Billing
Claim lines for the pay period, priced from each agreement. Signed, live-captured visits are ready; the rest are held until the evidence is in.
Service codeAll39H20148H20152H20324S51251S51303S513511S51506T20191T20213Individualized home supports with training · $623.35 of $2,415.65
Ready to bill
Grouped by client. One row per note becomes one 837P service line.
8 lines
| Service | Code | Units | Rate | Amount | Rendered by |
|---|---|---|---|---|---|
| Individualized home supports with training | H2014 | 12 | $6.85 | $82.20 | Sam Nguyen |
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Individualized home supports with training | H2014 | 13 | $6.85 | $89.05 | Sam Nguyen |
| Individualized home supports with training | H2014 | 12 | $6.85 | $82.20 | Sam Nguyen |
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Individualized home supports with training | H2014 | 12 | $6.85 | $82.20 | Sam Nguyen |
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Individualized home supports with training | H2014 | 0 | $6.85 | $0.00 | Mustafa Ali |
On hold
Fix these before the claim run
0
Nothing held.
Claim run
837P generation and the MN-ITS submission are the next milestone. The lines above are already shaped for it: provider tax ID, PMI, HCPCS with modifiers, units, rendering NPI or UMPI, and dates of service.
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