Arbora Health

What Arbora Health does

Arbora Health is an early-stage U.S. company that operates a revenue cycle management (RCM) platform purpose-built for behavioral health clinics, with a particular focus on ABA therapy providers. The company offers two product configurations: a self-service SaaS tier that delivers real-time analytics, denial management, pre-submission checks, eligibility verification, one-click claim submission, and automatic remittance posting; and a full-service RCM tier that pairs the software with dedicated billing experts who submit claims, fix denials, manage follow-up, and execute custom workflows for challenging payers. Arbora integrates with existing EHR and clearinghouse systems as an add-on layer, with a published one-week setup and no implementation fees.

The platform's underlying technology centers on AI-powered automation applied to behavioral-health-specific billing rules, payer-specific pre-submission validation, and root-cause denial analytics, with a stated ability to surface claim issues at day 5 rather than day 45. Proprietary features include denial management tooling, automated remittance posting, eligibility verification, and patient-responsibility identification. The company is HIPAA compliant, supports 130+ payers, and reports having processed $50M+ in claims while scaling from a single clinic to 80+ clinics within its first year and 100+ clinics by early 2025.

Arbora's business model combines recurring SaaS platform fees with usage-based per-claim charges across three public tiers — Core ($750/month plus $2 per claim, up to 500 claims/month), Professional ($1,000/month plus $1.75 per claim, 501–5,000 claims/month), and Enterprise (custom, 5,001+ claims/month) — supplemented by full-service RCM managed services on undisclosed commercial terms. Distribution is primarily direct, blending product-led self-service onboarding with inside sales, supported by an interactive ROI calculator and published customer testimonials. Customers to date are SMB ABA therapy clinics in the United States, and the company operates with a small founding-stage team and no disclosed institutional funding.

Name

Arbora Health

Legal name

Arbora Health

Website

https://arborahealth.com

Company type

Private

Founded year

2024

Operating status

Operating

Headcount range

1–10 employees

Short description

Arbora Health is an AI-powered revenue cycle management platform built for behavioral health clinics, primarily ABA therapy providers. It offers SaaS and full-service RCM tiers serving 100+ U.S. clinics, with real-time analytics, denial management, and EHR integrations.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management Software

NAICS

Software Publishers (5132), Software Publishers (513210)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Claims Management, Scrubbing & Clearinghouse (HLACACAB)

akta.pro secondary industry

Patient Billing, Statements & Payment Processing (HLACACAG)

Keywords

• Revenue cycle management
• Behavioral health billing
• Medical claims processing
• Healthcare RCM software
• AI-powered billing

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. SaaS Platform Subscription: Monthly subscription-based pricing with platform fees (Core: $750/mo, Professional: $1,000/mo) plus per-claim usage fees. Annual contracts with 60-day cancel-anytime policy.
2. Usage-Based Claim Fees: Usage fees per claim submission (Core: $2/submission, Professional: $1.75/submission) that scale with clinic volume. Enterprise tier quotes pricing upon inquiry.
3. Full-Service RCM: Managed services option where Arbora's RCM experts handle all aspects of billing - fixing denials, correcting claims, managing follow-up, and ensuring every claim is submitted, paid, and posted accurately.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels3 records

Core offering

Arbora Health sells an AI-powered revenue cycle management (RCM) platform for behavioral health clinics, offered either as a self-service Software-as-a-Service (SaaS) product or paired with a Full-Service RCM option where Arbora's billing experts act on the platform's insights to submit claims, fix denials, manage follow-ups, and post remittances. The platform delivers real-time analytics, eligibility verification, payer-specific pre-submission checks, one-click claim submission, automatic remittance posting, proprietary denial management, and patient responsibility tools, and integrates with existing EHR and clearinghouse systems.

Product overview

Arbora Health offers a unified RCM (Revenue Cycle Management) platform designed for behavioral health clinics, available in two primary configurations: Software-only (SaaS) and Full-Service RCM. The SaaS tier provides self-service billing intelligence with real-time analytics, denial management tools, eligibility verification, and AI-powered automation. The Full-Service RCM tier augments the platform with dedicated billing experts who manage claims, denials, and follow-ups. Pricing is structured across three tiers (Core, Professional, and Enterprise) based on monthly claim volume, with the Core tier at $750/month for up to 500 claims and the Professional tier at $1,000/month for 501-5,000 claims.

Differentiator

Problem solved

Functional benefit

Products and services

• Software-only (SaaS) Self-service RCM platform giving behavioral health clinics real-time claim visibility, denial analytics, AI-powered automation, eligibility verification, pre-submission checks, one-click claim submission, automatic remittance posting, proprietary denial management, and patient responsibility tools. Designed for clinics that manage billing in-house but need better intelligence and automation, and sold via tiered subscription plus per-claim usage pricing.
• Full-Service RCM Managed revenue cycle service that pairs Arbora's RCM platform with a dedicated team of billing experts who verify eligibility, run payer-specific pre-submission checks, submit claims, fix and resubmit denials, manage follow-ups, post remittances, build custom workflows for challenging payers, and execute root-cause investigations on every denial on behalf of the clinic.

Quantifiable outcome

• Catch billing issues at day 5, not day 45
• +4 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature8 records

Partnerships

Two partnerships are on record, tiered core.

• EHR Systems (Generic Integration)coreTechnology or IntegrationSeamless integration with existing EHR and practice management systems. Arbora works as an add-on to existing EHRs, continuing use of existing PM systems while adding billing-specific features and data layer on top. One-week setup with no implementation fees.
• Clearinghouses (Generic Integration)coreTechnology or IntegrationSeamless integration with clearinghouses for claim submission and processing. Part of the one-week setup with no implementation fees, enabling real-time claim status visibility and automated remittance posting.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• athenahealth: Major healthcare IT platform combining EHR, practice management, and RCM/billing services for ambulatory providers. Broad incumbent offering overlapping claims management, eligibility verification, and patient billing functionality across many specialties including behavioral health.
• R1 RCM: Enterprise-focused RCM technology and services company primarily serving large hospital systems. Broad incumbent with claim management and denial workflows that overlap with Arbora's RCM category, though Arbora targets SMB clinics while R1 focuses on large health systems.
• Waystar: Large, publicly-traded RCM and claims management platform serving hospitals and large provider groups. Broader incumbent in the same RCM/claims clearinghouse space with overlapping claim scrubbing, denial management, and remittance posting capabilities — but not specialized in behavioral health.

Direct peers

• TherapyNotes: Behavioral health practice management platform with integrated billing and claims management. Comparable in serving therapists and behavioral health clinics with software + clearinghouse integration, though broader than ABA-only.
• SimplePractice: Leading practice management software for private practice behavioral health clinicians with billing, claims, and client portal features. Comparable SaaS+integrated billing GTM targeting small behavioral health practices.
• Passage Health: Specialized billing and RCM platform focused on ABA therapy practices. Direct head-to-head competitor in behavioral health claims management, denial handling, and payer-specific workflows.
• Ensora Health (formerly Therapy Brands): Suite of practice management and billing platforms for behavioral health providers, including ABA. Overlapping customer base in behavioral health with RCM/payer workflow features.
• CentralReach: Leading practice management and clinical platform for ABA therapy providers with built-in billing/RCM functionality. Most direct competitor — same vertical (ABA/behavioral health), same customer base (clinic owners and BCBAs), and overlapping RCM + scheduling features.
• Avon Health: ABA-specific RCM and billing service that combines software with dedicated billing specialists — directly mirrors Arbora's dual SaaS + full-service RCM model for the same ABA therapy customer base.
• Aloha ABA (by Aloha): Practice management and billing software purpose-built for ABA clinics with claim submission and denial management features. Comparable vertical SaaS positioning targeting small/mid-sized BCBA-owned practices.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/arbora-health

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds1 record

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Arbora Health