Denial recovery, built only for ABA

Get back the claims insurers wrote off.

Start with a free audit. We read your denied and underpaid claims, tell you exactly what your practice is owed, then go recover it. We work in ABA and nothing else, so we know the codes, the payers, and why each claim came back.

Get a free audit See a sample report

No system access. No commitment. If we find nothing, you owe nothing.

Free Audit Summary
Illustrative
Recoverable, identified
$18,400 across 27 claims
Claim · reasonStatusRecoverable
0241-A
Expired authorization
Recoverable $1,840
0238-C
Unit math · 97153
Recoverable $920
0231-B
Missing modifier
Recoverable $1,275
0219-D
Clinical necessity
Needs records
How we keep your data safe
Signed BAA before any data HIPAA-aligned handling No EHR access required
Where the money leaks

You got into ABA to help kids, not to argue with insurers.

Behavioral-health claims are denied at some of the highest rates in medicine. Most of those denials have nothing to do with the care you gave. They're expired authorizations, unit math, a missing modifier, two codes that overlapped. Procedural, beatable stuff. But reworking a denial takes time your team doesn't have, so it gets written off, and the money walks.

Out of every 100 denied ABA claims
~60 written off, never reworked
~40 reworked
Of the denials that are appealed, more than 80% get overturned. Most of what gets written off was winnable.
12–25% denial rate 50–65% never resubmitted 80%+ overturned
How we claw it back

A free audit, then we go get it back.

01

You export your denials

Send a report of your denied and underpaid claims, under a signed BAA. No EHR login, no access to your systems.

02

Software finds it, a biller verifies

Our system reads every line item and flags what's recoverable. A certified ABA biller reviews and signs off on every appeal before it goes out.

03

You keep what we recover

Pay a share of what we actually claw back, and nothing else. Recover nothing, owe nothing. It's money you'd already written off.

AI does the grind. People who know ABA verify every appeal. The software moves at a scale a billing team working by hand can't. But nothing reaches a payer without a human signing off.

Why ABA only

A denial is a pattern problem. So we point software at it.

97153 / 97155 The 8-minute rule Reauth cycles Payer behavior

Most ABA denials are procedural, not clinical judgment calls. Think expired auth, unit math, modifiers, code overlaps. That makes them exactly the kind of thing software catches at a scale and speed a billing team working by hand can't match.

So we're not another billing service poking around your revenue. We point automation at the one part of this that has a right answer: getting you paid for care you already delivered. A certified biller checks the work before anything is filed. You see what we find before you hand over access to anything.

Mend is an independent, founder-owned company built for ABA and nothing else.

The people behind the work

Credentialed billers, not just algorithms.

Software does the heavy lifting: reading thousands of line items and surfacing every recoverable dollar. But the appeals are worked by a credentialed behavioral-health biller who signs a BAA before touching any data, knows how each payer behaves, and decides which denials are genuinely worth pursuing. Nothing is filed on autopilot.

Every appeal is checked for
Prior authorization Eligibility & COB Coding & modifiers Timely filing Unit math Plan exclusions
Fluent in the payers you deal with
Availity Optum / UHC Behavioral Aetna Cigna / Evernorth Medicaid MCOs
The free audit

See what you're owed before you commit to anything.

A clear, claim-by-claim breakdown: what's recoverable, why it was denied, and what it's worth. No access to your systems, no cost, no obligation to proceed.

Get your free audit See the full sample report
Audit · Practice summary Illustrative
Recoverable
$18,400
Claims flagged
27
Expired authorization
9 claims
$7,200
Unit math & modifiers
11 claims
$6,850
Code overlap
7 claims
$4,350

Sample figures for illustration. Your audit reflects your own claims data.

Ready when you are

Find out what your practice is owed.

The audit is free and there's nothing to sign to see it. Send your denied claims, we'll tell you what's recoverable. And if there's nothing worth chasing, we'll tell you that too.

Get a free audit or email claims@mendrcm.com