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.
Ready to bill
Grouped by client. One row per note becomes one 837P service line.
30 lines
| Service | Code | Units | Rate | Amount | Rendered by |
|---|---|---|---|---|---|
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Employment exploration | T2019 | 8 | $9.40 | $75.20 | Maria Peters |
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Respite care, in home | S5150 | 16 | $5.10 | $81.60 | Sam Nguyen |
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Employment exploration | T2019 | 8 | $9.40 | $75.20 | Maria Peters |
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Individualized home supports with training | H2014 | 14 | $6.85 | $95.90 | Sam Nguyen |
| Respite care, in home | S5150 | 16 | $5.10 | $81.60 | Sam Nguyen |
| Service | Code | Units | Rate | Amount | Rendered by |
|---|---|---|---|---|---|
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Individual community living support (ICLS) | H2015 | 8 | $6.60 | $52.80 | Maria Peters |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Homemaker, cleaning | S5130 | 6 | $4.55 | $27.30 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Homemaker, cleaning | S5130 | 6 | $4.55 | $27.30 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Individual community living support (ICLS) | H2015 | 8 | $6.60 | $52.80 | Maria Peters |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Homemaker, cleaning | S5130 | 6 | $4.55 | $27.30 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
| Homemaker, cleaning | S5130 | 6 | $4.55 | $27.30 | Tobi Okafor |
| Adult companion services | S5135 | 8 | $6.10 | $48.80 | Tobi Okafor |
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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