One engine for Ohio waiver agencies. It reads your eMBS files, finds what pays short or gets denied, and hands you the rule behind every dollar — before you submit.
Nobody flags it, because nothing looks broken. That's exactly why it never stops — every line, every cycle.
Small agencies serving multiple counties lose the most — and never see it, because the claim pays, just wrong.
Multi-county service billed at one CODB rate. A real, findable variance on every affected line.
Services subject to Sandata EVV submitted without a matching visit record — caught before the FLATDENY.
Billed units over the authorization on file, checked before submission instead of denied downstream.
Group vs. individual multipliers and unit caps applied wrong. Looks clean, still underpays.
Delivered services never billed, or billed below documented units. Money simply left on the table.
Claims aging toward the deadline in a denial loop. We track the clock per claim and alert early.
We parse your eMBS flat file natively — every byte-positioned field, service code, and cycle.
County CODB, PAWS, EVV, and unit rules validated against the source before anything goes out.
Review the corrections, submit through your own eMBS access. Nothing leaves without you.
Send your recent eMBS reports and remittances. We'll show you the variances — free, no obligation.
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