Ohio DODD · Behavioral Health · VA · Home Health

One engine for every claim Ohio pays wrong.

Four rails, one platform. It reads your files, finds what pays short or gets denied, and hands you back the exact rule behind every dollar — before you submit.

HIPAA-alignedBAA availableAWS US-hostedBuilt in Ohio
The denial report isn't the problem

The claims that pay wrong don't show up on any report you already run.

They post. They reconcile. They balance. And they leave your money on the table every single cycle.

4
Rails, one engine
100%
Corrections cite a source
0
Guessed dollars, ever
<2m
To your free audit result
DODD Waiver

You bill one county rate. Some of them are wrong.

The claim still pays. It just pays you less, on every line, every cycle.

Multi-county service, one CODB rate, and no software that can tell the difference. We can — down to the county, the service, and the authorization behind it.

County CODBeMBS flat fileSandata EVVPAWS unitsFLATDENY reconciliation
DODD · this cycle
HPC · Franklin (CODB 1)Verified
HPC · Athens (CODB 6)Rate mismatch
EVV visit missingReview
Recovered$8,215
Behavioral Health & SUD

The denial you rework is the cheap one.

The expensive one is the claim that quietly pays short and never hits your queue.

Provider not affiliated on the date of service. A new primary payer nobody caught. A telehealth session missing its modifier. We flag them before the claim leaves — not after the takeback.

Provider statusCoordination of benefitsTelehealth modifiers270/271 eligibilityUnderpayment vs. contract
Behavioral Health · this month
Individual therapyVerified
Provider not affiliated · DOSPre-claim flag
New primary payer (COB)Review
Recovered$14,320
VA Community Care

Optum pays late, denies fast, and starts a clock.

Miss the 90-day reconsideration window and the write-off is permanent.

Authorization scope, visit counts, wrong-TPA routing, timely filing — the failure modes that make VA claims quietly unrecoverable. We catch them against the referral before they cost you.

Optum CCNHSRM referralsAuthorization scopeTPA routing90-day reconsideration
VA Community Care · open
Referral auth · in scopeVerified
Visit count exceeded authReview
Reconsideration · 12 days leftDeadline
Recoverable$9,640
Home Health

Three programs, three rulebooks, one biller.

Home Care Waiver, PASSPORT, MyCare — and a claim that has to know which one it's under.

Plan-mix confusion and EVV enforcement turn clean-looking home health claims into denials. One engine that knows which program governs each line, and checks it before you send.

Ohio Home Care WaiverPASSPORTMyCarePlan mixEVV enforcement
Home Health · this week
PASSPORT · in-networkVerified
MyCare plan mismatchReview
EVV enforcement gapReview
Recovered$6,880
The rule that governs the numbers

Every dollar, traceable to its source.

You can act on a number that's traceable. You can't act on one that's plausible.

If a rate isn't verified against its published source, we don't show you a number. We show you the reason — and where the number would have been.

From your files to your money.

Three steps. You stay in control at every one.

1

Send your files

Upload your remittances and claims, or connect your clearinghouse with delegated access. We read what flows through your EHR and clearinghouse — we don't replace either.

2

We find what pays wrong

Every claim checked against the verified rule set for its rail. Underpayments, denials, and missed recoveries surfaced with the source behind each one.

3

You review and recover

Approve the corrections you want. We stage them; you submit through your own route. Nothing leaves without you, and every dollar traces to its rule.

See what your claims left behind.

Send us 12 months of remittances. We'll show you what you wrote off — no pitch, no cost, no obligation.

Get your free audit →