Medicaid EVV exception resolution
Clear EVV exceptions before verified care becomes unpaid care.
Champ finds missing or inconsistent visit records, gathers corrections from caregivers and supervisors, updates the required EVV system, and releases clean visits to billing across each approved state and payer workflow.
EVV billability queue
Every visit, correction, and billing hold
Missing clock event
Caregiver outreach and evidence requested
Authorization mismatch
Schedule and approved units compared
Aggregator correction
Approved reason code and note submitted
Billing release
Visit passed final validation
EXECUTION
Continuous
EVIDENCE
Every step
OWNER
Champ
Before billing
exception resolution
One case
per held visit
State-aware
correction paths
The operational bottleneck
Six required visit fields become dozens of exception paths.
The federal data elements are consistent, but states, managed-care plans, aggregators, and EVV vendors implement different validation, correction, documentation, and claim-release procedures.
Bring us your workflowMissed clock-ins, location conflicts, and caregiver mismatches require different evidence
Visit data must agree with schedules, authorizations, service plans, and billing records
State and vendor portals use different reason codes and correction workflows
Caregiver and supervisor follow-up competes with daily service operations
The production workflow
One continuous operation, not another disconnected tool.
Champ coordinates browser, document, API, voice, and human steps around the outcome your team is responsible for.
- 01Detect the billing hold
Ingest EVV exceptions and compare the visit with the schedule, authorization, service plan, caregiver, and billing record.
- 02Collect the missing evidence
Contact the right caregiver or supervisor, request the approved documentation, and keep follow-up attached to the visit.
- 03Correct the required system
Apply the approved reason code and note, update the EVV vendor or aggregator, and retain confirmation of the change.
- 04Release or escalate
Run final billability checks, release clean visits, and route authorization, policy, or integrity exceptions to an authorized reviewer.
Why it stays reliable
Built around the work, not a brittle integration map.
Your systems can stay exactly where they are. Champ operates across them, records what happened, and improves the workflow as the process changes.
Works with your stack
If your team can access it, Champ can work in it.
Use APIs where they are dependable and managed browser agents everywhere else. No rip-and-replace required.
Change the operating model
Give your team exceptions, not another queue to babysit.
- Staff reconcile visits across EVV, schedules, and authorizations
- Caregiver follow-up happens outside the exception record
- Correction rules are remembered separately for every state and vendor
- Billing teams wait for status updates before releasing visits
- Each held visit opens with the relevant source records attached
- Outreach, evidence, approval, and correction stay in one case
- Approved state and vendor logic selects the right correction path
- A final validation releases clean visits directly to billing
More healthcare workflows
One platform across the back office.
Medicaid EVV exception resolution FAQ
Questions healthcare operators ask first.
You have more questions?
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