every lane.
3
We chase denials
Follow-up and patient responsibility handled so nothing is left on the table.
4
You watch it grow
See collected revenue in real time through your read-only portal.
Custom work & integrations
A file we don’t read yet? A problem no ABA billing tool solves? We’ll build it.
Bring us any report, spreadsheet, or payer file you need audited — or any recurring ABA billing headache — and we’ll build it into AltraSync for you. Most custom work ships in 10 to 30 days, scoped to your workflow.
ANY FILE
Bring any file
EOBs, ERAs, payer spreadsheets, scheduling exports, authorization logs — if it’s part of your ABA billing, we can ingest and audit it.
✓XLSX · 12,408 ROWS · INGESTED
TAILORED
Solve any problem
Tell us the bottleneck or error you keep fighting, and we design a tailored audit, report, or automation around it inside your existing workspace.
⚙ RULE: WEEKEND POS → AUTO-FLAG
10–30 DAYS
Fast turnaround
Clear scope, a fixed timeline, and a custom quote up front. Most requests are delivered and tested within 10 to 30 days.
✓SCOPED → SHIPPED · DAY 21
Every custom request is scoped individually with a free quote — tell us what you need and we’ll map it out.
BILLING QUOTE % OF COLLECTIONS NO BASE FEE ✓
ABA billing software plans
Run it yourself, or let us run it.
Same ABA billing platform either way. Pick what fits your team.
Our done-for-you ABA billing is a small percentage of what we actually collect — no base fee and no per-claim charges. If nothing gets collected, you owe nothing. Software-only access is quoted separately; book a demo for pricing.
What is the best ABA billing software for a small practice?
The best ABA billing software audits documentation before claims go out, reads ERAs (835) automatically, verifies eligibility (270/271), tracks authorization utilization, and flags underpayments against contracted rates. AltraSync does all of this in one platform — and can also run your billing for you as a done-for-you RCM service.
Do you work with our clearinghouse and practice-management system?
Yes. AltraSync connects to your existing clearinghouse for ERAs (835) and eligibility (270/271), and reads exports from common ABA practice-management systems. If you use a file we don’t read yet, we build support for it — most custom work ships in 10 to 30 days.
What causes most ABA claim denials?
The usual causes are authorization problems, eligibility lapses, documentation gaps like missing signatures or participant mismatches, and coding issues on ABA CPT codes such as 97151–97158. AltraSync flags these before submission and works the denials that still happen.
Can a billing agency manage multiple ABA practices in one account?
Yes. One agency login manages unlimited sub-companies — each scoped with its own audit history, ERAs, and read-only revenue portal, all audit-logged.
Do I have to share PHI to try AltraSync?
No. The live demo, sample findings, and walkthrough videos use fictional or de-identified data only, and we ask that you never include PHI in contact forms. The platform itself is designed for HIPAA-covered billing workflows with scoped access and audit logging.
Contact
Let’s look at your ABA billing together.
Tell us about your ABA practice or billing agency and what you want to automate — or get a free quote to hand your billing to us. No PHI, please.