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
Tuesday, with Trellova
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
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
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.

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.
of appealed Medicare Advantage denials get overturned
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| 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 |
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
Enterprise scribe for hospital systems
Community BH orgs, Medicaid tier
Scribe-only, $99 tier — the loop ends at the note
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).
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.
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.






