Behavioral Health

Behavioral health can't absorb the misses other specialties can.

One skipped appointment, one mistimed code, or one lapsed consent breaks a course of treatment or a claim. Orchestrate agents across the lifecycle from first contact through payment, evaluate them against parity and Part 2, and deploy with the record an audit demands.

Watch the overview

Agentic AI for behavioral health

Behavioral health fails as a cascade. A missed contact becomes missed capacity, then a missed appointment, then a missed claim, and parity rules and 42 CFR Part 2 keep moving underneath all of it. This walks through why general-purpose agents break on work this policy-dense, and how KORA and CURA make behavioral health agents you can build and test, run on intelligence you own, and defend to an auditor.

The pressure is real, and general-purpose AI falls short.

Intake, engagement, documentation, and billing consume clinician and staff hours while shaping care directly. The work underneath is dense with behavioral health policy, carve-out routing, time-bound psychotherapy codes, level-of-care authorization, and Part 2 consent rules, and general-purpose agents fail on exactly that density. Each failure lands as another mistimed code or lapsed consent.

How we test the best models
Researchers from Stanford, Johns Hopkins Medicine, Yale, and Salesforce AI Research reviewed ACTAVA χ-BENCH.
72%

Complex U.S. healthcare workflows that frontier models fail on χ-BENCH.

<8%

Agents that stay successful when the same task repeats.

200+

Tools across 21 healthcare applications, grounded in real managed care policy.

What you build around the model decides whether an agent is deployable.

The benchmark's lesson lands squarely on scaffolding. Systems access, policy adherence, workflow sequencing, and approval gates matter more than the model itself.

Read the χ-BENCH study
The ACTAVA solution

Behavioral health needs agents that carry patient and claim across handoffs, and a model that learns your policies.

Build, evaluate, and optimize every behavioral health agent

Agents run from first contact through payment, over chat, voice, text, and in the background. Clinical decisions stay with humans, a missed appointment feeds crisis detection, and session notes feed claims. Each agent is tested before it goes live and reports what it costs and the impact.

Explore KORA

Run any frontier model, and own the intelligence underneath it

Run CURA, frontier models, or both, and swap the model without rewriting the clinical or billing logic. KORA orchestrates the behavioral health workflows and CURA comes tuned on your rules, carve-out paths, and documentation standards inside your own cloud at a lower cost.

Explore CURA

Govern every agent, and prove it to an auditor

Write and version AI policies, train teams against them, and test every agent against 85+ controls including NIST AI RMF, HIPAA, CMS HEI, and ONC HT1. Governance tracks parity as it moves and carries Part 2 on every SUD record. Audit packages generate on demand.

Explore compliance
The agent library · Behavioral health

Our behavioral health agent library, yours to extend

We provide pre-built, governed agents you deploy on KORA and extend with your own protocols. Behavioral health agents cover the lifecycle from first contact through payment, between-session support, crisis detection, outcome measurement, and engagement on the clinical side, intake through eligibility-to-payment on the operational side. Every agent carries HIPAA compliance, human approval on clinical decisions, and audit logging, and the logic inside is behavioral health logic, from carve-out cascades to Part 2 consent handling.

  • Compliance
  • HITL · Human in the loop
ComplianceRevenue Cycle

BH Eligibility-to-Payment Orchestrator

Runs the full 15-step BH revenue cycle—eligibility verification with carve-out cascade, CMS-0057 FHIR prior auth, parity-aware claim generation, denial appeals, and patient payment reconciliation—built specifically for BH coding and adjudication paths.

ComplianceBCBA

ABA Session-to-Billing Orchestrator

Runs the full ABA therapy session lifecycle—scheduling, data collection during the session, note generation against ABA-specific documentation standards, supervision validation, and clean billing with telehealth and concurrent-supervision code logic.

HITLBH Therapist

BH Intake-to-Matched-Provider Agent

Takes a patient from first contact through validated assessment, rules-based acuity triage, condition-weighted provider matching, confirmed appointment, and post-match engagement monitoring—with clinical safety gates at every step.

HITLPatient Services

BH Predictive Engagement Agent

Scores BH appointment no-show risk, delivers tiered reminders calibrated to risk, handles cancellations and reschedules conversationally, and re-engages patients at risk of dropping out—routing clinical decisions to humans.

HITLBH Therapist

Between-Session Support Agent

Augments human therapy with evidence-based between-session conversational support (CBT, DBT, MI), monitors continuously for safety risks, and escalates crises to clinicians with zero delay. Never replaces a clinician—amplifies one.

ComplianceQuality & HEDIS Manager

BH Outcome Measurement Orchestrator

Runs the 9-step BH outcome measurement pipeline—active PHQ-9/GAD-7 administration, passive voice/language analysis from session recordings, predictive modeling on treatment response, and payer-ready measurement-based care reporting.

HITLBH Clinical Director

Multi-Source Crisis Detection Agent

Ingests session transcripts, patient messages, wearable data, and assessment scores to detect imminent risk of suicide, self-harm, or substance relapse—then coordinates appropriate clinical response with documented escalation paths.

ComplianceCompliance Officer

BH Practice Compliance Agent

Continuously scans clinical notes, validates consent, monitors parity at the point of care, detects documentation deficiencies, and tracks remediation—keeping BH practices audit-ready without an in-house compliance army.

HITLPractice Administrator

BH Workforce Optimization Agent

Runs an 11-step workforce optimization pipeline for BH provider organizations—credential monitoring, panel capacity tracking, demand forecasting, scheduling optimization, and burnout signal detection—with humans approving all clinician-impacting decisions.

Example agent

Multi-source crisis detection, end to end

Describe the workflow in plain English and Agent Studio generates the agent. It watches therapy transcripts, patient messages, wearable sleep data, and assessment trajectories at once, screens them against C-SSRS terminology and PHQ-9 item 9, and fuses all four into one weighted risk score rather than firing on any single signal. The run here is labelled synthetic data, and it ends the way it should: the agent assembles the escalation package, reports the gaps that blocked it, sends nothing, and leaves the decision with the clinician.

Customer proof
ThoroughCare

ThoroughCare put agents in production without building the infrastructure to run them.

ThoroughCare builds care management software. When the team rebuilt enrollment as agent work, they chose ACTAVA over standing up their own agent infrastructure, and shipped with the same approval gates and audit trail every agent on this page carries. Their agents prioritize outreach by clinical risk, reach patients on the channels they answer, and keep a complete record of every action.

less token burn per completed workflow
11x
less token burn per completed workflow
Token spend
shorter enrollment cycle
83%
shorter enrollment cycle
6 months30 days
enrollments per care manager
5x
enrollments per care manager
Care managerWith ACTAVA
Earl Hutz

At ThoroughCare, we're committed to empowering care teams to deliver high-quality, patient-centered care. Our partnership with ACTAVA has been instrumental — reducing administrative burden, automating time-intensive processes, and enabling care teams to operate more efficiently and effectively.

Earl Hutz
Chief Operating Officer · ThoroughCare

90-day value realization

Start quickly.

Plan your agent roadmap and digital workforce budget.

Build agents immediately with the ACTAVA team beside you.

Integrate your systems of record and launch from the prebuilt library.

Run safely.

Establish your AI policies, frameworks, and evaluation rubrics.

Evaluate agent performance, inspect behavior, and improve it.

Govern every agent and orchestrate them across your systems.

Grow intelligently.

Control model costs with real-time consumption monitoring.

Distribute agent resources as functions and demand shift.

Measure ROI for every agent on a configurable dashboard.

Next step

Behavioral health agents you can govern, prove, and own.

Every agent tests before it deploys, every action lands in the audit log, and the intelligence stays in your cloud, under your control. Tell us which program you're scaling and we'll show your first agent running inside the harness.