01
Service Validation
Require completed EVV and valid service duration.
Products / Revenue operations
Active
Build billing readiness around the services actually delivered
Check EVV, documentation, service codes, authorization dates and available units before creating a draft billing entry.
Billing teamsAgency leadersFinance reviewers
NVASIKI workspace
HCBS Billing Validation
01
Authorization
02
Schedule
03
EVV
Verified agency and role scope
Availability
Active
Product overview
Purpose-built around controlled access and reviewable work
NVASIKI Billing Validation turns approved service records into controlled billing-ready records. It does not guarantee payer acceptance or directly transmit claims.
Verified tenant
Role and scope
Review trail
Core functionality
Tools that follow the complete working process
Each capability is presented according to its current product status and implementation limits.
02
Documentation Checks
Confirm required submitted service documentation.
03
Authorization Matching
Match member, service code and date to an active authorization.
04
Unit Calculation
Apply configured unit type, rounding and allocation policies.
05
Exception Review
Document missing information, authorization and allocation issues.
06
Draft Billing Entry
Create a draft billing entry after authorized approval.
How it works
A connected, reviewable workflow
Every step remains subject to the user’s verified agency, role, functional permissions and record scope.
Designed for clear handoffs
01
Authorization
02
Schedule
03
EVV
04
Documentation
05
Billing validation
06
Draft entry
Practical value
Support for authorized teams
Find missing information
Stop incomplete service records before claim preparation.
Apply consistent checks
Use the same controlled criteria for each billable service.
Separate billing authority
Keep billing users from inheriting unrestricted clinical access.
Access follows responsibility
The workspace changes according to verified role, permissions and scope.
Security and permissions
A page never grants authority
Selecting a product page, portal or login card never grants access. Protected NVASIKI requests verify the authenticated user’s current UserAccess record, agency, role and scope. Sensitive modules require their own access grants.
Agency separation
Home and member scope
Separate functional permissions
Audit and lifecycle records
Frequently asked questions
Clear answers before implementation
Does NVASIKI submit claims electronically?
No. The current Claims Operations workflow records external submission confirmations.
How does billing validation use authorization units?
The workflow checks the matched authorization and available units before an authorized billing decision.
Does a ready record guarantee payment?
No. Payer rules and adjudication still determine claim outcomes.
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