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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.
Pay period · Aug 23 – Sep 5, 2026
$460.80 ready$81.60 on hold$542.40 total
Service codeAll39H20148H20152H20324S51251S51303S513511S51506T20191T20213Respite care, in home · $542.40 of $2,415.65

Ready to bill

Grouped by client. One row per note becomes one 837P service line.

5 lines
Riley Bergstrom3 lines · $244.80
ServiceCodeUnitsRateAmountRendered by
Respite care, in homeS515016$5.10$81.60Sam Nguyen
Respite care, in homeS515016$5.10$81.60Sam Nguyen
Respite care, in homeS515016$5.10$81.60Sam Nguyen
Jordan Abelard1 line · $81.60
ServiceCodeUnitsRateAmountRendered by
Respite care, in homeS515016$5.10$81.60Sam Nguyen
Taylor Frey1 line · $134.40
ServiceCodeUnitsRateAmountRendered by
Respite care, in homeS515024$5.60$134.40Maria Peters

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