HCBS Software Platform

Software Features Built for HCBS

Every feature designed around the real workflows of Home- and Community-Based Services providers. No generic healthcare software. Just the tools you actually need.

Electronic Visit Verification

EVV That Works in the Field

Capture visits accurately with tools designed for the realities of home care. Not just compliance checkboxes. Simple for staff, defensible for audits.

  • Mobile-friendly clock in/out with GPS verification
  • Telephony backup for areas with poor connectivity
  • Exception management with clear resolution workflows
  • Aggregator integration (Sandata, HHAeXchange)
  • Service documentation capture during visits

EVV Dashboard

98.5%
Compliance Rate
247
Visits Today
12
Exceptions
3
In Progress
GPS Verified
Claims Processing

837P Generation & Submission

Generate clean claims from verified visits. Track every claim through the lifecycle. From generation to payment, with visibility into what's happening at each step.

  • Automated 837P professional claim generation
  • Pre-submission validation and scrubbing
  • Batch submission with status tracking
  • Denial tracking and resubmission workflows
  • Prior authorization verification

Claims Pipeline

1 Visit verified & documented
2 837P claim generated
3 Validation & scrubbing
4 Submitted to payer
5 Payment received & posted
Clean Claims
Remittance Processing

835 Import & Payment Posting

Import remittance files, auto-post payments, and immediately see what paid, what didn't, and why. No more manual matching or mystery denials.

  • Automated 835 remittance file import
  • Auto-match payments to original claims
  • Denial reason code translation
  • Adjustment tracking and variance alerts
  • ERA/EFT reconciliation support

Payment Summary

$47.2K
This Week
94.2%
Pay Rate
$2.8K
Adjustments
18
Denials
Auto-Posted
Reconciliation

Know What's Paid, Pending, or Missing

Match visits to claims to payments. And spot the gaps. Recon tools that show you the full picture so nothing falls through the cracks.

  • Visit-to-claim-to-payment matching
  • Unbilled visit identification
  • Aging reports by payer and service type
  • Expected vs. received payment variance
  • Month-end close support and audit trails

Recon Status

1,247
Total Visits
1,198
Billed
1,142
Paid
49
Unbilled
98% Matched
Payroll Interfaces

From Visits to Paychecks

Export verified time directly to your payroll system. No double-entry, no spreadsheet gymnastics. Just accurate hours ready for processing.

  • Verified hours export by pay period
  • Multiple export formats (CSV, Excel, custom)
  • Pay rate mapping by service type
  • Overtime calculation and flagging
  • Audit trail for all time adjustments

Pay Period Summary

2,847
Total Hours
47
Employees
124
OT Hours
Ready
Export Status
Export Ready
Reporting & Analytics

Reports Leadership Can Actually Use

Skip the data dumps. Get reports designed for HCBS operations. Revenue visibility, utilization tracking, and compliance monitoring in formats that make sense.

  • Revenue cycle dashboards and trends
  • Authorization utilization tracking
  • EVV compliance monitoring
  • Staff productivity and scheduling reports
  • Custom report builder and scheduled exports

Quick Reports

Revenue by Service Type
Auth Utilization by Client
EVV Exception Report
Aging Receivables
Staff Hours Summary

More Built-In Capabilities

Beyond the core features, EVVolve includes everything HCBS providers need to run efficiently.

Client Management

Demographics, contacts, service authorizations, and care team assignments.

Scheduling

Staff scheduling, shift management, and calendar views by client or caregiver.

Prior Authorization

Track authorizations, monitor utilization, and get alerts before they expire.

Service Documentation

Configurable forms for service notes, task completion, and required documentation.

Alerts & Notifications

Proactive alerts for expiring auths, compliance issues, and billing exceptions.

Security & Compliance

HIPAA-compliant infrastructure, role-based access, and complete audit logging.

See These Features in Action

Let us walk you through how EVVolve handles your specific workflows. No generic demo. We'll focus on what matters to your agency.

Schedule a Demo

Questions? Call (833) 388-6583