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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.
The work we carry
Claims checked and sent, denials worked once.
The bravo you keep
The money, payer-direct.
We email you the highlights the moment you ask. No call. Nobody calls unless you ask.
The product, not a promise
This is the screen for Billing.
Real product screen. Sample agency, sample data, not a claim.
What your people and your office see.
Real product screens. Sample agency, sample data.
On the office screen: One claim, line by line, with the held shift and the one-tap fix.
If any of these are your sentences.
- I learn a visit was billed under the wrong authorization after the denial.
- Denials pile up because nobody has the hours.
- I can’t tell if the money is late or lost.
- My biller is the only person who knows how it works.
- Every correction feels like paying twice.
- I find out about the problem at the payment, not at the visit.
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 Billing, our specialists do the work and the 99% is in writing.
CareBravo is the Autonomous Care OS®: an operating system for Medicaid home and community based care, with an AI agent built into each of nine jobs. It starts as the EVV your state approved. Then it does the office work from the caregiver’s one tap at the door. How the whole thing works
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.Cary®Autonomous
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 Billing
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.Five promises, written like promises.
- Nothing stops. Your current system keeps running while CareBravo runs beside it for two weeks on your real data. The Parallel Promise™
- 99%, in writing. On Managed Billing, at least 99% of your claims go out without a mistake we caused. If we make one, we fix it free. We cannot promise what a payer decides. Read the guarantee
- The floor, stated up front: $250 a month, no seats, no per-user fees, no implementation fee — and corrections never billed twice.
- Thirty days’ notice, either way.
- Nobody calls unless you ask.
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.
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 Billing, 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
Why does Medicaid say my claim is a duplicate?
A duplicate denial means Medicaid already has a claim for the same client, service and date. Georgia lists codes 5646, 5042 and 5048 for exact duplicates. No fix is needed. Search by client ID and date to find the paid claim, and call the state if you cannot find it. Read the full answer
What can a billing guarantee cover, and what can it not?
A fair billing guarantee covers work the biller controls: sending claims without errors the biller causes, and fixing those errors at no charge. It cannot cover the payer’s decision. Medicaid can still deny for eligibility, authorization or program rules. Read the exact wording and the exclusions. Read the full answer
You take the bravo. We take the work.
Is Billing the job you’d hand over first?
The Calculator maps your drain across all nine jobs, shows which to hand over first, and recommends one plan. It never sells you up.
We email you the highlights the moment you ask. No call. Nobody calls unless you ask.