Clinician guide
Post Secondary-Payer ABA Adjudication After Primary Payment
Reconcile primary and secondary ABA adjudication, remittances, patient responsibility, payments, credits, and crossover evidence before posting balances.
Clinician Resources
Clinical guides, tools, and evidence-informed resources for thoughtful, high-quality ABA care.
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Clinician guide
Reconcile ABA Provider-Level Balance Adjustments Separately
Reconcile ABA provider-level balance adjustments using the 835, PLB reason and reference, payee, period, remittance balance, payment, and ledger evidence.
Clinician guide
Pair ABA Claim Reversals With Corrected Adjudications
Pair each ABA remittance reversal with its original adjudication and corrected result while preserving claims, lines, balances, and payment evidence.
Clinician guide
Audit ABA Remittance Posting and Financial Close
Audit ABA claims through remittance, posting, deposit, adjustments, patient balances, exceptions, ledger close, and independent reconciliation.
Clinician guide
Reopen a Closed ABA Claim When New Evidence Arrives
Use controlled criteria to reopen an ABA claim for new payer, coverage, authorization, remittance, payment, or legal evidence while preserving closure history.
Clinician guide
Age Open ABA Claims Without Hiding Holds or Appeals
Age ABA claims from defined events while preserving submission, acknowledgment, adjudication, correction, appeal, payment, and internal-hold states.
Clinician guide
Reconcile Partial, Zero, and Suspended ABA Claim Payments
Separate partial payment, zero-payment remittance, suspended claim, provider adjustment, denial, recoupment, and missing payment before ABA follow-up.
Clinician guide
Build an ABA Payment-Posting Exception Queue
Build an ABA payment-posting exception queue for unmatched claims, lines, adjustments, traces, deposits, reversals, credits, owners, and close states.
Clinician guide
Validate Patient Responsibility Before an ABA Statement
Validate ABA patient responsibility using remittance, benefits, payer terms, secondary coverage, payments, credits, protections, and financial agreements.
Clinician guide
Match ABA ERA, EFT, and Bank Deposit Evidence
Match ABA remittance advice, EFT trace, bank deposit, claims, adjustments, and zero-payment files safely before posting cash or closing the batch.
Clinician guide
Reconcile an ABA ERA to Original Claims and Service Lines
Match each ABA ERA result to the exact submitted claim and line, then preserve payment, allowed, adjustment, responsibility, denial, reversal, and PLB states.
Clinician guide
Reconcile Same-Day ABA Claim Lines Before Release
Reconcile same-day ABA claim lines using raw intervals, providers, settings, codes, modifiers, units, authorizations, and duplicate-time checks.
