Insurance-ready intake forms. Built fast.
Generate complete intake packages for ABA therapy providers—no legal degree, no backend required.
$npx create-aba-intake@latest --practice-name诊所 Payor field coverage, out of the box.
Stop hunting for correct payer codes. We bundle validated fields for major ABA payors so you ship forms that survive first-submission review.
- CPT code lookup tables
- Modifiers pre-configured
- dx code validation ready
```json
{
"insurance": {
"payer_id": "BCBS_PPO",
"cpt_codes": [ "97151", "97156", "97542" ],
"diagnosis_codes": [ "F84.0", "F88" ],
"modifiers": [ "95", "GN" ]
}
}
```Patient intake, end-to-end.
Referral tracking, consent capture, and insurance verification in a single package. No stitching together of spreadsheets or PDF templates.
- Consent, roi, and disclosure sections
- Insurance verification checklist
- Clinician signature blocks
```python
from aba_intake import IntakeForm
form = IntakeForm(practice_id="clinic_001")
form.add_section("demographics")
form.add_section("insurance", payer=" Aetna _HMO")
form.add_section("clinical_history")
form.add_section("consent")
form.validate() # raises on missing required fields
form.export("pdf", output="intake_package.pdf")
```Your data stays on your infrastructure.
No patient records flow through our servers during generation. Download the tool, run locally, or host wherever your practice infrastructure already lives.
- Self-hosted generation
- No external api calls for PHI
- HIPAA-aligned data handling
```bash
# Self-hosted mode - no cloud dependency
export ABA_MODE="local"
export STORAGE_PATH="./clinic_data"
python -m aba_intake generate --form= intake_full \
--output=./output/intake_2024_01.pdf
```Common questions
What payors does this support?
We currently cover major commercial payors including Aetna, Cigna, BCBS, Magellan, and United Healthcare Medicaid plans. Support for additional regional payors is on the roadmap based on user requests.
Each payor bundle includes validated CPT codes, diagnosis code mappings, and modifier configurations validated against current payor guidelines. We push updates when payors change requirements, which happens regularly in the ABA space.
Do I need clinical credentials to use this?
The tool generates form templates. The legal responsibility for clinical documentation stays with the supervising BCBA or treating clinician. Think of it like LegalZoom for intake paperwork—you own the output, you decide what goes in it.
We provide disclaimers in the generated forms noting that the practice is responsible for clinical accuracy. If your state has specific ABA provider requirements, those should be reviewed before going live.
Where does patient data go?
Nowhere you don't send it. Generation runs on your machine or your server. We don't receive, store, or process any PHI during form generation.
If you want cloud features (shared templates across providers, team collaboration), those are optional and HIPAA-aligned. But the core generator works fully offline from day one.
How is this different from a general form builder?
General form builders (JotForm, Typeform, Google Forms) handle the mechanics of collecting data. They don't know ABA. They don't know which CPT codes to bundle, which payors you're billing, or which consent sections you're required to include.
This tool encodes that domain knowledge specifically for ABA intake flows. Set your practice ID, pick your payors, and the right forms generate automatically.
What's the pricing?
Current pricing is $500 for lifetime access to the generator and all included payor bundles. Updates to payor configurations are included for 12 months.
This was validated at that price point with solo ABA practice owners. If you're running a larger group practice or need enterprise features (multi-location, custom branding, API access), reach out for enterprise pricing.
Can I customize the generated forms?
Yes. Every section is editable before export. You can add practice-specific fields, adjust consent language, change branding, or remove sections you don't need.
Advanced users can fork the template configuration as code and version-control their forms alongside their practice workflows. The tool is designed for technical operators comfortable with config files.
Set up your intake package today.
No lawyers. No spreadsheets. Validated form templates for ABABA therapy providers at a solo-practice price point.