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Claim lines are the per-visit service lines behind each claim, linked back to the EVV transaction that produced them. Columns: Claim · Member · Date · Service · Units · Charge

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Why claim lines matter

A claim is a summary. The claim line is where you can see exactly which visit, on which date, produced which units and which charge — and trace it back to the EVV record. When a payer questions a claim, the claim line is the evidence.

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Reading a claim line

Units on a claim line come from the actual EVV visit, not the planned schedule. If a line shows fewer units than expected, the attendant’s clock times are the place to look — not the recurring schedule.

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Tracing a line back to its visit

1

Note the member and service date

These identify the underlying visit.
2

Open Time & Attendance

Find the EVV visit for that member and date. See Time & Attendance.
3

Compare units

The visit’s actual units should match the claim line. A variance means a match rule adjusted it.
4

Check the match result

EVV match results shows which bill code rule was applied and any variance it produced.

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Investigating a partial payment

When a claim is paid for less than it was billed, work down rather than up:
1

Open the claim

Compare Charge against Paid.
2

Review its claim lines

Identify which service dates make up the difference.
3

Check the remittance

The 835 carries adjustment codes explaining each reduction. See Remittances.
4

Fix the cause, not the symptom

A recurring adjustment on the same service code usually means a configuration problem, not a one-off.

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Troubleshooting

EVV matching

The rules that turn visits into lines.

Time & Attendance

The visits behind the lines.