Seniorverse Day · Billing and Claims
Billing That Starts
From the Attendance Sheet.
Medicaid, managed care, the VA, grants, and families, billed from the attendance your staff already record.
Oakview Adult DayINVOICE MED-0142
Send InvoiceOakview Adult DayINVOICE MED-0142
Send InvoiceSentReview the invoice. Every line comes from a day of attendance or a van trip. A line that is missing something is flagged before anything goes out.
Send and track. One button prepares, locks, and sends the invoice. Each claim is tracked to the payer’s answer, and payments post themselves.
Every Payer You Work With
Each program you bill has its own rates, authorizations, and rules, all built from the same attendance. Claims go out through a national clearinghouse that reaches almost every payer in every state.
Medicaid, Fee-for-ServiceClaims to your state Medicaid program, with eligibility checked first. Centers that bill on a state-assigned provider number are supported.
Medicaid Managed CareEach managed care organization is its own payer, with its own rates and authorizations. Remittances are matched back by payer.
The VABill the VA from its own program, with its own rates and authorizations, alongside your other payers.- Grants and Public FundingOlder Americans Act and county programs billed from their own program, with units of service tracked from attendance.
Private PayFamilies pay by card or bank from a link on the invoice, on rates and packages you set. More below.
Long-Term Care Insurance and OthersAny other payer gets its own invoices, with payments recorded as they come in.
Private pay
However Your Families Pay
Private pay is rarely one rate. Seniorverse Day handles the ways families actually pay.
- Daily or hourly ratesBill by the day, the half day, or the hour, from your own charge codes.
- Prepaid and tiered allotmentsA set number of days paid up front, drawn down as the member attends, with a limit on each.
- One family, one invoiceBill a family member directly, or group several members onto one invoice for the same payer.
- The right payer each dayWhen a member has more than one program, choose which one a day is billed to.
- Pay from a linkInvoices go out by email with a link to pay by card or bank.
- Every kind of paymentCard, bank, cash, and check, partial payments, and credit memos for adjustments.
Tell Us Who You Bill and How
Your payers, your authorizations, and what month end looks like now. We will walk you through the same work in Seniorverse Day.
Everything Billing Needs
Set Up OncePayers, rates, and charge codes, with dates.InvoicesDraft, finalize, send. Lines built from attendance.Claims837P and 837I, with a dry run first.
RemittancesPayments and allocations created for you.
Payments and CreditsCard, bank, cash, and check. Credit memos.State Provider NumbersBill without an NPI where your state requires it.
Denials, ExplainedThe payer's reason in plain words.
Billing DashboardRevenue, collections, and what needs attention.What Is Rework Costing You?
Set your own numbers. We do not assume an improvement for you.
Each month
$7,600- $6,400 of billing delayed or at risk in denials and rework
- $1,200 of staff time spent on billing
Over a year, $91,200.
This is arithmetic on the four numbers you set. It is not a promise of savings.
Questions About Billing
Which payers can we bill?
Medicaid fee-for-service and managed care, the VA, grants and county programs, long-term care insurance, and private pay. Claims go through a national clearinghouse that reaches almost every payer in every state.
Do you check eligibility?
Yes. Ask the payer whether each member is covered before the claim goes out, one member at a time or everyone at once.
What happens when a claim is denied?
The payer's reason appears in plain words on the claim. Fix what caused it, then resubmit, or replace an accepted claim.
Can families pay online?
Yes. Private-pay invoices go out by email with a link to pay by card or bank.
Do we need an NPI?
No. Centers that bill on a state-assigned provider number are supported.
How are transportation and attendance billed together?
Each van trip becomes its own line on the same invoice as the day of attendance.
Stop Rebuilding the Bill Every Month
One call to understand your payers, then a clear quote with everything included.