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Billing covers EVV-matched claim generation, 837P export, remittance posting, and AR aging. Claims here are generated from EVV-verified visits. Texas Medicaid requires a matching EVV transaction, so a visit that never cleared verification cannot become a payable claim.

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Who can use it

Organization Admins and Finance Managers.

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The billing dashboard

Above the tabs, a summary shows where your revenue is sitting: what is ready to bill, what is submitted, and what is aging.

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Claims

Payer claims generated from EVV-verified visits with submission and payment tracking. Columns: Claim # · Member · Payer · Service · Units · Charge · Paid · Status · Submitted Billing statuses are NOT_BILLED, READY_FOR_BILLING, BILLED, PAID, and DENIED. The gap between Charge and Paid is what your AR aging is made of.

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What else lives here

Claim lines

The per-visit service lines behind each claim.

Remittances

Payer 835 remittance advices posted against claims.

EVV matching

Bill code configuration and match results.

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The billing chain

Each stage depends on the one before it. A claim that will not generate almost always traces back to a visit that did not verify or an authorization that did not cover it.

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Generating and submitting claims

1

Clear EVV exceptions first

Unverified visits do not produce claim lines. See Time & Attendance.
2

Confirm bill code configuration

The service must have a matching EVV bill code rule. See EVV matching.
3

Review generated claims

Check Units and Charge against the authorization before submitting.
4

Export the 837P

Submit to the payer. Submitted records the date.
5

Post remittances

As payments arrive, post the 835 against the claim. See Remittances.
Review before submitting rather than after. A claim submitted with the wrong service code or unit count has to be corrected and resubmitted, which restarts the payment clock.

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Working denials

A claim in DENIED status carries the payer’s reason. Denials cluster into a few recurring causes:

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Troubleshooting

EVV to paid claim

The whole chain, end to end.

Month-end billing close

A repeatable close routine.