From verified visit to a claim ready to send.
Schedule, visit and claim are one record. The agents clean it before it goes out.
Who pays
Medicaid and the family, on one record.
Units are watched as they're used, and the hours past them don't fall through.
Medicaid
Live units, state EVV, and nothing billed past the authorization.
- Units watched, not counted later
- EVV-verified visits only
- Told before the units run out
Private pay
Hours past the authorization fall to the next payer you've configured, private pay or LTC, on the same record. Anything unsupported is flagged for review.
- Split across payers in order
- One hour, one payer
- Invoices without a second system
How it compares
Caught before, not fixed after.
Nestaid
A typical legacy setup
Billing reads the schedule's own record
Exported, re-keyed, reconciled
Agents work the claim before it goes
Denials worked after they land
EVV and documentation gate the claim
Disconnected steps
Ask a question, get the number
Build a report
AI usage shown before it bills
Usage discovered on the invoice
Guardrails
What it will never do.
Authorization tracking prevents billing past authorized units; split billing keeps a per-hour audit trail. How we handle data
Built into the engine, the same for people and agents
Never bills Medicaid past the units · Past the authorization, hours go to the next payer or to review.
One hour, one payer · The audit trail says which.
Verified only · No unverified visit reaches an invoice.
No silent overage · AI usage is shown before it bills.
Who works the money
Ask it instead of building it.
Nessa answers "which visits are ready to bill?" and readiness questions from the same record.
Readiness answered from the same record the invoice comes from, not a second number in a spreadsheet.
Nessa · Just ask.
Meet Nessa- “Which visits aren't verified?”2 of 214, reasons attached
- “What's ready to bill?”119 ready · 9 held
- “What's blocking the rest?”6 signatures, 3 GPS
What is split billing in home care?
Split billing divides one client's visits across more than one payer, for example Medicaid up to the authorized units, then private pay or long-term care insurance for the remainder. Nestaid applies a payer ladder in order and keeps a per-hour audit trail, so every hour is billed to exactly one payer and the record is ready for audit review.
Frequently asked questions
Does Nestaid submit claims directly?
Nestaid produces verified, authorization-checked billing data and a claims export guide for your payer workflow.
Can one client have several authorizations?
Yes, many concurrent authorization periods per payer are supported, with live utilization for each.
Can I bill families for hours Medicaid doesn't cover?
Yes, where your agreement with the family allows it. The payer ladder sends hours past the authorization to the next configured payer, and invoices are generated for private pay.
Does Nestaid run payroll?
Nestaid produces the timesheets, from verified time, and a payroll-ready export behind an approval gate, with other payable time reviewed before it goes out. Paying your caregivers happens in your payroll process, from that export.
