The Digital Executive

Moody Abdul: The Admin Is Killing Therapy. AI Is the Fix. | Ep 1288

19 min
Jul 16, 20262 days ago
Listen to Episode
Summary

Moody Abdul, CEO of Clarify, discusses how AI is transforming mental health administration by automating insurance claims, documentation, and compliance work for therapists. He shares his personal journey through therapy and explains how AI agents—rather than traditional software—can handle complex tasks like fighting insurance denials, allowing clinicians to focus on patient care.

Insights
  • AI's shift from passive record-keeping to active task automation represents a fundamental change in software design, enabling therapists to delegate administrative work similar to hiring employees without the cost and training overhead
  • Insurance denial appeals represent a massive revenue recovery opportunity: 1 in 5 claims are denied, yet less than 10% are appealed, and 44% of appeals succeed—leaving therapists significant uncollected revenue
  • AI will likely expand rather than replace therapy demand by reducing stigma, improving access, and handling job displacement anxiety, positioning therapy as one of the last human-centric professions to survive automation
  • The therapeutic alliance—finding the right therapist match based on cultural fit and trust—remains irreplaceable by AI and will become increasingly valuable as mental health demand grows
  • Revenue Cycle Management industry offshoring to India can now be replaced by AI voice agents, bringing administrative work back in-house for therapists while maintaining cost efficiency
Trends
AI agents moving beyond information storage to autonomous task execution across professional servicesMental health tech consolidation around all-in-one platforms handling clinical, administrative, and financial workflowsAI-assisted mental health conversations (ChatGPT therapy-like use cases) driving awareness and demand for human therapist servicesInsurance automation and denial fighting becoming table-stakes for mental health practice management softwareTherapeutic alliance and cultural matching becoming key differentiators as AI commoditizes clinical information deliveryExpansion of mental health access through reduced administrative burden on independent and small-group therapistsAI voice agents replacing offshore RCM teams for insurance claim appeals and credentialing supportEmotional labor jobs emerging as the last category of work resistant to full automation through 2030 and beyond
Companies
Clarify
AI-powered platform automating administrative work for therapists including claims, documentation, scheduling, and ma...
Y Combinator
Leading startup accelerator that backed Clarify
Circleback.ai
AI meeting assistant co-founded by Moody Abdul; inspired the idea for Clarify when his therapist wanted similar funct...
LinkedIn
Company where Moody Abdul worked in enterprise sales before founding startups
OpenAI
Creator of ChatGPT, which launched 3 years ago and is being used for therapy-like conversations by 800 million users
Anthropic
Creator of Claude AI, which is implementing referral algorithms to direct users to human therapists
Coruscant Technologies
Host company of The Digital Executive Podcast
People
Moody Abdul
Guest discussing AI automation for therapists, personal therapy journey, and future of mental health care
Brian
Podcast host conducting interview from Kansas City
Quotes
"We're automating every job for a therapist other than therapy itself. So their marketing, automated. Insurance claims and denials, automated. Their accounting and taxes, automated."
Moody Abdul~12:00
"One in five claims were denied, less than 10% were appealed. And then of the ones that were appealed, 44% were actually a win for the practitioner."
Moody Abdul~18:30
"I actually think the last jobs that are going to exist in the further than 2030 are going to be these emotional labor jobs. The things that people value because they're a human, not because the information that is needed or the task that is needed."
Moody Abdul~28:00
"I actually think that therapy is going to be more needed than ever because of how many jobs we're going to automate. And a lot of people are going to be suffering from an identity perspective."
Moody Abdul~32:00
Full Transcript
Welcome to Coruscant Technologies, home of the Digital Executive Podcast. Do you work in emerging tech, working on something innovative, maybe an entrepreneur? Apply to be a guest at www.coruscant.com forward slash brand. Welcome to the Digital Executive. Today's guest is Moody Abdul. Mudi Abdul is the co-founder and CEO of Clarify, an AI-powered platform helping therapists reduce administrative burdens and spend more time focused on client care. Inspired by his own experience with therapy and the impact it had on his life, Mudi co-founded Clarify to address one of the biggest challenges facing mental health professionals today. The growing amount of time spent on documentation, insurance claims, compliance, and other administrative work that takes clinicians away from their patients. Clarify is backed by Y Combinator, one of the world's leading startup accelerators. Well, good afternoon, Moody. Welcome to the show. Thank you. Great to be here. Absolutely, my friend. I appreciate it. You're hailing out of Toronto, Ontario, Canada. I'm in Kansas City, so I appreciate you kind of traversing one time zone and probably about 900 miles away. So I appreciate that. So let's just jump right into your first question, Moody. You've had a real founders arc, enterprise sales at LinkedIn, then co-founding Circleback.ai as an AI meeting assistant and now Clarify. But you've said the real spark came from your own experience with therapy and a personal breakthrough combining therapy and AI tools. Can you take us back to that moment and how it turned into a company you built for the therapists who changed your life? Yeah, I grew up in a family that is well-versed with mental health issues. I was born in Canada, but my parents and all my uncles and aunts were refugees from Lebanon during the Civil War. So any sort of diagnosis you can think of, we have it in my family. Schizophrenia, bipolar, we have autism. And I grew up around this culture of mental health is not really something that you work on. But growing up in Canada, I had a different view on that. And so when I was in my 20s, I went to therapy for the first time and it completely changed my relationship with my father, who I had maybe a 15 year broken relationship at that point. And with my partner at the time, which has helped me become a better now husband. I just got married last week. So that was a huge milestone for me. And I really credit the therapists, the different therapists in my life for helping me be a better person and heal the relationships in my life. While I was building Circleback, my own therapist said she wished she could use it. And Circleback was a meeting note taker that, you know, would listen to your calls and write you a summary. But she highlighted how that wouldn't work for her in terms of regulations and just the different workflows she had. and I knew that I had to give back to the people that have given so much to me. So I left Circleback, started Clarify, and now we've helped thousands of therapists with hundreds of thousands of therapy sessions, automate all the drudgery and the work that takes away time and energy from them helping people. That's awesome. I love this story. Your backstory is just amazing. I think moving out of that chaotic environment, you talked about the Lebanon Civil War, And that's got to be traumatic for anybody that was in that, of course. But you moved to Canada and you did have some history there in the family, some mental health issues, and you worked through that with therapists. And of course, along the way, you built some company. Well, Circle Back is one, obviously. And your therapist particularly wanted to utilize something like that. And that's kind of the genesis for everything that you've done. And you're really giving back. You learned a lot. You came through a lot, a lot of challenges. and now you've actually given back to the world to make the world a better place. So I love the backstory. Moody, you've drawn a sharp line between software that stores what therapists do and software that can actually do it Noting that legacy tools store notes but can use them schedule clients but can find new ones Submit claims but can fight denials What does that shift from a system of record to an AI agent that takes action actually look like day-to-day for a therapist? It is a huge change in mental model because up until this point in really human history, we don't even have to look that far back. The internet is a relatively new invention, right? 1993 didn't really take off until the 2000s, then the smartphone era. But for the last 10, 15 years, software has looked relatively the same, which is click this button, store this information, or click this button to move this information from here to here. And that is how you can generally boil down most software. AI has made it so that you can actually leave a task with these AI agents and it understands who you are and what you need done, and it can then go do it, which is fundamentally different than anything we're used to. The only comparable thing is when you hire an employee and you tell them, hey, it is now your job to submit the claims and fight the denials. But most therapists don't have that privilege. The majority of them are independent contractors working for a clinic or multiple clinics while also building their clinic on the side. So they're not even used to really having that privilege. And when they are, you have labor and people that you got to train. A lot of things kind of slip through the crack. So what we've built and are continuing to build is a new version of software that actually does the work for you. but we make a clear line between what kind of work should the AI do and not do. We're automating every job for a therapist other than therapy itself. So their marketing, automated. Insurance claims and denials, automated. Their accounting and taxes, automated. These are the things, this is the way that the future is going to be for pretty much every single profession. We're just focused on therapists because of how meaningful it is to us. Thank you. Appreciate that. Really do. That's amazing. You did kind of go back through how apps traditionally were built over the years and they're all the same and people just like to scale apps and sell apps. But with your app, with AI, of course, you've really disrupted the app market right in this space with therapists. Using Agenda AI, you talked about that. You're able to bring all the note taking, scheduling, marketing, billing, claims, bring it all together under one roof. And you call this your new version of software, automating everything for the therapist except the therapy part. And I think that's amazing. It lets the practitioner focus on their skill set and what they went to school for. So I appreciate that. Mooney, one of Clarify's boldest promises is automatically fighting insurance denials, extracting diagnostic codes from session notes, auto-populating claims, and pushing back on denials. Insurance is notoriously the most painful and opaque part of running a practice. How does that actually work under the hood? And how far can automation realistically go against payers? Payers and insurance companies are incentivized to make this system complex, right? Their business model is how much premiums can we collect from people who have health insurance? And how little can we pay out? And then that difference is their profit. Of course, they have to actually pay people out and they do. Insurance companies don't have the highest margins. So they are actually paying out billions of dollars. But what happens in a therapist's world is first of all, getting credentialed is a nightmare. Like being able to even accept insurance from somebody, you need to go to that insurance company's website, find their form, fill out their form, submit their form. Sometimes they won't even let you be part of network. Then you have to do that for every insurance company that your clients have. Each insurance company has a different process, a different form. These things take hours to understand and do and then weeks to actually get results on Then you have once you actually in network submitting the insurance claim is easy Typical software now allows you to do that with one button But when the insurance company denies your claim and they do quite often, I was looking at CMS data that showed one in five claims were denied, less than 10% were appealed. And then of the ones that were appealed, 44% were actually a win for the practitioner. So you can imagine how much money they're leaving on the table because they don't appeal these denials. Now, why don't they appeal the denial? Because that process is also such a nightmare. Call the company, be on hold for three hours. Oh, you were talking to the wrong department. Talk to this department. Now you're on hold for another three hours, all for a hundred dollar claim. And so what most people do is they don't even try. They don't even try to appeal a lot of these denials. So what happened is this entire industry was created called RCM, Revenue Cycle Management, that were entire agencies of people who would literally offload this burden from doctors, clinicians, therapists, and they would take a percentage of the collected claims, something between 5% to 8%. and now that industry has been actually offshored to India. Most of the companies that are doing this work, their whole staff and their whole team is in India and they're the ones who are calling the insurance companies, trying to appeal, taking a percentage of what they collect and what we've essentially done is used AI to do that work. Call the insurance company with an AI voice agent, talk to the person, provide the information, what information they give the AI. Maybe they say, hey, you were missing or you had the wrong CPT code. The AI is smart enough to notify the therapist of that. And with one click, fix it, send it back to the insurance company. And so we're basically offshoring the offshoring we did. Instead of moving all of these jobs to teams in India, we now have AI that is doing most of this work. That's awesome. Love that. And I was in healthcare for a long time on the tech side, so I know all about this stuff. Here in the US, it's very similar. The insurance industry certainly is big on paying as little as possible. We all know that. But you talked about this whole process, getting licensed practitioners through that first barrier, which is getting credentialed, is just as hard as heck. But once you're in that network, as you mentioned, I think you said one in five, claims are denied and then less than 10% of those claims are appealed. So that appeal process is just a nightmare. And of course we have the revenue cycle management, that process and industry, it's become big. And you talked about offshoring. I just love the fact that you're leveraging AI in your app to handle all this. And really you're bringing it back in house for the therapist. And again, it's, it's just awesome. I love talking about the things that people do to make the world a better place. The last question I have for you, you host the Future of Therapy podcast. So you're constantly in conversation with clinicians, researchers, and innovators about where this is all heading. If you look out maybe to 2030, the year 2030, how do you see the day-to-day life of a therapist changing and what has to be true for AI to demystify mental health and expand access without compromising the irreplaceable human core of the work? First of all, when you said 2030, I thought that was like 10 years away because I'm so used to, I feel like I think about 2020 like it was a few months ago. And yeah, wow, that's four years from now. Chachapiti came out three years ago, something like that. Actually, it will be four years this November. So the world has already drastically changed. But what we're seeing is whenever you have a new technology, there's this huge curve of innovators, early adopters, the main bulk of people using it, and then the laggards. What we're seeing now is, in fact, I think only 10% of therapists have even used AI for their work. So we pretty early here but in 2030 four years from now I can imagine the system that I talking about is not really that special Every software will have like this all we will do everything and anything for you because software becomes so easy to create And what really is special is the community that you're able to build around and the value that you can provide beyond software. Now, what I think is actually going to happen, which is a bit of a hot take because the first headline that came out when ChatGPT was released was basically therapists are done for. Everybody's going to automate therapists. I actually think that the last jobs that are going to exist in the further than 2030 are going to be these emotional labor jobs. The things that people value because they're a human, not because the information that is needed or the task that is needed. For example, you don't really care if somebody is building your desk for you. You just want the desk. So you don't care really if it's a robot or if it's handmade. Some people do, they have that luxury to be able to afford that and just the interest. But I actually think the job of a therapist is so core to being a human that no matter how much AI gets better at doing the tasks that resemble therapy, people are still gonna wanna talk to a human being. And you're gonna want a human being that understands what they're doing when they're talking to you. And so I actually see that AI is gonna expand the access because it's gonna reduce the stigma behind mental health. We have 800 million people that are using ChatGPT and the number one use case is for things that resemble therapy. And what happens then? They go, oh, well, let me upgrade this experience to seeing an actual human being. In fact, the companies like Chachapiti and Claude are already starting to change their algorithm so that it refers people to seek a therapist when it notices something is once they've reached like a certain threshold of the conversation. So I actually think people are going to be accessing therapy more than they ever have. It's going to be easier than it ever was to find the right therapist. Because I can tell you like one of the biggest issues right now is how do you even find the right therapist for you? You can't just talk to any therapist and have them change your life. You need to find the right person that understands you, that has the same sort of cultural elements and vibe that you can build that trust or as they call it, therapeutic alliance. So long story short, I actually think that therapy is going to be more needed than ever because of how many jobs we're going to automate. And a lot of people are going to be suffering from an identity perspective, hopefully not from a resources and poverty perspective, because I hope we as a society figure out how do we even function if jobs are fully automated or most jobs are fully automated. So I think that more and more people are going to need therapy and therapists are going to be more accessible and equipped than ever because of the tools like Clarify. That's awesome. And yeah, those are some really good insights. I know you talked about 2030 and beyond, you know, software is going to be obviously a lot more easier to create. But the benefit out of this is AI will actually expand access to therapists and will help remove some of that stigma you talked about of therapy. But really, no matter how good AI gets, and this is what I took away from your, you know, just speaking with you just now is those last jobs that will still exist and be done by human will actually be those positions that require that emotional space with humans that we have today. And I know therapists will be one of those. And I think that's really, really cool. And I just love where this is going, regardless of how AI turns out. I hope we don't turn into the matrix or Skynet, but I truly think that there is a lot of benefit here in the future. If we can all Keep us focused on ethics, which is so, so important. Moody, it was such a pleasure having you on today. And I look forward to speaking with you real soon. Thank you so much, Brian. Bye for now.