First-line, FDA-cleared CBT for insomnia & anxiety

Enhance clinical practice by offering patients instant access to FDA-cleared digital treatment with SleepioRx and DaylightRx.

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FDA-Cleared

500K+ Patients

Treated & supported

App Store Rating

Vetted & Secure

HIPAA compliant &
HITRUST certified

Reimbursable

by Insurance

Fully digital, first-line, cognitive-behavioral therapy (CBT) for patients

Immediate access to evidence-based care for patients

Get patients instant access to CBT-I, a gold-standard treatment for insomnia disorder and generalized anxiety disorder¹⸒²

Expanded, reimbursable care options for clinicians

Address high patient demand and long waitlists with reimbursable, FDA-cleared digital mental health treatments

Scalable mental health care for systems & practices

Grow your practice by expanding services and increasing patient volume without overburdening clinicians

Explore Treatments

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insurance-reimbursable digital treatments

Sleepio RX

Proven to help 76% of insomnia patients achieve clinical improvement with no serious side effects³

Daylight RX

Proven to help 71%
of anxiety patients achieve clinical improvement with no serious side effects⁴

Expand access and close care gaps

Clinical use cases for FDA-cleared treatments

First-line care

SleepioRx + DaylightRx provide first-line recommended treatment for insomnia & anxiety

PCPs, Psychiatrists, Sleep med

Waitlist support

SleepioRx + DaylightRx provide support for patients on long waitlists

Therapists, Psychiatrists, Sleep med

Therapy reinforcement

SleepioRx + DaylightRx reinforce therapy skills and support practice of CBT between sessions

Therapists, Sleep med

Rx combination
or discontinuation

In combo with meds, SleepioRx + DaylightRx improve outcomes or support discontinuation

PCPs, Psychiatrists, Sleep med

Comorbid condition
treatment

SleepioRx + DaylightRx reinforce therapy skills and support practice of CBT between sessions

Therapists, Psychiatrists

Maintenance support

Offered ahead of treatment termination, SleepioRx + DaylightRx help maintain CBT skills

Therapists, Psychiatrists, Sleep med

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SUPPORT CLINICAL PRACTICE

Trusted, clinically proven care

Read the Research

100+

Peer-reviewed publications demonstrating safety + efficacy

70%+

Combined  improvement rate³,⁴,⁵

References in clinical guidelines like the American College of Physicians¹

What are SleepioRx and DaylightRx?

SleepioRx¹ and DaylightRx² are FDA-cleared digital treatments for insomnia disorder and generalized anxiety disorder, respectively, delivering guideline-recommended cognitive behavioral therapy (CBT) through video and audio lessons in mobile apps. Designed by sleep and anxiety experts, the treatments help patients understand unhealthy patterns and address the thoughts and behaviors that sustain insomnia and anxiety. CBT techniques delivered in an engaging and interactive format help patients overcome insomnia and anxiety, quickly.
‍

1. SleepioRx is a digital therapeutic intended for the treatment of chronic insomnia/insomnia disorder as an adjunct to usual care in patients aged 18 and older. SleepioRx is a prescription device delivering Cognitive Behavioral Therapy for Insomnia (CBT-I) and can be made available on the order of a licensed healthcare provider. Patients should read the instructions for use for full information.2. DaylightRx is a prescription device delivering Cognitive Behavioral Therapy and can be made available on the order of a licensed healthcare provider. DaylightRx is a digital therapeutic intended to treat generalized anxiety disorder (GAD) by improving a patient's GAD symptoms as an adjunct to usual care in patients aged 22 years and older. Patients should read the instructions for use for full information.

What evidence is there showing that SleepioRx and DaylightRx work?

SleepioRx has been tested to the highest standards of clinical evidence across 17 randomized controlled trials (RCTs). In a placebo RCT, 76% of SleepioRx patients achieved healthy sleep by post-treatment, as compared to 29% for a sham-placebo app and 18% for usual care.¹ Data suggest benefits are maintained one year or longer after starting SleepioRx.²
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DaylightRx has been evaluated across two rigorous RCTs and one single-arm trial. In an RCT comparing DaylightRx to an online psychoeducation control, 71% of DaylightRx participants achieved GAD remission assessed via clinical interview compared to 35% of control participants.³ Results from trials of DaylightRx demonstrate benefits are maintained until at least 6 months.
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1. Espie et al. (2012). Sleep‍
‍2. Luik et al. (2020). J Sleep Res
‍‍3. Carl et al. (2020). Depression & Anxiety

How do I order SleepioRx and DaylightRx for my patients?

You can place an order and start distributing SleepioRx or DaylightRx to your qualifying patients in three simple steps:
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Step 1: Big Health provides providers with a website for ordering, along with unique access codes. Print and digital referral materials are also available if needed.
Step 2: The provider identifies qualifying patients, explains SleepioRx or DaylightRx, and enters a unique access code and the patient's phone number on the website.Step
3: The patient receives a text message with instructions for accessing, downloading and signing up for SleepioRx or DaylightRx.

Which insurers cover SleepioRx and DaylightRx?

The Centers for Medicare & Medicaid Services (CMS) has finalized three new Digital Mental Health Treatment (DMHT) codes in the Calendar Year (CY) 2025 Medicare Physician Fee Schedule as of January 1, 2025, allowing providers a reimbursement opportunity for prescribing DMHTs like SleepioRx and DaylightRx to Medicare patients. While we are actively engaging other insurance carriers to expand coverage, these DMHT codes are not a guarantee of reimbursement.

What types of providers can authorize use of SleepioRx and DaylightRx and bill for reimbursement?

Licensed providers who are able to offer behavioral therapy or behavioral health care within their scope of practice can order SleepioRx or DaylightRx and bill for the codes.This includes the following practitioners:
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- Psychiatrists & other doctors (MDs, DOs)
- Clinical psychologists
- Clinical social workers (LCSWs, LICSWs)
- Advanced practice nurses/Nurse practitioners (NPs)
- Physician assistants (PAs)
- Marriage & family therapists (LMFTs)
- Mental health counselors
‍
Check commercial payer policies for restrictions. The billing practitioner or a colleague should oversee patient care and adjust treatment as needed. They may also supervise non-qualifying practitioners in providing these services.

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Qaseem A, Kansagara D, Forciea MA, Cooke M, Denberg TD; Clinical Guidelines Committee of the American College of Physicians. Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2016 Jul 19;165(2):125-33. doi: 10.7326/M15-2175. Epub 2016 May 3. PMID: 27136449
DeGeorge KC, Grover M, Streeter GS. Generalized Anxiety Disorder and Panic Disorder in Adults. Am Fam Physician. 2022 Aug;106(2):157-164. PMID: 35977134.
Espie, C. A., Kyle, S. D., Williams, C., Ong, J. C., Douglas, N. J., Hames, P., & Brown, J. S. (2012). A randomized, placebo-controlled trial of online cognitive behavioral therapy for chronic insomnia disorder delivered via an automated media-rich web application. Sleep, 35(6), 769–781.
Carl, J. R., Miller, C. B., Henry, A. L., Davis, M. L., Stott, R., Smits, J. A. J., Emsley, R., Gu, J., Shin, O., Otto, M. W., Craske, M. G., Saunders, K. E. A., Goodwin, G. M., & Espie, C. A. (2020). Efficacy of digital cognitive behavioral therapy for moderate-to-severe symptoms of generalized anxiety disorder: A randomized controlled trial. Depression and anxiety, 37(12), 1168–1178. https://doi.org/10.1002/da.23079
Unpublished RCT data, Dec 2023. Stat reflects a 25% improvement in scores on a validated screening measure. Screening tools alone are not sufficient to diagnose depression.

SleepioRx and DaylightRx are prescription digital therapeutics, available by order of a licensed healthcare provider, for use alongside usual care. SleepioRx treats chronic insomnia in adults 18+, and DaylightRx treats generalized anxiety disorder (GAD) in adults 22+. Patients should read the instructions for use for full information.

DOC-XXXX Effective May 2025