ABA Therapy Billing Cash Flow
Your RBTs and BCBAs get paid every week, but Medicaid managed care takes 45 to 90 days to pay the 97153 claims behind that payroll.
The ABA therapy billing problem, solved.
ABA payers, days to pay
The squeeze
Weekly
payroll
RBT and BCBA payroll runs every week, while Medicaid managed care pays 45 to 90 days later.
The codes Copay purchases.
Each ABA code is priced individually at the service line and funded the next business day.
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes
Copay purchases thisAdaptive behavior treatment with protocol modification, each 15 minutes
Copay purchases thisFamily adaptive behavior treatment guidance, each 15 minutes
Copay purchases thisGroup adaptive behavior treatment with protocol modification, each 15 minutes
Copay purchases thisHow Copay works for ABA therapy.
Your existing EHR
No changeClaim 97153
Centene · $58.20
Submit claims as you always have
Your billing team submits claims exactly as they do today. Nothing changes except when you get paid.
Centene
Medicaid eligibility check
We verify in the background
Copay confirms payer and claim data automatically, with no calls from your team.
See the full processBuilt for the ABA payroll cycle.
Make weekly payroll without waiting on Medicaid.
Copay funds your eligible claims the next business day, so the cash for payroll is there every week.
Funded by Copay
Payroll covered every week, even while the Medicaid claims behind it are still adjudicating.
Non-recourse
Non-recourse means a denied eligible claim is Copay's loss, not yours.
No personal guarantee
Your home and personal credit are never on the line.
ABA billing, answered.
No. Copay is not a loan, not factoring, and not a merchant cash advance. Copay purchases your eligible ABA claims outright and deposits funds the next business day, with no debt and no repayment schedule.
ABA services are billed heavily through Medicaid managed care, so Copay purchases eligible claims billed to state Medicaid plans and managed care organizations such as Centene and Molina, as well as commercial plans including UnitedHealthcare, Aetna, and Cigna.
ABA practices run payroll for RBTs and BCBAs weekly, while Medicaid managed care can take 45 to 90 days to pay 97153 and 97155 claims. Copay purchases those eligible claims and funds them the next business day, so weekly payroll is covered without waiting on the Medicaid cycle.
Non-recourse means a denied eligible claim is Copay's loss, not yours. If an eligible purchased ABA claim is denied or underpaid, Copay absorbs the loss with no clawbacks against your practice.
From submitted claim to funded account.
While insurance takes 30 to 90 days, Copay moves in one.
Step 01 · Submit
You submit your claims as normal
Nothing changes about how your billing team works.
Claim #18473
DOS 02/04/24
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes
Step 02 · Verify & Price
We verify and price in real time
Copay checks payor history and prices the claim at the CPT level.
Underwriting in progress
Step 03 · Approved
Advance approved
Capital is approved and scheduled for next business day deposit.
Advance Approved
$3,200
Net advance
Step 04 · Funded
Capital in your account
While the payor takes 30 to 90 days, you already have your capital.
Your account
$0
Available balance
Copay reconciles automatically when the payor pays. You do nothing.
Cover ABA payroll without waiting on Medicaid.
Copay purchases your eligible ABA claims and pays the next business day. No loans, no personal guarantee, no workflow change.