Billing and Compliance

Billing Agent Active

Billing Agent is monitoring your claims and catching errors before they cost you revenue.

Claims This Week

Across all claim statuses

Errors Caught

Before submission

Pending Review

Needs your approval

Revenue Protected

$10,400

This month

Claims Requiring Your Approval

Billing Agent has reviewed these claims and flagged items needing human sign-off before submission.

Walter Briggs

Service December 30, 1969 · Medicaid NC

$1,240

Billed

Billing Agent: EVV clock-out time discrepancy of 12 minutes detected. Caregiver GPS confirmed on-site. Recommend approving with documentation note.

Gloria Patterson

Service December 29, 1969 · Medicaid NC

$890

Billed

Billing Agent: Prior authorization expires in 3 days. Renewal required before next service visit.

Raymond Ortiz

Service December 28, 1969 · Blue Cross NC

$640

Billed

Billing Agent: Insurance eligibility could not be verified. Manual verification required before submission.

Claims Pipeline

Patient	Service Date	Billed	Payer	EVV
Harold Simmons	Dec 31	$780	Medicaid NC	Verified
Lucille Ford	Dec 31	$1,100	Medicaid NC	Verified
Betty Lawson	Dec 30	$920	Medicaid NC	Verified
Clarence Hayes	Dec 30	$650	Medicaid NC	Verified
Mae Thornton	Dec 29	$1,340	Blue Cross NC	Verified
Dorothy Graves	Dec 29	$870	Medicaid NC	Pending
Carlos Rivera	Dec 28	$990	Medicaid NC	Verified
Evelyn Park	Dec 27	$1,200	Medicaid NC	Verified

EVV Reconciliation

Real-time visit verification status

89%

Verified

Verified visits this week

Discrepancies flagged

Pending verification

Denied Claims

3 claims denied this cycle

Thomas Grant

Missing documentation · Dec 26

$780

Angela Cruz

EVV discrepancy · Dec 25

$1,050

Harold Bishop

Eligibility lapsed · Dec 24

$620

Billing Agent Activity

Reviewed 16 claims and flagged 8 errors before submission
2 hours ago
Detected EVV discrepancy on Walter Briggs claim and flagged for approval
3 hours ago
Prior authorization alert sent for Gloria Patterson
5 hours ago
Submitted 5 clean claims to Medicaid NC
Yesterday 4:00 PM
Ran nightly EVV reconciliation across all active caregivers
Yesterday 11:00 PM

$10,400

in billing errors caught this month before submission

claims corrected before denial

70%

reduction in denial rate since going live