Billing and Compliance

Billing Agent Active

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

Claims This Week
47
Ready to submit
Errors Caught
8
Before submission
Pending Review
3
Needs your approval
Revenue Protected
$12,400
This month

Claims Requiring Your Approval

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

Dorothy Williams
Service July 22, 2026 · 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.
Robert Chen
Service July 21, 2026 · Medicaid NC
$890
Billed
Billing Agent: Prior authorization expires in 3 days. Renewal required before next service visit.
Maria Santos
Service July 20, 2026 · Blue Cross NC
$640
Billed
Billing Agent: Insurance eligibility could not be verified. Manual verification required before submission.

Claims Pipeline

PatientService DateBilledPayerEVVAction
James WilliamsJul 23$780Medicaid NCVerified
Sandra MooreJul 23$1,100Medicaid NCVerified
Alicia TorresJul 22$920Medicaid NCVerified
Kevin OkaforJul 22$650Medicaid NCVerified
Priya PatelJul 21$1,340Blue Cross NCVerified
Marcus JohnsonJul 21$870Medicaid NCPending
Tamika BrownJul 20$990Medicaid NCVerified
David LeeJul 19$1,200Medicaid NCVerified

EVV Reconciliation

Real-time visit verification status

89%
Verified
Verified visits this week
41
Discrepancies flagged
3
Pending verification
3

Denied Claims

3 claims denied this cycle

Thomas Grant
Missing documentation · Jul 18
$780
Angela Cruz
EVV discrepancy · Jul 17
$1,050
Harold Bishop
Eligibility lapsed · Jul 16
$620

Billing Agent Activity

  1. Reviewed 47 claims and flagged 8 errors before submission
    2 hours ago
  2. Detected EVV discrepancy on Dorothy Williams claim and flagged for approval
    3 hours ago
  3. Prior authorization alert sent for Robert Chen
    5 hours ago
  4. Submitted 12 clean claims to Medicaid NC
    Yesterday 4:00 PM
  5. Ran nightly EVV reconciliation across all active caregivers
    Yesterday 11:00 PM
$10,400
in billing errors caught this month before submission
8
claims corrected before denial
70%
reduction in denial rate since going live
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