Use Case 1
In-Session Data Collection & Note Generation
Trigger: ABA session starts
1.Load authorization, BIP, and supervision plan
2.Provide data collection scaffolds for target programs
3.Capture frequency, duration, ABC data during session
4.Generate session note from structured data + prompts at session close
5.Route to RBT for signature
6.Lock note pending BCBA supervisory co-signature within 24 hours
✓
RBTs leave each session with a finalized note instead of charting after the workday.
Use Case 2
ABA-Aware Billing
Trigger: Session note signed and supervisory co-signature complete
1.Apply ABA-specific CPT logic (97151, 97153, 97154, 97155, 97156, 97157, 97158)
2.Calculate units per 15-minute increments
3.Validate against concurrent-supervision rules (no double-billing direct service + supervision)
4.Apply telehealth modifiers and POS per session modality
5.Pre-validate against payer ABA edit rules
6.Submit clean claims
7.Hold any claim missing supervisory sign-off
✓
ABA claims submitted clean, with supervision compliance enforced before billing.
Use Case 3
Authorization Burn-Down Management
Trigger: Continuous monitoring across active clients
1.Track authorized vs. delivered hours per client
2.Flag under-utilization risk (clients trending below 80% by mid-period)
3.Flag over-utilization risk (clients approaching or exceeding auth)
4.Draft PA extension requests with clinical justification when warranted
5.Route to BCBA for review before submission
✓
Authorizations get managed proactively, not discovered at adjudication.
Integrations
ABA Practice Management (CentralReach, Rethink, Theralytics)
In-Session Data Collection Apps
Supervision Tracking Module
EDI 837 / 835 Processing
BH Carve-Out Vendor APIs (Magellan, Optum BH)
FHIR R4 PA Submission
Industries
healthcare
See It In Action
A sample conversation with this agent
Start a session for client Ethan with RBT Jordan, supervision by BCBA Patel.
Session loaded. Authorization on file: 97153 (adaptive behavior treatment by protocol), 25 hours/week through end of quarter. Supervision requirement check: Patel needs to be reachable per the supervision plan and must co-sign within 24 hours. Data collection scaffolds ready for the targets in Ethan's current BIP—mand training, transitions, and adaptive skills. Jordan can log frequency, duration, and antecedent/behavior/consequence data live. Note draft will populate from data + structured prompts at session close.
Generate the session note and bill it.
Session note generated against the ABA documentation standard: medical necessity tied to BIP goals, programs run with data, behavior incident summary, parent communication, supervision check-in. Routing to Jordan for review and signature; once signed, the note locks pending Patel's supervisory co-signature within 24 hours. On the billing side: 4 hours of 97153 at one unit per 15 minutes, no concurrent-supervision conflict (Patel was reachable but not billing concurrent direct-service time), POS 02 with modifier 95 for the telehealth portion. Claim drafted, pre-validated against the payer's ABA edit rules. Submission held until Patel co-signs—billing without supervisory sign-off is a compliance violation I won't initiate.
Show me this week's authorization burn-down.
Tracking authorized hours vs. delivered hours per client across the practice. Three clients to watch: (1) Client A is at 92% of weekly auth with 2 sessions left scheduled—on track. (2) Client B is at 67% with the week half over—under-utilization risk; flagging to scheduling. (3) Client C is at 105% with 1 session scheduled—going to exceed auth without an updated PA. Already drafted the PA extension request for Client C with the clinical justification from recent progress notes—routing to BCBA for review before submission.