School-Based Medicaid Billing & Claiming demo
Matches therapy and nursing logs to IEP orders and consent before each claim, for districts 1:34
What the demo shows
Matches therapy and nursing logs to IEP orders and consent before each claim, for districts
Eight agents check every therapy and nursing session at five gates (enrollment, parental consent, IEP order, provider credential, session note), each pass checked by a second agent. They find the proof that clears a stop, draft consent requests in the family's language, search for sessions nobody billed before the 12-month limit, and keep the time study complete. The claims coordinator approves each batch; the business office releases it to the state portal.
Transcript
- School-Based Medicaid Billing and Claiming checks every therapy and nursing session before billing.
- Auditors say one state may have improperly claimed 455 million dollars.
- Marlow Bay's week: 2,742 sessions through five gates, an agent at each.
- Forty-six sessions stopped here: the therapist's license shows expired.
- The Credential agent finds the renewal in her HR file, dated September 28.
- Lorena clears them: 4,692 dollars back in the claim.
- Missing consent? Requests go out in Spanish and Vietnamese, English beside.
- The Recovery agent finds 214 sessions nobody billed, before the filing limit.
- Lorena approves a 186,240-dollar batch; the business office releases it, never the approver.
- Every claim keeps its five proofs, ready for a recoupment audit.
- Ninety-four percent of the week was ready in one pass.
- Built on Botminds: agents, data, screens and governance on one platform.
The narration as written for the film. Captions are on the player.