EGEVVGuard

Free tool · no signup to run it

Stop losing Medicaid dollars to EVV denials.

Drop in your Medicaid remittance file and see exactly what Electronic Visit Verification denials are costing you. The file is read entirely in your browser. It never gets uploaded.

  • Your file never leaves your browser
  • Flat fee, legal under 42 CFR 447.10 (not a % of your money)
  • US-based, named humans
  • Built for Ohio, Missouri, and Pennsylvania agencies
Your file never leaves your computer. It's parsed entirely in your browser. Nothing is uploaded.

Drop your 835 remittance file here

or click to choose a file (.txt, .835, .rmt)

The rules changed, and the denials are real.

If one clock-in is missing or one GPS point does not line up, the claim bounces. You already did the visit. You already paid the caregiver. Then the money gets clawed back on a code you have to go look up. It adds up quietly, one remittance at a time.

Jan 2026

Ohio (ODM) moved to hard denials for unverified EVV visits. No verified visit, no payment.

Apr 2026

Missouri (MO HealthNet) began denying claims that fail to match the EVV visit on any of five elements.

Ongoing

Pennsylvania enforces an 85% EVV edit-rate threshold. Too many manual edits raises your audit risk.

Ohio audits have flagged more than $1 billion in improper home-care payments, which is why the state tightened enforcement. Figures like this come from state reporting; we cite them so you can check them, not to scare you.

How the desk works

The free X-Ray shows what already denied. When you are ready to fix what is still open, the desk does the work for a flat monthly fee.

1

We draft the correction

Our system reads each exception and drafts the fix, the reason code, and the evidence snapshot.

2

A named human attests

A US-based coordinator reviews and one-click approves every correction. A person signs off, not a bot.

3

You get an audit binder

Every correction is logged with the schedule, GPS, call record, and who attested. Hand it straight to an auditor.

Why we are built differently

Flat fee, because the law requires it

Percentage-of-collections billing violates federal Medicaid rules (42 CFR 447.10). We charge a flat monthly fee. Ask your current biller how they charge.

US-based, named people

Offshore access to Medicaid systems is illegal in several states, including Ohio. Our delivery is US-only, with a coordinator you can call.

You can see everything

Every exception's status, who worked it, and the dollars at risk. No black box, updated daily.

We cut the causes, not just the queue

Monthly caregiver-level exception patterns and coaching, so your edit rate trends down and stays under your state's threshold.

What it costs to keep your claims payable

Here is what agencies pay for this work today, and where we come in. Same job, flat fee, no cut of your Medicaid dollars.

An in-house biller

$4,000–$6,000/mo

Salary plus benefits, fully loaded — and they still call in sick the week your claims are due.

A percentage billing service

4–8% of collections

They take a cut of every Medicaid dollar you bring in, forever. On a $1.5M agency that is $60,000–$120,000 a year.

Monitor

$99 /mo

We watch your remittances and edit rate and alert you before a deadline or threshold bites. You do the fixing.

Recommended for a 30–60 caregiver agency

Desk

$995–$1,495 /mo flat

We clear your exceptions, a named US coordinator attests each one, and you get an audit-ready binder. A flat fee, legal under 42 CFR 447.10 — not a cut of your claims.

Month to month, cancel anytime. In your first month, if we do not show you at least three times the fee in released or protected claims, it is free.

Get on the list

We are onboarding a small number of Ohio, Missouri, and Pennsylvania agencies. Flat fee, month to month, US-based. No long contract.

Flat fee. US-based. No long contract. We'll never sell your data.