Built by operators who ran ABA billing.

The whole revenue cycle. In-house, in real time.

Insurance captured at intake, authorizations tracked, claims scrubbed before they ship, ERA posted automatically, denials root-caused — and the AR numbers you run on, live. Keep the 4–8% a billing service takes.

clean claim rate

98%

tracked live

Days in AR

intake → payment

Full cycle

no billing service markup

In-house

What is ABA RCM software?

The full financial lifecycle of a claim — intake to payment.

ABA revenue cycle management (RCM) software runs the whole financial lifecycle of a claim: insurance capture at intake, authorization tracking, charge capture and coding, pre-submission scrubbing, EDI submission, ERA posting, denial management, patient billing, and the analytics owners run on.

Billing software stops at the claim; RCM owns what happens before and after it. The cheapest denial is the one that never happens — so Wilma® fixes the front of the cycle (insurance capture, authorization) as hard as the back (scrubbing, ERA, denials), all on the same record as clinical care, and gives you the visibility to bring it in-house.

The revenue cycle starts at intake — not at the claim.

Most denials are decided before a session ever happens: an expired authorization, a missing unit, a documentation gap. Wilma captures insurance at intake, tracks authorization units and cycles, and surfaces renewals weeks ahead — so the front of the cycle stops feeding the back of it with errors.

Intake-time insurance capture

Plan and member details captured on the record at intake.

Authorization tracking

Unit balances live; renewals flagged weeks ahead.

Payer rules encoded

Medicaid, commercial, and TPA rules native, per payer.

Clean intake → clean claims

Errors caught up front, not 60 days downstream.

Every claim checked before it leaves — clean rate ~98%.

With the AI add-on, each claim runs through payer-specific scrubbing: modifier sets, authorization match, documentation completeness, medical-necessity language. Gaps surface in the billing queue with context, so your biller fixes them in minutes instead of chasing a denial for two months.

Per-payer rule engine

Modifier logic and requirements by payer.

Authorization match

Units, dates, and codes checked against the auth.

Documentation match

Notes verified complete before the claim ships.

Queue, not a denial

Fixes routed to the right biller with context.

EDI submission and ERA posting — reconciliation as a dashboard.

Standard 837 submission through your clearinghouse, 835 Electronic Remittance Advice posted to the right claim automatically, and patient responsibility billed natively. Reconciliation becomes something you look at, not a job someone does.

EDI clearinghouse

Standard 837/835 flows; status tracked end-to-end.

ERA auto-posting

Payments applied to claims automatically.

Patient billing

Statements, plans, and online payment native.

Live reconciliation

See what’s paid, pending, and short — in real time.

Denials routed and root-caused — not buried.

When a denial does come back, it’s routed with context to the right person and categorized by root cause (coding, authorization, documentation) — so the same denial reason doesn’t keep recurring.

Routed with context

Denials land with the person who can fix them.

Root-cause categorized

Coding vs auth vs documentation, tracked over time.

Root-cause categorization

Denials grouped by cause, routed to the right person — not a staff scramble.

Recurrence prevention

Patterns feed back into front-end fixes.

The financial numbers owners actually run on — live.

Clean claim rate, days in AR, denial rate by reason, payer mix, collection velocity, and net collection rate — all live, all in one place. Bring billing in-house with the visibility to trust it, and save the 4–8% of collections a billing service takes.

Clean claim & first-pass

Acceptance rate across payers, tracked continuously.

Days in AR & aging

Aging buckets and collection velocity by payer.

Net collection rate

What you actually collect vs. what you billed.

In-house economics

Keep the 4–8% an outsourced biller would take.

Buyer's Checklist

Evaluating ABA RCM software? Demand every line.

FAQ

Questions owners ask about ABA RCM.

What is ABA revenue cycle management (RCM) software?

How is RCM different from billing software?

Should I bring billing in-house or use an RCM service?

How does Wilma get to a ~98% clean claim rate?

Does it integrate with my clearinghouse?

Can I migrate open AR and denial history?

Does RCM work across multiple locations/entities?

How much does it cost?

Customer Story · Billing & RCM

How a practice recovered written-off revenue — and stopped paying a cut of every dollar

Why they brought billing in-house instead of surrendering a percentage of every collection.

See your revenue cycle without the 4–8% markup.

Thirty minutes. Bring a recent denial and your current days-in-AR. We’ll show you the cycle, end to end.

CPT® is a registered trademark of the American Medical Association.

Keep reading

Related guides on running an ABA practice — the same operation, from a different angle.

• ABA Medicaid billing softwareState Medicaid rules, modifiers and EVV requirements handled at claim level.
• Authorization tracking softwareUnits remaining, expiry warnings, and the alerts that stop unbillable sessions.
• ABA CPT code referenceThe 97151–97158 family explained, with the modifier rules payers actually enforce.
• Best ABA billing softwareWhich billing tools scrub before submission, and which just report denials.
• ABA EVV softwareElectronic visit verification captured at the session, not reconstructed later.
• ABA therapy softwareWhat clinical teams actually touch every day, and how it fits together.