TrellovaTrellovaGet 10 denials appealed
HIPAA-first · 42 CFR Part 2 aware · Built for independent practices

Ambient AI, from session to dollars.

It listens, writes the note, clears prior auth, and fights denials — beside the EHR you already use.

  • Drafted appeals in 72 hours
  • Nothing to install to start
  • BAA before any PHI
app.trellova.com
Live on the Chrome Web Store
Works over TherapyNotes & SimplePractice — see the listing
AWS BAA executed
PHI only in HIPAA-eligible services, encrypted everywhere
80.7% of appealed MA denials overturn
Only ~11.5% get appealed — KFF, 2024 MA data
3 founding-practice slots
California · white-glove, founder-run
One loop, not another point tool

Tuesday, with Trellova

10:07a — during the session

The note writes itself, with receipts

  • MSE, risk assessment, CPT + ICD-10 — drafted live
  • Every sentence cites its second of session audio
  • Clinicians verify in ~3 minutes, then sign & lock
10:52a — before the claim leaves

Pre-flight against the payer's own rules

  • Blocking checks catch denial reasons before signature
  • Approval odds shown live — and what lifts them
  • Prior auth out through Availity the same day
Thursday — when the payer pushes back

Appeals drafted from the record

  • Denials ranked by odds of overturning
  • Each appeal quotes the payer's own criteria back
  • One click to review — filed on your letterhead

Everything the EHR doesn’t do

Built behavioral-health-deep, not healthcare-wide. Pick a capability — see the real screen.

app.trellova.com · source-linked notes
Draft SOAP note with source citations — synthetic data

All screens: the real product on synthetic patient data.

Your payer already runs AI on your claims. Meet the AI on your side.

Payer platforms score behavioral-health claims automatically. Practices answer with fax machines. Trellova answers with evidence — cited notes, pre-checked criteria, appeals that quote their policy back.

80.7%

of appealed Medicare Advantage denials get overturned

~11.5%

of those denials are ever appealed — the rest are absorbed

KFF analysis of 2024 Medicare Advantage data (52.8M determinations, 7.7% denied). Commercial plans differ — in ACA marketplace plans insurers upheld most appealed in-network denials (KFF, 2024) — so we quote the segment each number comes from. Appeals work; nobody has time to file them.

What denials cost a five-clinician practice

Modeled
TodayWith TrellovaAnnual delta
Hrs/wk per clinician on docs + PA~18 hrs~5 hrs+65 hrs/wk practice-wide
First-pass PA approval65%87%+22 pts
Recovered denial revenue$0$65k+$62.4k net
Subscription cost$14.9k
Net practice gain+$47k/yr + 65 hrs/wk

Modeled from published BH denial rates and our pricing. Your practice gets this table rebuilt from its own denial file — free, in the 10-denial analysis. See full pricing.

Purpose-built for the practices everyone else skips

Abridge, Ambience

Enterprise scribe for hospital systems

Eleos

Community BH orgs, Medicaid tier

Mentalyc, JotPsych

Scribe-only, $99 tier — the loop ends at the note

TherapyNotes, SimplePractice

EHRs — we sit beside them, not against them

Trellova is the only end-to-end loop — capture, prior auth, denial recovery — for independent commercial BH practices, solo through mid-size groups.

Designed for the EHR you already use

API write-back where EHRs allow it; a HIPAA-safe browser extension where they don’t. Availity today, payer FHIR APIs in 2027 (CMS-0057-F).

TherapyNotes
SimplePractice
AdvancedMD
Valant
Availity
Anthropic
Deepgram
WorkOS

Full integrations list →

Security as engineering, not badges

Implementation facts, not aspirations — the deep version is at trellova.com/security.

  • Per-tenant KMS keys

    AES-256-GCM, wrapped by AWS KMS — no cross-tenant decryption

  • Row-level security

    Postgres RLS + scoped role on every query

  • Append-only audit

    Every PHI access logged, hashed-PHI redaction

  • 42 CFR Part 2, in code

    SUD records blocked from payer disclosure without consent

  • AWS BAA executed

    PHI confined to HIPAA-eligible services

  • Your BAA, same day

    One page, e-signable — no BAA, no PHI, ever

Not SOC 2 certified yet — until then, specifics over badges.

The Founding Practice Program

Send us your 10 worst denials. Appeals drafted in 72 hours, free.

Keep whatever you recover. If nothing overturns, you’ve lost one email.

  • Free for 6 months as a founding practice — founding price locked for life after
  • The founder’s cell, not a support queue — top ask built monthly, or a dated no
  • Three slots, California. One founder-engineer — three is the honest maximum.

TMS or Spravato practice? Same offer, your next 5 prior auths — say so in the message.