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 codeAll39H20148H20152H20324S51251S51303S513511S51506T20191T20213Adult companion services · $484.40 of $2,415.65
Ready to bill
Grouped by client. One row per note becomes one 837P service line.
10 lines
| Service | Code | Units | Rate | Amount | Rendered by |
|---|---|---|---|---|---|
| Adult companion services | S5135 | 8 | $5.95 | $47.60 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $5.95 | $47.60 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $5.95 | $47.60 | Tobi Okafor |
| Service | Code | Units | Rate | Amount | Rendered by |
|---|---|---|---|---|---|
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
On hold
Fix these before the claim run
1
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.
Download period as CSV