VisitCleared — Find out what EVV denials actually cost your agency

~34%

of EVV visit records manually adjusted

Ohio State Auditor, Nov 2024

$14.5B

paid for personal-care services with no matching verification record

NY Comptroller, Nov 2024

Jan 2025

Sunshine Health stopped accepting unverified EVV claims

FL provider policy

5 states

turned enforcement on or up in 2026 (OH, IL, PA, MO, MN)

state Medicaid policies

Real visits get edited. Under the new rules, edits become denials.

A caregiver clocks in late. Someone forgets to clock out. GPS reads the parking lot. Your office fixes it — and that fix has to reach the state with exactly the right reason code, or the visit never verifies. Roughly one in three visits gets edited after the fact. Under the old rules, unverified claims usually got paid anyway. Under the new rules, they bounce.

The edit problem

The fix has to be explained to the state in exactly the right way, with the right codes, or the visit never gets verified — and the claim behind it dies.

The underpayment problem

Payers don't always pay the contracted rate. Almost no agency checks line-by-line. That money leaves silently, with no denial letter, every month.

The honest part

Nobody — not the auditors, not us, not you — knows how much of your denials are verification-caused. Your files describe you. That's what we measure.

One report. Your numbers. Every line traceable.

You send the remittance files (835s) your payers already produce — your biller can export them in about fifteen minutes — plus your fee schedule. You get back:

Verification-caused denials, in dollars — each traced to specific denied lines and their reason codes. Not a projection. We can show you the line.
Every other denial category, separated honestly — documentation requests, timely filing, authorization, eligibility, duplicates. What we can't confidently categorize, we label "needs review." We don't inflate our number.
Underpayments split into still-disputable and expired — we show you money that's already gone and say so. The disputable part is what's live.
The floor disclaimer, printed on the report — visits that never got billed can't appear in a payment file, so whatever the report says, the true cost is at least that.
The exact list of files it read — and any file it couldn't read, named, with the reason.

PDF Download the sample report — synthetic data, so you see exactly what you'd receive

If the number comes back small: good. You'll know you're covered, it cost you a file request, and we'll say exactly that.

How it works

We sign a BAA first.

Remittance files contain patient information. Nothing moves until the same privacy agreement your other vendors sign is in place. When the engagement ends, the data is deleted — provably, on an audit trail.

Your biller sends the files.

We provide the request letter and the fee-schedule template. About fifteen minutes of their time, none of yours.

You get the report and a straight conversation.

Your number, your lines, your call on what happens next.

Built for the rule your state is starting to enforce.

The diagnostic finds the leak. The platform is built to stop it recurring — visit records, edits, verification, claims, and payments run as one connected process where nothing moves forward until the step before it is clean:

No verified visit, no claim goes out. The same rule payers are enforcing — applied before the denial instead of after.
Every edit gets the state's exact reason code — attached automatically where state rules support it, picked from the state's own code list everywhere else. No guessing under deadline.
Every payment checked against your contract. Underpayments get flagged and packaged for dispute instead of vanishing.
A tamper-evident record behind every visit and claim — built for the audit you hope never comes.

Where we are, honestly: VisitCleared is new and pre-launch. The measurement service is built and working — that's why we lead with it, on your data, before asking you to change anything about how you operate. For the right Florida agency, early means founder pricing, direct input on what gets built, and first access. We won't pretend to be a decade-old incumbent. In this market, showing our work beats promising the moon.

Who this is for

For

Single-location home-care agencies billing Medicaid — straight Medicaid or the MCOs — roughly 5 to 50 caregivers.

Florida first; the report itself works in any state, because payment files are a national standard.

Not for (we'll tell you fast and free)

Private-pay-only agencies — no Medicaid means no EVV exposure; enjoy that.

Consumer-directed / family-caregiver programs. Medicare-certified skilled home health — a different billing world.

Your data

BAA before any file transfer. Always.
Files encrypted at rest; access logged on a tamper-evident audit trail.
Used for your report. Not sold, not pooled, not shopped.
Deleted after the engagement — with a deletion record we can show you.

Questions your compliance person will ask? hello@visitcleared.com — we answer them in writing.

Questions

My biller already handles this.

Maybe they do — the report will show it. If it comes back clean, your biller is earning their fee and you've lost nothing finding out. We drafted the file request so it's fifteen minutes of their time.

You want our patient data?

Not without a BAA — the same agreement your other vendors sign, before anything moves. And when we're done, we delete it and can prove we deleted it.

Never heard of you.

We're new. That's exactly why the first thing we show you is your own data instead of our promises — and why the sample report is right on this page.

What does it cost?

The look costs you a file request. Reach out and we'll walk you through the numbers before you commit to anything.

What if the number is small?

Then you're in good shape and we'll say so. We'd rather tell ten agencies they're fine than tell one agency a number we can't back.

We're not in Florida.

The report works anywhere — payment files are a national standard. Numbers outside our fully-modeled states are deliberately conservative, and we'll tell you which yours is.

The state is done paying for visits it can't verify. Do you know your number?