We match every EVV visit, authorization and remittance, then fix what is leaking: visits never billed, claims that don't match EVV, authorizations that lapsed. AI does the matching. A person approves every fix.
Built to HIPAA Security Rule requirements. Business associate agreement before any data moves. US-only storage. AI providers under BAA. A person approves every fix.
For PAS, PHC, CAS and HCS providers working with STAR+PLUS health plans. Flat monthly fees.
Texas requires EVV for Medicaid attendant services, and health plans pay only when the visit, the authorization and the claim all agree. When they don't, the agency did the work and doesn't get paid.
The visit is in EVV, but no claim went out. Common after staff turnover or system changes.
Units, dates or service codes differ from the visit record, so the claim is denied.
Attendants deliver more hours than the plan approved. Those hours can't be paid.
Care continues after the authorization end date because nobody requested the renewal in time.
Held or rejected claims age past the health plan's filing deadline and become unrecoverable.
Your EVV system says verified, but the state aggregator rejected the visit. Since January 2026 there is no grace period: the claim is denied until visit maintenance fixes it and an adjusted claim goes out.
At the current schedule, a client uses up the authorized units weeks before the authorization ends. The hours after that can't be paid.
Caregivers paid for days with no EVV visit, visits never paid, missed overtime, and a direct-care share below the coming 80% federal rule.
This shows the analysis a Revenue Leak Audit delivers, run on a fictional agency with generated records. Pick an agency size, rerun the analysis, click any finding to see the drafted fix, and approve it the way your biller would.
| Client | Service date | Finding | Recommended fix | Amount | Status |
|---|
All names, IDs, rates and amounts in this demo are generated. The demo uses an illustrative rate of $21.50 per attendant hour; your agency's rates come from your health plan contracts.
These files are the actual engine output for a fictional 120-client agency: every EVV visit, claim, payment, authorization, state EVV record and payroll line checked. Nothing here is a mock-up.
How we know it works: the fictional agencies are generated with problems planted on purpose and an answer key. On every test run the engine has to find every planted problem and report nothing else, across four different agency software layouts, before a release ships.
A business associate agreement and a fixed-fee service agreement, both in plain language, before any data moves.
Your EVV visit export, 835 remittance files and authorization list. No system changes and no new software for your staff.
Our software reconciles visits, claims and authorizations. A billing specialist checks every finding before it reaches you.
Corrected claims, appeal drafts and renewal requests for your approval, plus a weekly report of dollars recovered.
Fixed scope, flat fees, month to month. We never charge a percentage of what you bill or collect.
Monthly prices depend on agency size and are set in writing before work starts. Fees are for our work only and never depend on referrals, patient volume, or the amount you bill or collect.
You are trusting us with patient information and with your Medicaid revenue. Here is exactly what we do, what we never do, and which documents you can review before signing.
Last updated October 24, 2026
Risk analysis, safeguards, BAAs, breach procedures
In progressOur security controls mapped to its six functions
In progressHow we govern, test and monitor our AI
In progressIndependent CPA audit of our controls over time
PlannedHealthcare certification, when we serve health plans
PlannedNo government agency certifies HIPAA compliance, and NIST does not certify companies. We show where we stand on each standard and update the status, with the date and the assessor's name, when an independent review is complete.
Every outside service that can touch your data. Each one signs a business associate agreement with us before it is used, and stores data in the United States only.
| Service | What it does | Data location | BAA |
|---|---|---|---|
| Cloud hosting | Stores files and runs our matching software | US regions only | Provider selection in progress |
| AI model provider | Reads exports and drafts fixes; no training on your data | US | Required before first use |
| Email and documents | Secure messages and shared reports | US | Required before first use |
| Secure file transfer | Encrypted upload of your exports | US regions only | Required before first use |
| Document | What it covers | Status |
|---|---|---|
| Security overview | Controls listed above, in detail | On this page |
| AI-use policy | What AI does, human review, logging, accuracy checks | On this page |
| Business associate agreement | HIPAA obligations, breach notice, data return | On request |
| Service agreement | Scope, flat fees, term, cancellation | On request |
| Certificate of insurance | Professional and cyber liability | In preparation |
| Exclusion screening | Monthly OIG, SAM and Texas HHS-OIG checks of our own team | On request |
| Subprocessor list | Every outside service that can touch your data | On this page |
| Security questionnaire answers | Pre-filled answers to common healthcare vendor questionnaires | In preparation |
| Penetration test summary | Yearly outside test of our systems | Planned |
AI proposes, a person decides, and everything is logged. That is the rule for every claim we touch.
We are a new company, so we are offering the first three agencies a reduced rate in exchange for honest feedback while we grow.
Best fit: Texas agencies serving 50 to 300 Medicaid clients through STAR+PLUS, using an EVV system that can export visits.
Apply for a founding slotClaimRudder is a Texas company that builds revenue and compliance software for Medicaid home-care agencies. Our team comes from AI, risk, governance and security work in regulated industries, and it shows in how we operate: controls first, every decision traceable, nothing automated that a person should decide.
We serve agencies across Texas, remotely or in person, and every engagement has a named contact on our team.
No. We work from the standard exports your systems already produce: the EVV visit export, 835 remittance files and your authorization list.
Only with your approval. We prepare corrected claims, appeals and renewal requests; your biller or administrator approves each one. Submission can stay with your team if you prefer.
Flat fees keep our incentives clean and avoid Medicaid rules on billing agents being paid a share of what is billed or collected. You know the cost up front.
That is normal. The audit tells you exactly where the gaps are. If cleanup goes beyond the agreed scope, we quote it separately before doing it.
No. Every name, ID and amount in the demo is generated. We never use client data in demos or marketing.
We will ask how your agency bills today, which EVV system you use, and where you think money is slipping. No data is shared on the first call.
Texas · serving agencies statewide
Bring to the callYour approximate client count, your EVV system's name, and your top two billing headaches.