> ## Documentation Index
> Fetch the complete documentation index at: https://docs.officeridge.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Claim lines

> The per-visit service lines behind each claim, linked back to the EVV transaction.

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

## 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.

## Reading a claim line

| Column      | What it tells you                                                 |
| ----------- | ----------------------------------------------------------------- |
| **Claim**   | The claim this line belongs to                                    |
| **Member**  | Who received the service                                          |
| **Date**    | The service date, which must fall inside the authorization window |
| **Service** | The service code billed                                           |
| **Units**   | Units from the verified EVV visit                                 |
| **Charge**  | The amount billed for those units                                 |

<Warning>
  **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.
</Warning>

## Tracing a line back to its visit

<Steps>
  <Step title="Note the member and service date">
    These identify the underlying visit.
  </Step>

  <Step title="Open Time & Attendance">
    Find the EVV visit for that member and date. See [Time & Attendance](/attendance).
  </Step>

  <Step title="Compare units">
    The visit's actual units should match the claim line. A variance means a match rule adjusted it.
  </Step>

  <Step title="Check the match result">
    [EVV match results](/billing/evv-matching) shows which bill code rule was applied and any
    variance it produced.
  </Step>
</Steps>

## Investigating a partial payment

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

<Steps>
  <Step title="Open the claim">
    Compare **Charge** against **Paid**.
  </Step>

  <Step title="Review its claim lines">
    Identify which service dates make up the difference.
  </Step>

  <Step title="Check the remittance">
    The 835 carries adjustment codes explaining each reduction. See
    [Remittances](/billing/remittances).
  </Step>

  <Step title="Fix the cause, not the symptom">
    A recurring adjustment on the same service code usually means a configuration problem, not a
    one-off.
  </Step>
</Steps>

## Troubleshooting

| Problem                              | What to check                                                                              |
| ------------------------------------ | ------------------------------------------------------------------------------------------ |
| A visit has no claim line            | The visit was not EVV-verified, or no bill code rule matched it.                           |
| Units are lower than the visit shows | A bill code rule may have capped them. Check the match result variance.                    |
| A line has the wrong service code    | The code comes from the bill code configuration for that payer and program.                |
| Charge looks wrong                   | Charge derives from units and the configured rate. Confirm the unit type on the bill code. |

## Related

<CardGroup cols={2}>
  <Card title="EVV matching" icon="link" href="/billing/evv-matching">
    The rules that turn visits into lines.
  </Card>

  <Card title="Time & Attendance" icon="clock" href="/attendance">
    The visits behind the lines.
  </Card>
</CardGroup>