Products · Medicaid billing

Claims tied to the day behind them.

Generate 837P Medicaid claims from the attendance record, validate them against the documentation before they leave the building, and pay a published 1% per claim. No outsourced biller, no quote.

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  • Self-serve 837P claims
  • Validated against attendance
  • 1% per claim, no minimums

What is inside Medicaid billing

Claim generation, validation, the documentation behind the claim, and pricing you can calculate before you call.

837P claims generated from the attendance record

The Billing add-on builds professional (837P) Medicaid claims from the days of service already recorded at check-in. The claim starts from the same source as the documentation behind it, so the billed day and the documented day are never two different stories.

What's inside

  • Self-serve 837P claim generation
  • Service days drawn from the attendance record
  • Member, payer, and authorization details from the profile
  • Billing codes and units configured per payer
  • Claims prepared by your staff, on your schedule
  • No outsourced billing service in the middle

Outcome: Claims are produced from attendance instead of typed into a portal from a printed sheet.

Validation before the claim leaves the building

Before a claim is finalized, Adult Day Genie checks it against the record: is there an attendance entry for the billed day, are the times consistent with the units, and are the required member and payer details present. Problems surface in the center, not in a remittance weeks later.

What's inside

  • Attendance check for every billed day
  • Required field validation for member and payer
  • Authorization details checked against the profile
  • Issues flagged per claim line before submission
  • Corrections made on the record, then re-validated

Outcome: Fewer rejected claims and less rework, because the mismatch is caught before it becomes a denial.

Documentation that travels with the claim

When a payer or reviewer asks for the records behind a claim, the center exports the attendance entries and daily documentation for those dates. The correction history is included, so the export shows how each entry came to be.

What's inside

  • Attendance and documentation exports by date range
  • Correction history preserved in the export
  • Staff attribution on every entry
  • CSV and PDF formats
  • Same record the claim was generated from

Outcome: The center can answer a documentation request in minutes. The software produces the record; the payer decides.

Published percentage-of-claim pricing

Billing costs 1% of each claim’s billed amount, with the Daycare plan. There is no per-claim minimum, no monthly billing platform fee, and no quote. A center that submits $40,000 in claims in a month pays $400 for billing that month.

What's inside

  • 1% of each claim’s billed amount
  • Requires the Daycare plan ($299 per month)
  • No setup fee, no minimums, month-to-month
  • Cost scales with what you bill, not with your census
  • Example: 400 claims totaling $40,000 = $400

Outcome: You can calculate your billing cost before the sales call, which is rare in this category.

From check-in to claim

Billing is the last step of a record that began at the door, not a separate process that starts from scratch each month.

  1. 1

    Every day

    Attendance and documentation are recorded

    Check-in, check-out, care notes, and forms land on the member record as they happen. Each day of service is already there when billing time comes.

  2. 2

    Billing day

    Claims are generated from the record

    Staff select the date range and payer. Adult Day Genie builds 837P claims from the attendance entries and member authorization details.

  3. 3

    Before submission

    Validation flags mismatches

    A billed day with no attendance entry, or a missing authorization, is flagged on the claim line. Staff fix it on the record and re-validate.

  4. 4

    Weeks later

    A payer asks for documentation

    The center exports the attendance and daily records for the dates in question, correction history included. The export matches the claim because it came from the same source.

Why billing should start from attendance

Most adult day billing problems are documentation problems. A claim that cannot be matched to a record of presence is the finding auditors look for first.

  • Claims need proof of presence

    In a 2026 New York Comptroller audit, $672,147 in claims at three SADC facilities was disallowed for lack of adequate sign-in records.

  • Re-keying creates mismatches

    Typing attendance from a printed sheet into a billing portal is where dates, units, and names drift apart.

  • Denials cost twice

    A rejected claim costs the revenue and the staff time to find out why. Validation in the center catches it first.

  • Outsourced billing is opaque

    A billing service that never sees the day cannot tell you whether the documentation supports the claim.

  • Percentage pricing aligns incentives

    At 1% of billed amount, the cost of billing tracks what you actually bill. No minimums, no platform fee.

  • Honest about outcomes

    Adult Day Genie produces clean claims and organized records. Payers and reviewers decide what is paid; the software never promises a result.

Explore more of Adult Day Genie

Each product adds to the same participant record, so nothing has to be re-entered between them.

Attendance & check-in

The append-only record every claim is generated from.

Learn more

Daily operations

Care plans, forms, activities, and meals that document the billed day.

Learn more

Family updates

Authorized day summaries from the same member record.

Learn more

Go deeper

Medicaid billing questions

Direct answers to what centers ask before a walkthrough.

What is adult day care Medicaid billing software?

It is software that prepares Medicaid claims for adult day services from the center’s own records. Adult Day Genie generates self-serve 837P claims from the attendance record, validates them against the documentation, and exports the records behind them when a payer asks.

What does the Billing add-on cost?

1% of each claim’s billed amount, with the Daycare plan. There is no setup fee, no monthly billing fee, and no per-claim minimum. For example, 400 claims totaling $40,000 in a month cost $400.

Do I need the Daycare plan to use Billing?

Yes. Billing generates claims from the attendance and documentation kept on the Daycare plan, which is $299 per month for up to 100 members, then $5 per additional member.

What is an 837P claim?

The 837P is the standard electronic format for professional healthcare claims, used by Medicaid programs and managed care plans. Adult Day Genie produces 837P claims for adult day services from the attendance record.

Which states and payers are supported?

Billing codes, units, and payer details are configured per center. During setup, the team confirms the codes and payers your program bills so claims match your state and plan requirements. Confirm current billing rules with your state agency and payer contracts.

Does Adult Day Genie handle private pay invoicing?

The Billing add-on is built for 837P Medicaid claims. Private pay invoicing is not part of the product today; centers that bill private pay participants should keep their current invoicing process.

Does this guarantee claims will be paid?

No. Adult Day Genie prepares claims from the attendance record and flags mismatches before submission, which reduces avoidable rejections. Payers, plans, and reviewers make payment and audit decisions.