Best ABA Therapy Billing Companies in 2026: Compared & Reviewed 

Applied behavior analysis (ABA) is one of the toughest specializations to charge. The sessions are 15-minute units. The payers limit your allowable hours, and the supervision regulations determine which provider level is compensated for what. Miss one detail and the allegation comes back to you.  

That’s why clinic owners choose ABA billing businesses over a generic biller. This article reviews eleven outsourced ABA treatment billing providers, including our own. Use it to match a vendor to your clinic size, payer mix, and software.  

Quick word on scope: this list is about billing services and teams who perform the job for you. You will find a section on the software platforms below. Each review states whether you want autism therapy billing services with provider enrollment. 

Key Takeaways 

• What to look for: ABA-specific coders and thorough knowledge of CPT codes 97151-97158 and supporting language.  

• Typical pricing: Most businesses charge a percentage of collections, and few disclose a rate. Transcure says 5% for full-cycle RCM, whereas BillingParadise’s sites estimate 4% to 8%  

• Why credentialing matters: A BCBA or RBT not credentialed with a payer cannot submit paid claims; therefore, ask who handles enrollment. 

• Best for: Clinics seeking billing, credentialing, and licensing support from a single team: Credex Healthcare. 

Quick Comparison: The Best ABA Therapy Billing Companies  

Here are the top ABA billing companies side by side. “Not listed” means the company doesn’t publish that detail on its site, so we didn’t guess. Most firms below bill many specialties, so we note where we found no dedicated ABA page. 

Company	Best For	ABA-Specific?	Credentialing Included?	Pricing Model	Software Supported
Credex Healthcare	Billing, credentialing and licensing support under one team	Dedicated ABA billing service	Yes (BCBAs and BCaBAs)	Contact for pricing	Not listed
Transcure	AI-assisted RCM across many specialties	No dedicated ABA page found	Credentialing offered	Says 5% of collections	Says it works with major EHR and PM systems
P3 Healthcare Solutions	Behavioral health billing for children’s therapy	Behavioral health page, no ABA page	Credentialing offered	Contact for pricing	Not listed
BillingParadise	Larger multi-specialty groups	No dedicated ABA page found	Credentialing offered	Percentage of collections	eClinicalWorks, NextGen, AdvancedMD, Kareo and others
AMBSI	A small team with mental health billing	Psychiatry page, no ABA page	Credentialing offered	Contact for pricing	Not listed
Hamly Business Solutions	Billing plus credentialing, HBMA accredited	No dedicated ABA page found	Credentialing offered	Contact for pricing	Not listed
MedKloud	Audit-first billing support	No dedicated ABA page found	Credentialing offered	Contact for pricing	Not listed
GroupOne Health Source (Revele)	Clinics on eClinicalWorks	No ABA page found	Not listed	Contact for pricing	eClinicalWorks
MyOutDesk	Extra hands for an in-house billing team	Not ABA-specific	Not listed	Contact for pricing	Works in your PM and EHR
Integra Global Solutions	Medicaid and managed care know-how	No dedicated ABA page found	Not listed	Contact for pricing	Not listed

Best ABA Therapy Billing Companies 

Credex Healthcare 

When it comes to ABA therapy billing, it takes care  

Credex Healthcare is a Jacksonville, Florida company that handles billing, credentialing, and licensing for healthcare providers. Its ABA therapy billing services cover the full process, from verifying benefits to sending monthly reports. 

Before the first claim, the real edge shows up. New BCBAs or RBTs who aren’t registered can’t bill, costing clinics weeks of revenue. Credex combines mental health licensing with behavioral health credentialing and licensing support, so one team watches both sides. 

Key ABA services: 

• Verification of benefits and prior authorization, with reauthorizations tracked in a central authorization log 

• Claims for CPT codes 97151-97158, with units and modifiers checked before filing 

• Denial management, with denied claims reviewed within 48 hours 

• BCBA and BCABA credentialing, payer enrollment, and recredentialing 

• Reporting on collections, denial trends and AR aging 

Credex Healthcare has a 95% first-pass claim approval rate, an average billing turnaround of under 30 days, and 40+ payer networks. 

Best for: Clinics that want billing, credentialing, and licensing from one team. 

Pricing model: Contact for pricing 

Things to consider: Credex Healthcare doesn’t publish pricing, so you’ll need a consultation to get a quote. It’s also a service team, not a software platform. 

 

Transcure

The TRANSCURE is a San Diego company that has been around since 2002 and says it works with over 1,000 providers in over 40 different fields. It has pages that say AAPC-certified coders handle CPT, HCPCS, ICD-10, and modifiers. It also has AI bots for RCM. 

Key services: 

• Verification of eligibility and prior authorization 
• Claim submission and coding 
• Denial management 
• Provider credentialing and payer contracting support 

Best for: Practices that want automation and a single provider across multiple service lines should use this.

Pricing model: It says that full-cycle RCM costs 5% of receipts.

Software they work with: It says it works with all the big EHR and office management systems.

Things to consider: The site doesn’t have a page just for the ABA. Find out how it keeps track of authorization units and charges BCBA and RBT time. 

P3 Healthcare Solutions

P3 Healthcare Solutions is based in Ontario, California, and bills for more than 40 specialties. Its behavioral and mental health page covers therapy, counseling, and medical services for kids and teens. It also lists credentials and MIPS reports. 

Key services: 

• Entering and sending in claims every day 

• Handling denials and getting back arrears 

• Putting up payments and patient bills 

• Reports every week or month 

Best for: Clinics that want a behavioral health billing team for children’s therapy services. 

Pricing model: Contact for pricing 

BillingParadise

Since 2004, BillingParadise has been providing 24/7 RCM for more than 30 different categories. Its blog says it works with urgent care centers, doctors’ offices, and mental and behavioral health groups. 

Key services: 

• Management of claims and denials 
• Getting AR back 
• Help with credentials and coding 
• Billing right from your EHR

Best for: Multispecialty groups with a mental health line

Pricing model: Percentage of collections. Its pages cite different rates, including 4% to 8%, so confirm yours. 

AMBSI

AMBSI is a company based in Sayreville, New Jersey. It offers full billing, identification, prior authorization, and accounts receivable collection. Its psychology page says that some of its mental health professionals used to work in the field. 

Key services: 

• Patient entry, filing, and sending in electronic claims 
• Taking care of payments and denials 
• Receiving money and getting back AR 
• Reviewing insurance contracts and getting credentials
  

Best for: Practices that want billing and credentialing from a small firm

Pricing model: Contact for pricing 

Hamly Business Solutions

Hamly Business Solutions provides billing, medical coding, licensing, and RCM services. It says it is HBMA-approved and has experts on staff who are certified by the AAPC and AHIMA. 

Key services: 

• Medical billing and coding 

• Credentialing across Medicare, Medicaid, HMOs, and PPOs 

• RCM services 

• Payment posting 

Best for: Practices that want a credentialing-capable team with industry accreditation. 

Pricing model: Contact for pricing 

MedKloud

MedKloud says it helps growing offices with billing, licensing, and marketing. Its website highlights medical billing, billing checks, RCM services, and real-time claim tracking and reporting. 

Key services: 

• Medical billing audit 

• Claim tracking 

• Credentialing 

• Reporting and analytics 

Best for: Practices that want an audit and claim-tracking view before handing over billing. 

Pricing model: Contact for pricing. 

GroupOne Health Source

Since 1991, GroupOne Health Source, which is now called Revele, has been in business. It uses RCM and eClinicalWorks to set up, train, and improve performance. It says it has worked with groups with one source to more than 400 providers. 

Key services: 

• RCM and medical billing 

• AR and denial management 

• Clinical coding 

• eClinicalWorks training and optimization 

Best for: Clinics already running eClinicalWorks 

Pricing model: Contact for pricing 

Software they work with: eClinicalWorks 

MyOutDesk

MyOutDesk hires virtual helpers who are experts in medical billing. Their job is to enter claims, make payments, handle rejections and accounts receivable, check eligibility, and get prior authorizations in your systems. On its page, it says its billing assistants are not certified coders and cost up to 70% less than an in-house biller at the same level. 

Key services: 

• Claims entry and submission 

• Payment posting 

• Denial and AR work 

• Eligibility checks and prior authorizations 

Best for: Clinics that keep billing management in-house and need capacity 

Pricing model: Contact for pricing 

Integra Global Solutions: 

The company Integra Global Solutions says it has been doing RCM since 2004. It says on its page that it knows about Medicare rules, Medicaid state plans, managed care, and private insurance. As part of its services, medical coding and reviewing patients’ credit balances with secondary bills are provided. 

Key services: 

• Medical coding 

• Claims and secondary billing 

• Patient credit balance review 

• Payer-specific billing rules 

Best for: Practices with a heavy Medicaid and managed care mix 

Pricing model: Contact for pricing 

What Do ABA Billing Services Include? 

A full ABA service runs the revenue cycle from the first benefits check to the final payment. Here’s what to expect: 

• Verification of benefits (VOB) and an eligibility check before intake 

• Prior authorization and reauthorization, with authorization units tracked against sessions 

• Coding with CPT codes 97151-97158, modifiers, and ICD-10 F84.0 

• Claim scrubbing and submission through a clearinghouse 

• Payment posting from ERA and EOB files 

• Denial management and AR follow-up 

• Patient (parent) balances and statements 

• Monthly reports on clean claim rate, first-pass acceptance, and days in AR 

Coding sits under all of it. If your notes and codes don’t match, the rest of the cycle breaks. That’s why some clinics look at separate medical coding services alongside billing. 

Why ABA Billing Is Harder Than General Medical Billing 

Start with time. ABA is billed in 15-minute chunks, so a child’s weekly schedule adds up to hundreds of units that can be billed every month. 

After authorizations, funders agree to pay for a certain number of hours based on a treatment plan. For each reauthorization, you need proof of medical necessity. This is usually linked to a diagnosis of autism spectrum disorder (ASD). If you bill for more units than are allowed or after the expiration date, the payer will not pay. 

Levels of providers also matter. The HN, HO, and HP factors indicate whether the provider has a bachelor’s, master’s, or doctoral degree, and rates can vary. Fees differ for BCBAs, BCaBAs, and RBTs, and payers check BACB qualifications and the session-to-provider ratio. Each certificate is set by the BACB. 

Then there is the mix of payers. Medicaid rules vary from state to state, and commercial insurance must follow state autism rules. However, self-funded plans often don’t have to follow these rules. Payer checks look at the notes from the session. 

That’s the most detailed form of ABA medical billing. Mistakes in ABA insurance billing cost a lot of money quickly. Some behavioral health billing companies do a good job with therapy and psychiatry, but many don’t track authorization hours the way ABA requires.  

Our behavioral health billing services page covers the wider picture, and these behavioral health billing mistakes show where claims usually break down. 

How Much Do ABA Billing Services Cost? 

Most charge a share of the money they get. Some charge a flat monthly fee, while others charge per claim. It’s not often that numbers are made public, so use any quote as a starting point. 

A few details are public. Transcure says it charges 5% of collections for full-cycle RCM; BillingParadise’s pages cite percentage fees from 4% to 8%; and MyOutDesk says its billing assistants cost up to 70% less than an in-house biller. Everyone else on this list asks you to contact them. 

To give you an idea, a 5% fee on $1 million in yearly collections equals $50,000. That’s far lot less than the cost of an in-house ABA biller’s salary, benefits, software, and turnover. The one that gets claims paid the first time is the cheaper one. 

Before you sign, find out if there are any setup fees, change fees, or minimum terms. Smaller clinics can also read our guide to the best billing services for small practices. 

How to Choose the Right ABA Therapy Billing Company 

Test any vendor against these seven points before you sign: 

• ABA experience: Ask how many ABA clinics they bill and who staffs your account. 

• Authorization tracking: Ask how they keep track of clearance units and expiration dates, as well as who files the renewal. 

• Credentialing support: Find out whether they handle CAQH and insurance panel enrollment for RBTs and BCBAs. With ABA billing and credentialing done by the same team, there are fewer handoffs. 

• Software compatibility: Confirm EHR integration with your platform. 

• Reporting: Ask for an example report that shows the number of clean claims, rejections, and days in arrears. 

• Contract terms: Find out about HIPAA compliance, a business associate agreement, and the terms for leaving the company. If a seller says they are BHCOE certified, find out what that means. 

• References: Ask for two ABA clients of your size. 

Solo BCBAs and small centers should also consider billing for small practices, since minimum volumes vary. 

Outsource or Keep ABA Billing In-House? 

It makes sense to outsource ABA billing when you don’t have enough trained billers, denials are rising, or authorizations are dropping. If you have a strong, knowledgeable team, keep it in-house. 

A lot of clinics are in the middle. They do registration and qualifying checks in-house and give claims and AR follow-up to a partner. Any way you look at it, ABA billing should come with data you can read. 

Signs It’s Time to Switch ABA Therapy Billing Companies 

Switching vendors is a hassle. Staying put costs more when you see these signs: 

• Denials keep climbing 

• Sessions get billed after authorizations expire 

• AR over 60 days keeps growing 

• You get no reporting, or reports you can’t read 

• Emails sit unanswered for days 

A medical billing audit shows where claims are leaking before you decide. Our guide to the common reasons behavioral health claims are denied helps you read the patterns. 

See how Credex handles ABA therapy billing 

FAQs 

What do ABA billing companies do?  

They make sure that ABA therapy clinics get paid. They check benefits, handle authorizations, code sessions, submit claims, post payments, manage rejections, and follow up on unpaid accounts receivable. Some also handle credentials and send monthly reports on collections, rejections, and AR days. 

How much do ABA billing companies charge?  

Most charge a percentage of collections, though some use a flat monthly or per-claim fee. Transcure, for example, says it charges 5% of collections for full-cycle RCM. ABA billing services cost varies with volume, payer mix, and scope, so get quotes in writing. 

Which CPT codes are used for ABA therapy billing?  

Numbers 97151 to 97158 are in the ABA family. Most often, they’re billed in 15-minute chunks and cover behavior recognition, assessment, treatment by protocol, protocol changes, group classes, and family counseling. Each code has different time and paperwork requirements. Check current descriptions in the AMA’s CPT resources. 

What are HN, HO and HP modifiers in ABA billing?  

They show what amount of schooling the service provider had. It means bachelor’s level for HN, master’s level for HO, and doctoral level for HP. Some pay different rates based on level, so using the wrong modifier can lead to a payment being denied or not being made at all. 

Should I outsource ABA billing or keep it in-house?  

When you don’t have enough trained ABA billers, rejections rise, or authorizations drop, you should outsource. If you have a good biller and good tools, keep it in-house. In many centers, they do qualifying checks in-house, but outside companies handle claims and accounts receivable follow-up. 

Can an ABA billing company also handle credentialing?  

Some can, so ask before signing. Credex covers billing, credentialing, and licensing support, and Transcure, AMBSI, and Hamly also list credentialing. Unenrolled providers can’t bill, which makes insurance credentialing for BCBAs essential. Credex Healthcare handles billing and credentialing together; book a free consultation. 

What’s the difference between ABA billing software and a billing company?  

Software is a tool your staff runs. A billing company is a team that does the work, often inside your software. Some firms sell software services and billing together, so ask which one you’re buying: a tool, a team, or a bundle. 

How do I switch ABA billing companies without losing revenue?  

The handover should happen when AR is open and authorizations are active. Set a date for the switchover, share permission logs, buyer lists, and rejection records, and have your old provider finish any claims already open. Credex can plan the transition during a free meeting. 

Choosing the Right ABA Billing Partner 

The best ABA billing companies all share three things: writers trained in ABA, active authorization tracking, and records you can read. That should match your software and mix of payers. Then you should ask for examples.