AI HubConsequences of Submitting Claims without Matching EVV
Submitting a claim without a matching EVV record? You’re asking for a delay—or worse, a denial. This video explains how agencies that fail to align claims with verified visit data expose themselves to audit risk, cash-flow disruption and compliance warnings.
For example, in certain states, EVV data missing for a date of service triggers edits like “02077 – EVV Not On File,” which pend or deny claims.
When claims are disconnected from visit logs, payers send them back, reduce units billed or suspend payment while investigation occurs.
Who we empower every day
- Billers & Compliance Teams: Avoid tedious resubmissions and flagged claims.
- Agency Owners: A denied claim isn’t just a lost payment—it’s risk exposure, audit attention and added admin burden.
- Operations/Schedulers: Missing EVV jeopardises scheduling credibility and creates downstream billing chaos.
With CareSmartz360, you align everything: scheduled visit → caregiver picks it up → EVV records it → billing picks it up. No gaps, no guesswork, and fewer “where’s my payment” conversations.
