Watch a claim run the full ABA revenue cycle — live, below
ABA billing you can prove.
AltraSync is ABA billing software, ABA practice management, and done-for-you ABA revenue cycle management (RCM) in one platform — documentation audits, ERA/EOB review, 270/271 insurance eligibility verification, authorization tracking, denial management, and underpayment recovery, with evidence attached to every finding.
NO SALES CALL · NO CREDIT CARD · NO COMMITMENT — JUST YOUR EMAIL FOR THE ACCESS LINK
INITIALIZING CLAIM PIPELINE…
SIMULATED COLLECTIONS$48,912.44FICTIONAL DATA · NO PHI
CLICK ANY STATION TO JUMPLOOPING SIMULATION · SESSION NOTE → DEPOSIT
06+ABA billing workflows, one system
835 + 271Clearinghouse ERA & eligibility
Read-onlyClient revenue portal
% of collectionsDone-for-you ABA billing
EVERY SESSIONDOCUMENTED ✓
97151–97158 · AUDITED ✓EVERY CLAIM
EVERY ERA835 · LINE BY LINE ✓
CONTRACT VS PAID · PROVEN ✓EVERY DOLLAR
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.
MODULE 01 / 06
ABA Documentation Audit
Review calendars, service logs, appointment notes, evidence packets, corrections, and follow-ups in one office workflow — every finding backed by the exact page it came from.
SCAN service_log_0618.pdf … OK
RULE 07 SIGNATURE … ⚑ MISSING
ACTION → SENT BACK TO PROVIDER
RESUBMITTED … AUDIT CLEAN ✓
MODULE 02 / 06
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.
PULL 835 BATCH 06/18 … 42 LINES
DUPE GUARD … 0 DUPLICATES
LANES: PAID 31 · PT RESP 7 · DENIED 4
CHK 48211 · $1,240.80 POSTED ✓
MODULE 03 / 06
Insurance Eligibility Verification
Run 270/271 insurance eligibility checks through your clearinghouse, manage provider NPIs, and turn 271 responses into clear active-coverage views.
270 SENT 07:00:00
271 RECV 07:00:04 … ACTIVE
COPAY $0.00 · DEDUCTIBLE MET
COVERAGE VIEW UPDATED ✓
MODULE 04 / 06
Denial Management CRM
Track ABA claim denials and patient responsibility with proof-focused notes so nothing slips through the cracks.
DENIAL CO-197 · CLAIM 10391
NOTE + PROOF ATTACHED
RESUBMITTED · DAY 6
STATUS → PAID ✓ CLOSED
MODULE 05 / 06
Authorization Utilization Tracking
Turn ABA authorization data into weekly capture views, expiration alerts, and client-level summaries.
AUTH 22-4471 · 80 H APPROVED
USED 61 H · 76% CAPTURE
EXPIRES IN 21 DAYS ⚑ ALERT
WEEKLY VIEW UPDATED ✓
MODULE 06 / 06
Client Revenue Portal
Give client companies a read-only view of collected amounts, patient responsibility, and aging — scoped by access.
PORTAL SCOPE … READ-ONLY OK
COLLECTED MTD $48,912.44
AR 0–30 · $18,204.11
CLIENT VIEW SYNCED ✓
Works with Office Puzzle & your existing stack
Every service log, calendar log & appointment note — audited straight from your Office Puzzle exports.
Keep scheduling, data collection, and session notes in Office Puzzle (or any ABA practice-management system). Export, drop the files into AltraSync, and the audit engine scans every service log, calendar log, and appointment note against payer documentation rules — before the ABA claim goes out. No migration, no rip-and-replace.
CLEAN ✓ → RELEASED TO BILLINGFLAGGED ⚑ → SENT BACK + EVIDENCE PAGEEVERY DECISION AUDIT-LOGGED
Calendar logFROM OFFICE PUZZLE EXPORT
CAL 06/18 · 09:00–12:00 · MATCHED ✓
WEEKEND POS “SCHOOL” ⚑ FLAGGED
OVERLAP RBT-2 · 30 MIN ⚑ FLAGGED
UNITS CAL 8 = LOG 8 ✓
Service logFROM OFFICE PUZZLE EXPORT
PROVIDER SIG PG 2 ⚑ MISSING
CREDENTIAL RBT · VALID ✓
NARRATIVE ↔ TARGETS ✓
UNITS 8 ↔ CALENDAR 8 ✓
Appointment noteFROM OFFICE PUZZLE EXPORT
PARTICIPANT “MOTHER” ⚑ NOT IN NARRATIVE
DATE/TIME ↔ CALENDAR ✓
GOALS REFERENCED ✓
SIGNATURE + DATE ✓
Office Puzzle and QuickBooks are trademarks of their respective owners. AltraSync is an independent product and is not affiliated with, endorsed by, or sponsored by them — we read the files you export. Sample findings use fictional data.
Exhibits
Short videos. Real ABA billing outcomes.
Two quick previews of AltraSync’s ABA billing software in motion — the full five-step workflow follows below. No internal rules, no SFTP details, no PHI.
Exhibit ANo PHI
Real-Time Eligibility Verification
Run 270/271 coverage checks through your clearinghouse and turn responses into clean, active-coverage results.
Exhibit BNo PHI
Denial Follow-up CRM
Organize ABA claim denials and follow-ups with proof attached and every step reconciled.
01
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.
SCROLL TO DRIVE · STEP 01/05
SAMPLE DATA · FICTIONAL
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
Underpayment detectionSample data
Underpayment / contract variance detection
Sample data only — fictional names, IDs, and amounts.
UNDERPAYMENT CALCULATOR · RUN YOUR OWN NUMBERSILLUSTRATIVE MATH · FICTIONAL RATES · NO PHI
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.
+$256.80 COLLECTED
YOU KEEPOUR SMALL %
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.
REQ RECEIVED · payer_recon.xlsx
DAY 0 / 21
REQUESTSCOPEQUOTEBUILDSHIPPED
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.
Free tool · ABA denial code lookup
Why ABA claims get denied — and exactly how to fix each code.
Search the ABA denial codes your payers actually send. Every entry shows the real cause, the fix, and how AltraSync prevents it before the claim ever leaves your office.
>ABA CODEX
General ABA billing guidance, not legal or coding advice — payer policies vary. Ask us about a specific denial and we’ll walk through it with you.
Client signal
ABA teams already running on AltraSync.
Client · Children’s LoveACTIVE ✓
AltraSync caught documentation issues we didn’t even know we had. Claims go out clean now, and the revenue portal shows every dollar as it lands — we finally trust our own numbers.
★★★★★ABA therapy practice
Client · Kids Therapy ConnectionACTIVE ✓
The audit engine pays for itself. Missing signatures and auth problems get flagged before billing, and denials that used to sit for weeks get worked in days.
★★★★★ABA therapy practice
Client · M&M Management Services I CorpACTIVE ✓
We run multiple ABA companies from one login — every client scoped, every ERA reconciled. It’s the cleanest billing operation we’ve ever had.
★★★★★Billing & management services
ABA billing software plans
Run it yourself, or let us run it.
Same ABA billing platform either way. Pick what fits your team.
NO MATCH · CLEAR THE FILTER OR ASK US DIRECTLY BELOW ↓
How much do ABA billing services cost?
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.
Can you audit our Office Puzzle documentation?
Yes. Export your service logs, calendar logs, and appointment notes from Office Puzzle (or any ABA practice-management system) and AltraSync audits every document against payer rules — signatures, credentials, participant matches, schedule consistency, and unit counts — before the claim goes out. AltraSync is independent and not affiliated with Office Puzzle.
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.