JotPsych Notes

What a certified claim is, and what it changes

Cigna, Optum, and Aetna each publish the rules their reviewers use. Nobody reads your note against those rules. Then a reviewer opens it years later and does exactly that.

Every payer you bill tells you what its reviewers look for. A level-four visit has to show your decision-making. A sixty-minute therapy code has to state the session time. Someone has to sign the note. Each payer writes its own list, the lists run long, and they change.

Here is what usually happens. You write the note. The claim goes out. Nobody compares the two against the payer's list. Later, a reviewer does, and you learn what they found in one of two ways: a denial you now have to work, or a clawback that lands months or years after you spent the money.

The two clocks

Today

Visit, day 0. Then the wait. Denial or clawback risk

Day 0Day 70 and beyondMonths, even years

With a certified claim

Paid, same week Denial and clawback risk sits with us

Day 0, certified at signingSame weekOnward

Both rails run on the same clock. A claim submitted today is still sitting in the wait when a certified claim has already been paid at the full contracted rate. Source: JotAssure program terms, early access.

What certification actually does

We draft the note against the payer's own rules, the same list their reviewer opens, rather than a generic note format.

We check it against more than 150 rules before the claim goes out. Decision-making for a 99214. Session time for a 90837. Medical necessity and signatures, the specifics Cigna, Optum, and Aetna look for.

The claim goes out certified, and that certification carries two guarantees. You get paid at your full contracted rate the same week you submit. The second guarantee is coming soon: if a reviewer audits the claim, we fight the audit or we pay it.

The engine that runs those checks is not new. It has run more than 45 million rule checks across more than 3 million notes for more than 15,000 clinicians. What changes with certification is where the result goes: onto the claim, instead of into a dashboard you have to remember to open.

What it covers

In-network commercial claims, behavioral health Med management 99213 · 99214 · 99215
Intakes 90791 · 90792
Therapy 90832 · 90834 · 90837
Therapy added to a med visit 90833 · 90836

Prescribers, therapists, and the groups they run. Deliberately outside the scope for now: family therapy, group therapy, and higher levels of care.

The honest part

JotAssure is in early access. We check the note against the payer's rules first, and guarantee the claim second. Never the other way round. When a note cannot meet the payer's rules, we do not certify it, and you hear that the day you sign instead of two years later.

See whether your visits qualify, and what the terms look like in writing.

See JotAssure

Sources: JotAssure program terms and rules engine documentation (early access, 2026); rule counts and volume figures from the JotAssure product page, jotpsych.com/jotassure. Covered codes per the program's published scope. Guarantees described are subject to written terms.