Responsible buyer
Target Buyer ICP: Independent or small-multi-site ABA therapy agencies with roughly 5–40 BCBAs and 30–300 active clients, billing a mix of commercial insurance and Medicaid managed-care organizations, without a dedicated in-house utilization-review/authorization specialist role. Beachhead excludes the largest PE-backed chains (top 13 for-profit chains already run ~892 facilities with in-house UR departments S4 ) and excludes solo practitioners below meaningful reauthorization volume.
Cost of the gap
Painful Problem Every 90 to 180 days, depending on the payer, every active ABA client requires a new authorization request: a clinical medical-necessity narrative referencing the treatment plan, quantified progress data (skills mastered, behaviors reduced, goals updated), and a justification for continued weekly hours, formatted to the specific payer's criteria. A 100-client practice manages 200–400 of these cycles a year Verified S5 . Practices without dedicated billing/UR infrastructure see denial rates of 15–25%, roughly double to quintuple the 5–10% healthcare-wide average Verified S5 .
Outcome
The Outcome We Sell Not software the clinic operates. We sell: (1) authorized hours that never lapse — packets land complete, on time, and payer-formatted before expiration; (2) hours retained after a reduction — evidence-backed appeals filed within days of a denial, not weeks; (3) BCBA time returned to billable clinical work, measured and reported monthly.
Decision rule
Proceed only when the source record, service boundary, responsible reviewer, and release criteria can be named before work begins.