Ambient AI that closes the loop from session to dollars.
Trellova is the operations layer for small behavioral-health practices. We listen to the session, draft the clinical note, handle prior authorization with the insurer, and fight back when claims get denied — so clinicians can see more patients and practice owners stop leaving money on the floor.
Average revenue a 5-clinician BH practice loses each year to denied insurance claims they never appeal — the per-claim cost of appealing is higher than the recovery on each one.
Per clinician, per week, on documentation + prior-auth paperwork. 30% of working hours that patients never see.
BH claim denial rate, vs. 5–10% for other specialties. More than double. Less than 10% of those denials get appealed.
One loop. Three pillars.
We sit alongside your EHR (TherapyNotes, SimplePractice, AdvancedMD, Valant) — we don't replace it. The practice keeps the EHR; they add Trellova for the workflow the EHR doesn't own.
60-second source-linked note
BH-native ambient scribe. Mental status exam, risk classification, MBC trajectory, CPT/ICD-10 coded — every sentence in the note linked back to the exact moment in the transcript that produced it. Verify, don't rewrite.
Pre-flight + auto prior-auth
Before sign, we check the note against the specific payer's medical-necessity rules — interpreter documentation, functional impairment, the things that get 90834 denied. Then we submit the PA through Availity and tell the clinician the approval probability.
Denial appeals, drafted
When a denial lands, we classify it by reason code, draft a tailored appeal letter citing the payer's own criteria and your transcript evidence, and present it to the clinician for one-click review. Every win sharpens the library for everyone.
Three panes. One screen. Zero rewrite.
Transcript on the left — every clinician and patient turn timestamped, click any line to play the audio. Draft note in the middle — every sentence carries a citation chip back to the second of audio that produced it. Payer pre-flight on the right — approval probability live, with the specific medical-necessity checks that lifted (or are about to drop) the score.
Clinicians verify in ~3 minutes. They don't rewrite.
Customer math, per 5-clinician practice
| Today | With Trellova | Annual delta | |
|---|---|---|---|
| Hrs/wk per clinician on docs + PA | ~18 hrs | ~5 hrs | +65 hrs/wk practice-wide |
| First-pass PA approval | 65% | 87% | +22 pts |
| Recovered denial revenue | $0 | $65k | +$62.4k net |
| Subscription cost | — | $14.9k | — |
| Net practice gain | — | — | +$47k/yr + 65 hrs/wk |
Payback under three months on the recovered denials alone. We charge per-clinician monthly plus a small percentage of the revenue we recover — we only do well when the practice does. See full pricing.
Why nobody else is in this quadrant
Abridge sells AI scribe to enterprise hospital systems. Eleos sells AI to community behavioral-health orgs at the Medicaid tier. Mentalyc, JotPsych, Twofold sell scribe-only at the $99 tier. TherapyNotes and SimplePractice are EHRs.
We're the only product purpose-built for the 2–10 clinician commercial behavioral-health practice that handles the whole loop — capture, prior auth, denial recovery. Specialty-deep, small-practice-priced, end-to-end.
Designed for the EHR you already use
We sit beside the EHR, not in place of it. Signed notes and codes write back via API where available, or via a HIPAA-safe browser extension on the EHRs that haven't opened theirs yet. Prior auth flows through Availity today; direct payer FHIR APIs in 2027 per CMS-0057-F.
Built HIPAA-first
- Per-tenant AES-256-GCM data-encryption keys, wrapped by AWS KMS — no other tenant's data is ever decryptable with another tenant's key.
- Postgres row-level security + scoped database role on every query. Application-level mistakes can't cross tenant boundaries.
- Append-only audit log on every PHI access, with hashed-PHI redaction. Tamper-evident at the database layer.
- SOC 2 Type II audit in progress. Type I Q3 2026, Type II Q1 2027. BAAs signed with every vendor in the data path.
- Right-to-be-forgotten endpoint. TCPA-compliant SMS opt-out. Per-state telehealth consent gating where required.
- Full security posture: trellova.com/security
We're talking to design-partner practices now.
Free for 6 months in exchange for weekly feedback. If you run a 2–10 clinician BH practice in CA, TX, or NY — we want to talk.