Iowa

mceclip0.png

 

 

(Summary of Changes included in printable PDF below)

CareBridge EVV Integration Guide and Technical Specifications


INTRODUCTION TO CAREBRIDGE INTEGRATION


OVERVIEW

Welcome! This Integration Guide is intended to help providers and EVV Vendors throughout the process of integrating with CareBridge to provide EVV data for data aggregation purposes. If you have questions at any point, our team is here to help: evvintegration@carebridgehealth.com. A PDF of this guide is available here.

 


WHAT IS CAREBRIDGE?

CareBridge is a company formed to enable care for people who receive Long-Term Services and Supports (LTSS). We offer LTSS solutions, including an Electronic Visit Verification Platform that can be utilized via a mobile phone, GPS-enabled tablet, landline, and web-based portal to record service delivery and facilitate day-to-day management of members’ appointments. CareBridge also supports a wide array of EVV data aggregation solutions in which CareBridge builds an integration with a provider’s EVV system, allowing provider agencies to keep their current EVV solution while still providing required data back to the health plan or state.

 


INTEGRATION OVERVIEW

CareBridge will engage providers that choose to integrate CareBridge's Platform with a 21st Century Cures Act compliant EVV solution. CareBridge's Platform supports data aggregation by way of accepting EVV Visit Data from third-party vendors and subsequently generating claims to be submitted to the clearinghouse and MCOs.

All EVV Visit and Claims data must ultimately be reflected in the CareBridge Platform for MCO receipt and monitoring.

The following is a description of the steps in the data aggregation process:

1. Appointments/Visits data file is placed in SFTP folder by provider and/or third-party vendor
2. CareBridge imports and processes Appointments/Visits file
3. CareBridge places response file in SFTP for review by provider and/or third-party vendor
            a.    Provider takes action on response errors and resubmits
4. CareBridge utilizes visits data to generate claims and submits to clearinghouse/MCOs
5. Providers can continue to receive claim remittances through previously established
    mechanisms (Availity)

Appointments/Visits data should be submitted to CareBridge at least once daily for all appointments/visits that have had incremental changes since last submission.

 

 

SFTP CONFIGURATION REQUIREMENTS

• CareBridge test environment: sftp.dev.carebridgehealth.com
• CareBridge production environment: sftp.prd.carebridgehealth.com
• Port: 22
• Login Credentials: Vendor's public SSH key
• When transferring files via SFTP, select BINARY mode

 


SFTP FOLDER STRUCTURE

/input – Used to send files to CareBridge for import into the CareBridge system
/output – Used to retrieve Response Files from CareBridge

 


SFTP RETENTION POLICY

• Once files have been downloaded from /output, they should be deleted. If they are not
   deleted, they will be retained for 30 days.
• Files will be deleted from /input upon load and processing by CareBridge

 


FILE FORMAT SPECIFICATIONS

• File type: CSV (pipe-delimited),
• Values can be enclosed with double quotes (and should be when a pipe could exist in the data)
• Headers should be included
• One row per appointment/visit
• All DateTime fields should be UTC with zero offset
• Visit data will be rejected if there is already an existing ApptID that has been claimed but has
   not yet reached a terminal status (Rejected, Paid, Denied)

 


NAMING CONVENTION

Visit Files from Third Party EVV Vendors

The general naming convention is as follows:
VISITS_IA_ProviderTaxID_YYYYMMDDHHMMSS.CSV


For Test Files, “TEST” will prepend the file name as follows:
TEST_VISITS_IA_ProviderTaxID_YYYYMMDDHHMMSS.CSV
Note: The state initials are required for files to be processed.

 

CareBridge Response File

VISITS_IA_ProviderTaxID_ERROR_YYYYMMDDHHMMSS.txt

 

For Test Files, “TEST” will prepend the file name as follows:

TEST_VISITS_IA_ProviderTaxID_ERROR_YYYYMMDDHHMMSS.txt

 

 

TESTING INSTRUCTIONS

Testing Overview

Vendors are required to complete testing scenarios in order to begin sending production data to CareBridge. If a vendor has already completed the integration process in NJ and is sending production data, additional testing is not required for Home Health.

The goal of the testing process is to ensure that data is able to be successfully transmitted from Third-party vendors to CareBridge. CareBridge has created several test cases designed to ensure specific scenarios are understood and passed by vendors prior to production go-live.

The test cases are outlined in a separate document: Iowa - Third-Party EVV Vendor Integration Testing Process Guide, available on the CareBridge EVV Data Integration web page: http://evvintegration.carebridgehealth.com, under Additional Documents for Third-Party Vendors > Iowa - Third-Party EVV Vendor Integration Testing Process Guide.

Additionally, there are 3 different testing milestones summarized below:

  • Connection Testing – Vendors' credentials are working properly, and they are able to successfully connect to the SFTP site.
  • File Validation Testing – Vendors are able to successfully send files in accordance with our file specifications.
  • Data Validation Testing – Vendors are able to send records in accordance with our data specifications. A full list of CareBridge Pre-Billing Validations can be found under Technical Specifications for Third-Party Vendors > Pre-Billing Validation Errors.

 

Initial Production Data Go-Live

Once a vendor has successfully completed the required test cases and is approved to send data to production, they can begin sending production appointment/visit data to the production environment.

CareBridge highly recommends that EVV Vendors follow the process outlined below:

  1. Send a file in the production environment with actual visit/appointment data.
    1. Only sending 1-5 rows of data initially.
    2. Sending visit data with the ClaimAction field as null.
    3. At least one row of data be visit data rather than appointment data.
  2. Download the response file in the /output folder and review the pre-billing errors.
  3. Update data to remedy those errors; email evvintegration@carebridgehealth.com with questions about specific errors.
  4. Repeat steps 1-3 until you receive a response file with headers only. This means that there were no row level errors, and the data was processed successfully.
  5. Repeat steps 1-4 for each unique provider agency TIN for whom you provide EVV services.

 

Claim Submitted via CareBridge

Once a vendor is able to successfully send a file of appointment/visit data without errors on behalf of a provider, they can coordinate with the provider to submit their first claim.

  • Re-send the visit data previously sent in Initial Production Data Go-Live with the ClaimAction field as ‘N’. This will generate a claim for those visits.

Note: If visits sent in Data Validation Testing – Production included the ClaimAction field as ‘N’ rather than null, Data Validation in Production and Claim Submitted via CareBridge would be completed simultaneously.

 

Integration “Go-Live”

Once a vendor is able to successfully submit a claim via CareBridge, they can begin implementation of Integration Go-Live – submitting all claims via CareBridge.

This will require coordination between the vendor, the agency(ies) they support, and CareBridge.

The process is as follows:

  1. Direct providers using your system to the CareBridge Integration Document for Providers site. It contains instructions for their expectations and next steps.
  2. Identify a go-live date with each agency to begin sending all data and communicate that date to CareBridge.
  3. Develop a process with your agency for resolving response file errors on an ongoing basis.
    • It is up to vendors and their agencies whether response files will be passed to their agencies directly or incorporated into the Third-party EVV system’s UI.
    • It is required that vendors leverage both the:
      1. Pre-Billing Validation Report in addition to response files to ensure providers have the most up-to-date information regarding outstanding visit errors.
      2. Appointment Status Report to ensure providers have accurate information regarding visit or claim status over time

The supplemental report specifications can be found on the CareBridge EVV Data Integration web page: http://evvintegration.carebridgehealth.com, under Additional Documents for Third-Party Vendors.

  • Integrating agencies will not be able to make updates to their data in the CareBridge EVV portal. Updated data should be sent via the integration process.

 

 

DATA FIELD SPECIFICATIONS

CareBridge Response File Format

Field Value Description
ERROR_CODE See sections below The error code indicating the type of issue
ERROR_DESCRIPTION See sections below The description of the error code, this is dynamic based on the error
IS_FILE_ERROR True or False Indicates if the error is a file level error or row/field level error
ERROR_SEVERITY ERROR or WARNING Indicates the severity of the error
FILE_NAME Name of the inbound file Name of the file that was received by CareBridge

In addition to these 5 fields, the CareBridge response file will also contain each field included in the inbound data file for Third-Party EVV Vendor reference.


File Level Validation

Error Number

Description

F1001

File is not an expected file type.

F1002

File contains invalid delimiters.

F1003

File cannot be parsed, it may be incomplete or invalid

F1004

File is a duplicate.

F1005

File exceeds max allowed file size. (5 GB)

 

Appointments/Visits Data File Format

Field No

Field Name

Description

Data Type

Required For

Example

Max Length

Scheduled
Appointment

Completed
Visit

1

VendorName 

Name of EVV vendor sending data

Alphanumeric

Y

Y

EVV Vendor

 

2

TransactionID 

Unique identifier for the transaction and should be unique in every file. It is only used for tracking and troubleshooting purposes

Alphanumeric

Y

Y

71256731

 

3

TransactionDateTime 

Time stamp associated with the visit data being sent to CareBridge

Datetime

Y

Y

YYYY-MM-DD HH:MM

“2020-01-01 14:00”

 

4

ProviderID 

Unique identifier for the provider

Alphanumeric

Y

Y

43134

100

5

ProviderName 

Name of provider 

Alphanumeric

Y

Y

Home Health, LLC

255

6

ProviderNPI 

NPI of provider 

Numeric

Y
(required unless the provider is atypical)

Y
(required unless the provider is atypical)

1609927608

10

7

ProviderEIN 

Tax ID or EIN of provider 

Alphanumeric

Y

Y

208076837

 

9

8

ProviderMedicaidID

MedicaidID number for Provider – 9-digit min/max

Numeric

Y

Y

000456789

9

9

ApptID 

Unique identifier for the visit, used to identify an appointment and should be consistent for every appointment update

Alphanumeric

Y

Y

1231248391

100

10

CaregiverFName 

First name of caregiver who completed the visit  

Alphanumeric

Y

Y

John

 

11

CaregiverLName 

Last name of caregiver who completed the visit  

Alphanumeric

Y

Y

Smith

 

12

CaregiverID 

Unique ID assigned to caregiver (Employee ID) 

Alphanumeric

Y

Y

982123

 

13

MemberFName 

First name of member

Alphanumeric

Y

Y

Jane

 

14

MemberLName 

Last name of member

Alphanumeric

Y

Y

Johnson

 

15

MemberDateOfBirth

Date of birth of member

Alphanumeric

N

N

YYYY-MM-DD

 

16

MemberMedicaidID 

Medicaid ID for member - 7 digits followed by a letter 

Alphanumeric

Y

Y

1234567A

8

17

MemberID 

If not using Medicaid ID 

Alphanumeric

N

N

47138493

 

18

ApptStartDateTime

Date / Time that the appointment was scheduled to begin

DateTime

Y

Y

YYYY-MM-DD HH:MM

“2020-01-01 14:00”

 

19

ApptEndDateTime

Date / Time that the appointment was scheduled to end

DateTime

Y

Y

YYYY-MM-DD HH:MM

“2020-01-01 14:00”

 

20

ApptCancelled

(C) if appointment was cancelled

Alphanumeric

N

N

C

 

21

CheckInDateTime 

Date / Time that the visit was checked into

Datetime

N

Y

YYYY-MM-DD HH:MM

“2020-01-01 14:00”

 

22

CheckInMethod

EVV (E), Manual (M), IVR (I)

Alphanumeric

N

Y

E

 

23

CheckInStreetAddress 

Street address where check-in occurred

Alphanumeric

N

Y

926 Main St

 

24

CheckInStreetAddress2 

Additional street address info where check-in occurred

Alphanumeric

N

N

Suite B

 

25

CheckInCity 

City where check-in occurred 

Alphanumeric

N

Y

Nashville

 

26

CheckInState 

State where check-in occurred  

Alphanumeric

N

Y

TN

 

27

CheckInZip 

Zip code where check-in occurred

Alphanumeric

N

Y

37206

 

28

CheckInLat 

Latitude of coordinates where check-in occurred

Alphanumeric

N

Y if
CheckInMethod = E

##.######

 

29

CheckInLong 

Longitude of coordinates where check-in occurred 

Alphanumeric

N

Y if
CheckInMethod = E

###.######

 

30

CheckOutDateTime 

Date/Time that the visit was checked out

Datetime

N

Y

YYYY-MM-DD HH:MM

“2020-01-01 14:00”

 

31

CheckOutMethod

EVV (E), Manual (M), IVR (I)

Alphanumeric

N

Y

E

 

32

CheckOutStreetAddress 

Address where check-out occurred

Alphanumeric

N

Y

926 Main St

 

33

CheckOutStreetAddress2 

Additional address info where check-out occurred

Alphanumeric

N

N

Suite B

 

34

CheckOutCity 

City where check-out occurred

Alphanumeric

N

Y

Nashville

 

35

CheckOutState 

State where check-out occurred

Alphanumeric

N

Y

TN

 

36

CheckOutZip 

Zip code where check-out occurred 

Alphanumeric

N

Y

37206

 

37

CheckOutLat 

Latitude of coordinates where check-out occurred

Alphanumeric

N

Y if
CheckOutMethod = E

##.######

 

38

CheckOutLong 

Longitude of coordinates where check-out occurred 

Alphanumeric

N

Y if
CheckOutMethod = E

###.######

 

39

AuthRefNumber 

Authorization Number as indicated by health plan

Alphanumeric

Y

Y

1080421390

 

40

ServiceCode 

Service code for services rendered during visit (HCPCS Procedure Code)

Alphanumeric

Y

Y

S5125

 

41

Modifier 1 

Modifier code for services rendered during visit

Alphanumeric

N

N

U5

 

42

Modifier 2 

Second modifier code for services rendered during visit  

Alphanumeric

N

N

UA

 

43

TimeZone 

Time zone that the visit took place in  

Alphanumeric

Y

Y

US/Central

 

44

CheckInIVRPhoneNumber 

Phone Number used to check-in 

Alphanumeric

N

Y if
CheckInMethod = I

+14156665555

 

45

CheckOutIVRPhoneNumber 

Phone Number used to check out 

Alphanumeric

N

Y if
CheckOutMethod = I

+14156665555

 

46

ApptNote 

Free text note related to the visit

Alphanumeric

N

N

Scheduling related note

 

47

DiagnosisCode 

ICD-10 Diagnosis code attributed to the visit

Alphanumeric

N

Y

I50.9

 

 

48

ApptAttestation 

Member attestation associated with the visit

Alphanumeric

N

Y

See Member Attestation Codes table below

 

49

Rate 

Billed rate associated with the visit

Decimal

Y

Y

3.85

 

50

ManualReason 

Reason for manual entry associated with the visit

Alphanumeric

N

Y if
CheckInMethod or CheckOutMethod
= M

See Manual Reasons Codes table below

 

51

LateReason 

Reason the visit was late

Alphanumeric

N

Y if check-in occurred between one and three hours after the scheduled start time

See Late Reasons Codes table below

 

52

LateAction 

Action taken due to visit being late

Alphanumeric

N

Y if check-in occurred between one and three hours after the scheduled start time

See Late Actions Codes table below

 

53

MissedReason 

Reason the visit was missed

Alphanumeric

N

Y if check-in occurred greater than three hours after the scheduled start time

See Missed Reasons Codes table below

 

54

MissedAction 

Action taken due to the visit being missed

Alphanumeric

N

Y if check-in occurred greater than three hours after the scheduled start time

See Missed Actions Codes table below

 

55

CarePlanTasksCompleted

Tilda delimited list of tasks completed during the visit

Alphanumeric

N

N

CP1000~CP1015~CP1030
See Care Plan Tasks Codes

 

56

CarePlanTasksNotCompleted

Tilda delimited list of tasks not completed during the visit

Alphanumeric

N

N

CP1005~CP1020~CP1025
See Care Plan Tasks Codes

 

57

CaregiverSurveyQuestions

Tilda delimited list of survey questions presented to the caregiver

Alphanumeric

N

N

Has the member fallen since the last visit?~Is the member looking or acting different than they usually do?

 

58

CaregiverSurveyResponses

Tilda delimited list of survey responses to questions presented to the caregiver in the same order as the questions listed in field 57

Alphanumeric

N

N

Yes~No

 

60

ClaimAction 

New Claim (N), Corrected Claim (C), Void (V) 

Alphanumeric

N

Y

N

 

61

MCOID 

Identifies health plan the member is associated with 

Alphanumeric

Y

Y

See MCOID table below

 

101

Claim Invoice Number 1

Claim level invoice number in third-party system

These fields can be used for reconciliation of the
data sent to CareBridge. 
If you would like to use these fields, please contact the CareBridge Integration team at evvintegration@carebridgehealth.com

102

Claim Invoice Number 2

Claim level invoice number in third-party system

103

Line Item Invoice Number 1

Unique identifier of the invoice line item in the third-party

104

Line Item Invoice Number 2

Unique identifier of the invoice line item in the third-party system

 

PCS Service Codes Unit Definitions

Code

Modifier1

Procedure Description

Unit of Measure

Unit Quantity

S5125

 

ATTENDANT CARE SERVICES, PER 15 MINUTES

Minutes

15

S5125

U3

CDAC (AGENCY); 15 MINUTE UNIT -SKILLED

Minutes

15

T1019

 

PERSONAL CARE SERVICES, PER 15 MINUTES

Minutes

15

T1019

U3

CDAC (INDIVIDUAL); 15 MINUTE UNIT SKILLED

Minutes

15

S5130

 

HOMEMAKER NOS, PER 15 MINUTES

Minutes

15

 

Home Health Service Codes and Unit Definitions (Cohort 1)

Code

Modifier1

Procedure Name

Unit of Measure

Unit Quantity

S9122

None

Home Health Aide when billed without a revenue code (ID waiver)

Hours

1

S9123

None

Nursing Care, RN, home (ID waiver)

Hours

1

S9124

None

Nursing Care, LPN, home

Hours

1

T1002

None

Nursing Care, RN, IMMT, home

Minutes

15

T1003

None

Nursing Care, LPN, IMMT, home

Minutes

15

T1004

None

Home Health Aide, IMMT

Minutes

15

T1004

U3

Home Health Aide

Minutes

15

T1021

None

Home Health Aide

Visit

1

T1030

None

Nursing Care, RN, home

Visit

1

T1031

None

Nursing Care, LPN, home

Visit

1

 

Member Attestation Codes

Code Description
MA1000 Complete
MA1005 Member Refused
MA1010 Member Unable
MA1015 No Signature (Other)


Manual Reasons Codes

Code Description
MR1000 Caregiver error
MR1005 No access to application or IVR
MR1010 Technical error
MR1015 Duplicates/overlapping
MR1020 Forgot to clock in
MR1025 Missing/waiting for authorization
MR1030 Employee removed from current budget
MR1035 Possible EIN issues
MR1040 Overtime with two service codes and no OT Agreement
MR1045 Over budget without a form on file
MR1050 Member Initiated
 MR1055  New Agency Using EVV


Late Reasons Codes

Code Description
LR1000 Caregiver forgot to check in
LR1005 Technical issue
LR1010 Member would not allow staff to use device
LR1015 Member rescheduled
LR1020 Scheduling Error


Late Reason Actions Taken Codes

Code Description
LA1000 Rescheduled
LA1005 Back-up plan initiated
LA1010 Contacted service coordinator
LA1015 Contacted MCO member services
LA1020 Caregiver checked in late


Missed Reasons Codes

Code Description
MVR1000 Caregiver did not show up
MVR1005 Caregiver forgot to check in / out
MVR1010 Technical issue
MVR1015 Unplanned hospitalization
MVR1020 Authorization not in place at time of visit
MVR1025 Member or family refused service
MVR1030 Provider agency unable to staff
MVR1035 Member rescheduled
MVR1040 Scheduling Error


Missed Visit Actions Taken Codes

Code Description
MVA1000 Rescheduled
MVA1005 Back-up plan initiated
MVA1010 Contacted service coordinator
MVA1015 Contacted MCO member services
MVA1020 Service provided as scheduled


MCOID Codes

Code

Description

IA_AGP

Amerigroup Iowa

IA_ITC

Iowa Total Care

 

Care Plan Task Codes

Code

Description

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Code

Description

CP1000

N-1 Dressing 

CP1195

Essential Housekeeping: dusting

CP1005

N-2 Bathing, grooming, personal hygiene 

CP1200

Essential Housekeeping: scrubbing floors

CP1010

N-3 Meal prep and feeding 

CP1205

Essential Housekeeping: defrosting refrigerators

CP1015

N-4 Toileting 

CP1210

Essential Housekeeping: cleaning medical equipment

CP1020

N-5 Transferring, ambulation, mobility 

CP1215

Essential Housekeeping: cleaning stove/refrigerator 

CP1025

N-6 Essential Housekeeping: Changing bed linens 

CP1220

Essential Housekeeping: washing and mending clothes 

CP1030

N-6 Essential Housekeeping: Scrubbing floors 

CP1225

Essential Housekeeping: washing personal items used by the member

CP1035

N-6 Essential Housekeeping: Trash removal 

CP1230

Essential Housekeeping: washing dishes

CP1040

N-6 Essential Housekeeping: Vacuuming 

CP1235

Essential Shopping for basic needs

CP1045

N-6 Essential Housekeeping: Washing Dishes 

CP1240

ADLs: care for hair and teeth

CP1050

N-6 Essential Housekeeping: Cleaning bathroom 

CP1245

ADLs: exercise

CP1055

N-6 Essential Housekeeping: Cleaning kitchen 

CP1250

ADLs: get in and out of bed

CP1060

N-6 Essential Housekeeping: Cleaning medical equipment 

CP1255

ADLs: helping the member bathe

CP1065

N-6 Essential Housekeeping: Cleaning stove/refrigerator 

CP1260

ADLs: helping with toileting

CP1070

N-6 Essential Housekeeping: Cleaning up after personal care tasks

CP1265

ADLs: retraining the member in necessary self-help skills

CP1075

N-6 Essential Housekeeping: Dusting 

CP1270

ADLs: taking medications

CP1080

N-6 Essential Housekeeping: Essential Shopping 

CP1275

Household Services: changing the member's bed linens

CP1085

N-6 Essential Housekeeping: Laundry 

CP1280

Household Services: laundering

CP1090

N-7 Minor wound care 

CP1285

Household Services: light cleaning

CP1095

N-8 Financial and scheduling assistance 

CP1290

Household Services: light meal preparation

CP1100

N-9 Assistance in the workplace 

CP1295

Household Services: rearrangement of member's necessary supplies or medications

CP1105

N-10 Communication 

CP1300

Observation and reporting of physical or emotional needs

CP1110

N-11 Essential Transportation 

CP1305

Personal Care Services

CP1115

N-12 Medication assistance 

CP1310

Administration of medications

CP1120

S-1 Tube feedings

CP1315

Bowel & bladder care

CP1125

S-2 Intravenous therapy assistance

CP1320

Coordination of services

CP1130

S-3 Parenteral injections

CP1325

Informing physician and other personnel of changes in the member's condition and needs

CP1135

S-4 Catheterizations

CP1330

Injections

CP1140

S-5 Respiratory Care

CP1335

Intravenous & Enteral feedings

CP1145

S-6 Care of decubiti and other areas

CP1340

Maintenance Services

CP1150

S-7 Rehabilitation services

CP1345

Observation and evaluation

CP1155

S-8 Colostomy care 

CP1350

Preparation of clinical and progress notes

CP1160

S-9 Care of medical conditions 

CP1355

Restorative Services

CP1165

S-10 Post-surgical nurse delegated activities

CP1360

Skin care

CP1170

S-11 Monitoring reactions to medication

CP1365

Supervisory visit for Home Health Aide

CP1175

S-12 Prepare/monitor therapeutic diets

CP1370

Teaching and training

CP1180

S-13 Recording and reporting of changes in vital signs to the nurse or therapist

CP1375

Therapeutic exercise

CP1185

Meal preparation and planning balanced meals

CP1380

Wound care

CP1190

Essential Housekeeping: vacuuming

CP1385

Hypodermoclysis

 

Procedure Codes to Care Plan Task Codes

PCA Service Codes

  Home Health Service Codes

Procedure Code

Care Plan Task Codes

Procedure Code

Care Plan Task Codes

S5125
T1019

CP1000

S9122
T1004
T1004 U3
T1021

CP1240

CP1005

CP1245

CP1010

CP1250

CP1015

CP1255

CP1020

CP1260

CP1025

CP1265

CP1030

CP1270

CP1035

CP1275

CP1040

CP1280

CP1045

CP1285

CP1050

CP1290

CP1055

CP1295

CP1060

CP1300

CP1065

CP1305

CP1070

S9123
S9124

CP1310

CP1075

CP1315

CP1080

CP1320

CP1085

CP1325

CP1090

CP1330

CP1095

CP1335

CP1100

CP1340

CP1105

CP1345

CP1110

CP1350

CP1115

CP1355

S5125U3
T1019U3

CP1120

CP1360

CP1125

CP1365

CP1130

CP1370

CP1135

CP1375

CP1140

CP1380

CP1145

T1002
T1003
T1030
T1031

CP1310

CP1150

CP1315

CP1155

CP1320

CP1160

CP1385

CP1165

CP1325

CP1170

CP1330

CP1175

CP1335

CP1180

CP1340

S5130

CP1185

CP1345

CP1190

CP1350

CP1195

CP1355

CP1200

CP1360

CP1205

CP1365

CP1210

CP1370

CP1215

CP1375

CP1220

CP1380

CP1225

 

CP1230

CP1235

 

Pre-Billing Validation

Pre-billing checks are performed in the CareBridge system to ensure that clean claims are generated. If validation errors are present in response files or appointment error files, they must be resolved by the agency or vendor prior to claim generation.

A full list of CareBridge Pre-Billing Validations can be found under Technical Specifications for Third-Party Vendors > Pre-Billing Validation Errors

 

Have more questions? Submit a request