CentralReach automation for ABA

The bot workforce for ABA operations built around CentralReach

From intake to claims, Simple Fractal's named bots and custom automations take non-clinical busywork off your team's plate so you can serve more clients, better.

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50-90%

Reduction in FTE requirements

$2.7M

Saved per year for one provider

99.5%

Of payments posted automatically

A preferred partnership with CentralReach and recognition from CASP, KLAS, and the Autism Investor Summit reinforce our standing as a leading automation provider in ABA.

Meet the bots

A named specialist for every workflow

Each Simple Fractal bot is trained for a specific job inside CentralReach. Deploy one, or build a whole digital workforce.

Patient Responsibility

Presley Patient Responsibility Specialist

Presley is specifically trained in CentralReach to boost collection rate and speed while improving payor compliance and strengthening client relationships.

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72%

Higher collections

61%

Faster payment

Regional Center eBilling

Reggie Your Dedicated eBiller

Reggie is trained on all 21 Regional Centers in California, freeing your team from an arduous monthly process.

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70%

Growth in eBilling

90%

Less stress

Unconverted Appointments

Archie Appointment Conversion, Automated

Archie chases down unconverted appointment reminders over text and email to improve cash flow, payor compliance, and clinical quality.

Automatic follow-ups: Converts appointment reminders on time.
Escalation protocol: Notifies supervisors when providers fail to take action.
Supervisor reports: Highlights the BTs responsible for the most unconverted appointments.

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80%

Reduction in supervisor follow-up

33%

Reduction in charge lag

Smart Appointment Reminders

Remy Smart Appointment Reminders

Remy reduces no-shows with SMS reminders to clients for appointments they might otherwise miss.

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30%

Reduction in no-shows measured during beta

Scheduling Concierge

Connie The Scheduling Concierge

Connie streamlines schedule changes by automating repetitive scheduling tasks with AI-driven accuracy.

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Driven accuracy for repetitive scheduling work

Limited only by your imagination

Sample custom automations

The named bots above are just the start. This is a sample of custom automations built across ABA departments. Search or filter to find the workflow closest to your bottleneck.

Intake3 automations

Bot	What it does	The benefit
Salesforce / CRM Integration	Creates new patients in CentralReach when leads convert in your CRM.	Eliminates manual copy-and-paste of records, reducing effort while preventing duplicate records and downstream issues.
Initial Touch Automation	Automates initial outreach, text messages, intake forms, reminders, and more.	Enhanced business development and revenue optimization without adding headcount to intake and BD teams.
Master Patient Index (MPI)	Identifies patients with mismatched patient vs. subscriber details and attempts to reconcile them.	Better data integrity, fewer steps to create a claim, reduced data-entry errors, and a foundation for future billing automation.

Insurance Eligibility1 automation

Bot	What it does	The benefit
Portal-Based Eligibility Checks	Verifies benefits via batch file and direct-to-portal confirmation, with exception workflows for clients without active coverage.	Reduced billing administration and denials due to ineligibility.

Authorizations4 automations

Bot	What it does	The benefit
Ticket Integration	Integrates CentralReach with your internal workflow management or ticketing system.	Comprehensive, seamless follow-up on authorization requests while minimizing duplicate data entry.
Expiring Authorization Notification	Sends email notifications to providers whose clients have expiring authorizations.	Eliminates manual follow-up, improves revenue, reduces denials, and reduces un-billable compensation.
Manager Assignment	Assigns the correct manager provider on each patient based on the most recent authorization.	Prevents denials for unauthorized providers and supports caseload balancing.
GAMMIS Integration	Automates gathering and submitting demographic, authorization, service-frequency, and medical documentation details.	Reduces administrative overhead and frustration around Medicaid portal duplicate data entry.

Scheduling8 automations

Bot	What it does	The benefit
Change in Availability	Automates entering changes in client and provider availability.	Improved scheduling and matchmaking from higher-fidelity data, with less rescheduling and fewer hours updating the EHR.
Third-Party Scheduling App Integration	Creates scheduling records in the EHR from appointments already booked in third-party scheduling apps.	Reduces administration related to double data entry.
Autofill Appointment Data	Audits scheduled appointments and fills in missing information inferred from existing EHR data.	Schedule faster with fewer fields and eliminate human error by enforcing fields such as timezone and location.
Caregiver Availability / Preference Management	Maintains client availability and preferences and reminds caregivers to keep them updated.	Reduces rescheduling caused by changed availability or mismatched provider preferences like location.
Caregiver Assignment / Shift Optimization	Matches clients with available staff who meet preferences like location and rate.	Optimizes revenue by minimizing clients left without an available caregiver.
Mileage Audits	Compares self-reported mileage against Google Maps projections to flag possible payroll padding.	Reduced padding through accurate reporting of mileage for expense reimbursement.
Opportunities for New Appointments	Detects underutilized authorizations, identifies therapist matches, and creates compliant new appointments.	Improved revenue by fully utilizing authorizations, with fewer hours spent finding and booking opportunities.
Family Appointment Reminders	Sends text-message reminders to families for upcoming appointments.	Reduced at-the-door cancellations and un-reimbursed provider time and mileage.

Clinical2 automations

Bot	What it does	The benefit
Progress Report Generation	Captures client outcome data from multiple systems into detailed progress reports that match payer guidelines.	Eliminates hundreds of manual hours compiling and reviewing outcome and progress reports.
Medical Record Request Generation	Creates a client medical record by compiling service details across multiple appointments.	Reduced administrative time printing and scanning clinical documentation across large volumes of encounters.

Compliance / QA2 automations

Bot	What it does	The benefit
Note / Timesheet Auditing	Audits session notes for quality and consistency with billing entries, then routes them to providers with quick links to fix.	Removes the need for staff to chase providers on non-compliant timesheets and improves payroll accuracy and compliant billing.
EVV Compliance	Text-messages providers who have missed EVV check-in deadlines.	Reduced admin time notifying providers and fewer downstream corrections, compliance issues, and denials.

Claim Generation3 automations

Bot	What it does	The benefit
Claim Scrubbing	Checks for billing-rule violations like overlapping times and improper code utilization.	Reduced human QA and claim processing, and fewer denials.
Claim Generation	Autonomously generates scrubbed claims and submits to clearinghouses or payor portals.	Reduces administration associated with claim generation.
Portal Claim Submission	Automates logging into payor portals to manually enter claims.	Reduced hours spent on claim generation and optimized cash flow.

Payment Posting5 automations

Bot	What it does	The benefit
Denial Resolution	Autonomously identifies and resolves common denials that are regularly approved on appeal.	Reduced hours on tedious denial work and improved cash flow by following up on recoverable denials.
California Regional Center Payment Posting	Automates posting and reconciliation for developmental-disability services that cannot be processed in the EHR directly.	Intelligent matching posts 99.5% of payments and saves roughly 200 hours of labor per week.
Portal Posting	Automates logging into commercial and Medicaid payor portals to check payment status.	Reduced hours, more accurate payment-status details, and more accurate financial reporting.
ERA Posting	Automatically finds and reconciles ERA payments and posts them to matching entries in the EHR.	Reduces effort in the posting process and keeps the accounting system up to date on cash postings.
Targeted Adjustments	Automates gathering and submitting demographic, authorization, service-frequency, and documentation details for adjustments.	Improves financial visibility and accuracy, removes bad AR, and enables granular mass adjustments without heavy manual labor.

Patient Responsibility4 automations

Bot	What it does	The benefit
Patient Responsibility Charge	Identifies, invoices, charges, and sends receipts for outstanding patient-responsibility balances via credit card.	Eliminates collection effort, improves collections and cash flow, and reduces billing-related calls and queries.
Patient Responsibility Collection	Finds and corrects payments that should have been marked as patient responsibility but were not.	Ensures more accurate accounting of patient-responsibility payments.
Credit Card Hold	Reports entries labeled "CC Hold" that should be ignored by the credit-card bot.	Gives insight into potentially inaccurate hold labels.
Credit Card Denied	Reports entries labeled "CC Denied" for failed credit-card charges.	Generates a list of patients needing updated card information to streamline follow-up and optimize receivables.

School Invoicing1 automation

Bot	What it does	The benefit
Schools Invoicing	Generates billing invoices for school districts and emails them to the address on file via secure email or district portal.	Eliminates manually creating and submitting school invoices and improves cash flow.

Human Resources11 automations

Bot	What it does	The benefit
Labor Law Compliance	Identifies provider calendars non-compliant with rest or meal break law and adds compliant breaks where appropriate.	Improves staff work schedules and minimizes risk tied to state employment-law compliance.
HR Reporting	Collects and reports HR department data.	Automatically updates ticketing for the HR department.
Overtime Detection & Resolution	Automates detecting employee overtime.	Better labor distribution, controlled costs by avoiding unnecessary overtime, and fewer hours analyzing overtime.
Unresolved Payroll Resolution	Automatically handles unresolved payroll entries caused by late conversions.	Improved payroll accuracy, preventing one-off payroll adjustments.
Automated Offer Letter & Onboarding	Creates and sends offer letters and schedules new-hire training from a template after acceptance.	Reduced hours spent on repetitive scheduling.
TB & Covid Testing	Reminds staff to submit periodic testing results and documentation.	Less time on testing follow-ups, reduced risk, and improved compliance.
HRIS Integrations	Integrates your hiring and onboarding platform with your EHR and other systems.	Prevents staff from re-entering information across EHRs and other platforms new hires must use.
Positive Reinforcement Programs	Tracks staff performance on operational metrics like EVV check-ins and rewards compliance with gift-card credits.	Creates a gamified atmosphere of compliance with increased engagement and retention.
Payroll Integration & Compliance	Integrates EHRs with payroll applications and performs audits.	Reduced manual uploads and HR compliance audits, reducing risk and over- or underpayments.
KPI Dashboarding	Rolls up KPIs from providers into regional, managerial, and other layered performance data.	Reduces manual effort consolidating reports across platforms into individual and group insight.
Mileage / Drive-Time Audits	Detects long commutes to provide services and surfaces opportunities for more convenient matches.	Improved provider productivity, audited drive times to avoid overpaying, and fewer hours analyzing matches.

Accounting / Finance1 automation

Bot	What it does	The benefit
Credits Rebalancing	Cleans up patient credits by rebalancing to open balances and issuing refunds.	Improved relationships with patient families by respecting the fees paid.

Operations9 automations

Bot	What it does	The benefit
Payment Posting Reporting	Reports all billing payments made that day.	Monitors bot productivity and gives insight into collections.
Billed AR Reporting	Reports claims submitted and amount paid relative to amount billed.	Identifies inaccurate billing or payments to prioritize collections and diagnose payment-process problems.
Billed Submission Lag Reporting	Reports lag time between date of service and first billed date.	Insight into billing velocity.
Charge Entry Lag Reporting	Reports lag time between completion of a service and entering it into the billing system.	Improves cash flow and reduces time from service delivery to collections.
Credits Reporting	Reports insurance and patient credits where amount paid exceeds the billed agreed amount.	Clears liabilities and diagnoses A/R errors such as inaccurate fee schedules.
Unbilled Reporting	Reports entries that have not yet been billed.	Identifies un-billed leakage.
Voided Reporting	Reports voided payments and billing entries.	Diagnostic tool for identifying potential errors in the void process.
Large Outstanding PR Reporting	Reports patients with over $900 in outstanding patient responsibility.	Identifies patients for payment plans and lets staff give families a heads-up on large charges.
Patient Responsibility Payments	Reports all PR payments made in the last month, by both bot and staff.	Diagnostic insight into the health of the patient-responsibility collection process.

Information Technology5 automations

Bot	What it does	The benefit
Unresponsiveness Tracker	Sends a spreadsheet report on all open tickets and response activity to surface unresponsive assignees.	High activity or long duration tells supervisors which tickets are stuck.
Ticketing Reports	Collects and reports on IT help-desk ticket data.	Identifies problem tickets and diagnoses patterns for potential technical problems.
Data Extraction & Reporting	Aggregates data from disparate systems such as CRM and EHR for dashboards and BI tools.	Almost unlimited KPI and outcome-measurement flexibility.
SharePoint Integration	References SharePoint spreadsheets and incorporates the data into workflows and other bots.	Integrates SharePoint-hosted information into workflows.
Data Migration	Migrates data from legacy systems.	Eliminates expensive conversion scripts, prevents siloed applications, and reduces data-archival expenses.

Proof, not promises

ABA case studies

Revenue Cycle Automation How we saved a national provider $2.7M per year with RCM bots. Read the story Claims Processing How we helped automate 90% of the billing function. Read the story

In their words

Strategic partners, measurable results

50-90% Reduction in FTE Requirements

We have worked with Simple Fractal for many years and developed a strategic partnership with them. Their bots have achieved 50-90% reduction in FTE requirements, and I have been impressed with their ability to customize their technology to our needs.

VP of Revenue Cycle

81% Reduction in EVV Exceptions

Partnering with Simple Fractal has been a game-changer for us. They tackled our Electronic Visit Verification challenge head-on, creating a simple yet powerful bot that cut our EVV exceptions by 81%.

Chief Operating Officer

Discovery Experts with Domain Expertise

Even in a brief call and high-level overview, they are able to understand our business more quickly than others we have tried to partner with.

VP of Clinical Quality

Trusted across ABA

Powering providers of every size

Put a bot workforce to work in CentralReach

Start with a turnkey bot for immediate efficiency, then scale to custom automation as you grow. Tell us your biggest operational bottleneck and we will show you the bot for it.

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