You did the visit. You paid the caregiver. Then Medicaid took the money back.
A missing clock-in or a mismatched ID, and the claim denies — on a code you have to go look up. See what those denials are costing you in two minutes. Free, and your file never leaves your browser.
That's the sample. Drop in your own 835 and the number is yours, computed in your browser. Nothing uploaded.
Denial X-Ray
Scan a remittance for EVV mismatches in seconds.
Select your state
Drop your remittance file
835 remittance — or click to browse
Parsed in your browser. Your file is never uploaded.
Your caregivers show up for families. We make sure the visit gets paid for.
The rules changed. The denials are automatic now.
If one clock-in is missing or one identifier doesn't line up, the claim bounces — after you did the visit and paid the caregiver. Then it's clawed back on a code you have to look up. It adds up quietly, one remittance at a time.
Jan 1, 2026 · Ohio (ODM)
Hard-denies personal-care and waiver claims with no matching EVV visit. Home-health claims: since March 1, 2025.
Apr 1, 2026 · Missouri (MO HealthNet)
Denies DSDS personal-care claims (types 26 & 28) that don't match the visit on provider ID, DCN, date, procedure code, or units.
Since Jan 2025 · Pennsylvania
Requires 85% of EVV visits verified without manual edits. Miss it two quarters running and DHS mandates a corrective action plan.
An Ohio Auditor of State review found about $1.1 billion of roughly $2 billion in 2022 home-care claims (about 56%) had no matching EVV visit record. That's a verification gap, not a fraud finding. We cite every figure to its source so you can check it yourself.
What happens when you're ready to fix them
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.
We draft the fix
Our system reads each exception and drafts the correction, the reason code, and the evidence snapshot.
A real person signs it
A US-based coordinator reviews and approves every correction by name. A person signs off, not a bot.
You get an audit-ready binder
Every correction is logged with the schedule, GPS, call record, and who attested. Hand it straight to an auditor.
Four things most billers won't do
Flat fee, because the law requires it
Percentage-of-collections billing violates federal Medicaid rules (42 CFR 447.10). We charge one 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, updated daily. You watch us work.
We cut the cause, not just the queue
Monthly caregiver-level patterns and coaching, so your edit rate trends down and stays under your state's threshold. Usually it's a glitchy app or a wrong identifier, not a careless caregiver, so that's what we fix. Our fee is flat, so the only way we earn it is by shrinking the problem.
What you're paying now vs. what this costs
Stop overpaying for help you don't fully control.
In-House Biller
$4,000–$6,000/mo
Salaries, taxes, benefits, software, training, and turnover.
Expensive, hard to scale.
Percentage Billing Service
4–8%of collections
The more you collect, the more you pay. On a $1.5M agency, that's $60,000–$120,000 a year.
Unpredictable, and it grows with you.
EVVGuard Desk
$995–$1,495/mo flat
- Denial X-Ray + expert review
- Claims & appeal support
- EVV compliance guidance
- A named coordinator you can call
EVVGuard Monitor
The prevention plan
$99/mo flat
- Same-day missed-punch alerts — send us the day's EVV export, alerts land in minutes
- Catch problems before the claim denies — we cross-check your 835 remittances
- Monthly caregiver exception scorecard, built from your uploads
- Edit-rate threshold watch — set your line, we flag any file that crosses it
- Cancel anytime
Built for home care. Backed by humans.
- US-based, named people
- No long-term contracts
- Flat fee, legal under 42 CFR 447.10
- We've got your back
First month, on us if it doesn't pay for itself.
If we don't show you at least three times our fee in released or protected claims, your first month is free. Month to month. Cancel anytime.
Start with your own number
Run the free X-Ray, or get on the list and we'll onboard you. We're taking a small number of agencies from any state where EVV denials are costing you money. Flat fee, month to month, US-based, no long contract. And we'll never sell your data.