Caregiver
Agent 03 of nine · Billing · The denial that never happened.
Every verified shift billed once. Every denial worked.
CareBravo®’s Billing agent is AI billing software for Medicaid home and community based care agencies. The claim is made from the checked shift, so it goes out matching what happened. A person confirms anything that moves money or changes care.
No call. Nobody calls unless you ask.
Instant demo · Billing
The denial that never happened.
“Friday’s remit. Three claims denied. The visits happened. The EVV didn’t match. You already paid the caregiver for all three.”
What the film shows
Friday’s remit. Three claims denied. The visits happened. The EVV didn’t match. You already paid the caregiver for all three.
In CareBravo the claim starts at Margaret’s door. Ana sees the shift exactly as it will bill. Margaret signs on the phone. Both signatures, no paper, nothing to retype.
Friday, invoices build from verified visits only. Anything that would come back denied, an EVV that doesn’t match, an authorization about to run out, is flagged here before it’s sent. Not two weeks later.
When a payer still denies, you read why in plain English. What can be fixed is fixed and sent again, once. You’re never charged twice for it.
The remit comes back and posts against the claim. No export. No spreadsheet.
The denial that never happened. In Core, your team runs it. In Autonomous, Cary® does. Or hand billing and scheduling to our team at 4.47%: 99% of claims out clean, in writing, and we fix what we get wrong for free. Two weeks beside what you use today. Start where you are.
If any of these are your sentences.
- Friday’s remit: three claims denied.
- The visits happened. The EVV didn’t match.
- I already paid the caregiver for all three.
- Tellus says it went through. GAMMIS says denied.
Why your current app can’t
Billing software builds the claim from what the office types in. If the typed hours do not match the visit, the claim is denied, and nobody finds out until the remittance comes back. Then someone works the denial by hand, if there is time.
What the Billing agent makes from the tap
The claim is made from the checked shift, so it goes out matching what happened. The Billing agent holds anything that is not clean, shows you why, and works every denial. Nothing is billed twice. On Managed, our team does the billing and scheduling and the 99% is in writing.
The product, not a promise
What your people and your office see.
Caregiver
A missing clock is one question, one tap.
Family
The invoice, in plain words, for the person who pays it.
Real product screens. Sample agency, sample data.
On the office screen: Invoices built from verified visits only. A line that would come back denied is held, with the reason, before anything is sent.
Questions
An owner’s exact words, answered on the screen, three ways to have it done.
Owner asks
Why was this claim denied?
Your teamCore
Your biller opens the denial, reads the reason, and works it once.
One denial, worked once.CaryAutonomous
Cary drafts the correction. When the fix is not hers to make, a service code not on the authorization, she says who can: the care coordinator, with the request drafted.
Explained, fixed, confirmed by you.Our teamManaged
Our billing specialists prepare and submit every claim and work every denial. Money goes payer-direct, and the weekly report shows what we did.
Worked before you saw it. Corrections never billed twice.12 monthsFederal rules require Medicaid claims to be filed within 12 months of the date of service. Many states set a shorter limit; Georgia’s guidance is six months. CareBravo’s Billing agent flags claims nearing the limit.42 CFR 447.45 (eCFR, checked 28 Oct 2026); Georgia DCH billing guidance
What owners ask about billing.
Is there AI software for billing in home care?
Yes. Several home care systems now use AI for billing, mostly in scheduling and billing, and in most of them the AI suggests while your office does the work. In CareBravo, the Billing agent does the work inside rules you write once: The claim is made from the checked shift, so it goes out matching what happened. It is one of nine agents, one for every job in the office, coordinated by Cary. A person confirms anything that moves money or changes care. CareBravo’s AI runs inside our HIPAA safeguards. Your clients’ records are not sent to public frontier AI models.
Why are my Medicaid claims denied when the visit happened?
Usually the claim and the visit record do not match: hours retyped wrong, an authorization that ran out, a missing signature, or an EVV record the state never accepted. In CareBravo the claim is made from the verified visit, and anything that would come back denied is flagged before it is sent.
Why does the EVV system show a visit accepted while the claim is denied?
The visit record and the claim travel separately. In Georgia, for example, the visit goes through Netsmart (still called Tellus) and the claim through GAMMIS, and the two are not always in sync. CareBravo checks each claim line against the accepted visit before sending and shows you any line where they disagree.
How quickly will I know a claim was denied?
As soon as the remittance comes back. The denial shows on the claim with the reason in plain English and what can be fixed. Correctable claims are fixed and sent again, and a correction is never billed twice.
Who does my billing on Managed?
Our billing specialists prepare and submit every eligible claim and work every denial, and our scheduling team runs your scheduling, at one rate: 4.47% of eligible billed revenue. You sign off; payments go straight from the payer to you.
Do you touch the money?
No. Claims go payer-direct and the remittance lands in your account. CareBravo reads the 835 and posts what the payer said.
What does the 99% guarantee cover?
On Managed, we guarantee that at least 99% of eligible original claims are prepared and transmitted without an error we cause. Payer adjudication is not guaranteed, and corrections are included at no charge. The full terms are on the pricing page.
What is billed, exactly?
Eligible billed revenue is the payer-allowable value of each original claim prepared and submitted through us, counted once. Corrections are never billed twice.
Why was my claim denied for units or authorization?
Medicaid pays only for the units and dates that were authorized. If your claim has more units than the authorization allows, falls outside its dates, or lists a different provider ID, it denies. In Georgia these show as codes like 3052, 3011 and 3044. Prior authorization alone does not guarantee payment. Read the full answer
Why did my claim deny for EVV?
Georgia denies personal care claims that do not carry EVV visit data. The claim must go through the state EVV system with six data points: who got care, who gave it, the service, the place, the date, and start and end times. Fix the visit in EVV, then resubmit. Read the full answer
How do I read a Medicaid remittance advice (835)?
A remittance advice is the payer’s report of what happened to each claim: paid, denied, or adjusted, and why. The electronic version is called an 835. Match each line to your claim, read the reason code, then post the payment or start the fix. Do not post money until you match it. Read the full answer
You take the bravo. We take the work.
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