Payers Requiring <span class='SearchHighlight'>EVV</span> Payers Requiring Electronic Visit Verification (EVV)
This guide outlines the payers in Barnestorm that require EVV, specifies the aggregator to which the visit must be sent, and how the claim should be generated.
Sandata - North Carolina Medicaid Direct
Payer Names: - Medicaid
- Personal Care
- In-Home Care (Adult and Child)
- Medicaid CAP/DA
- CAP/DA In-Home Aide (Respite)
- CAP/Choice In-Home (Respite)
How EVV Visits are Submitted: Completed
visits are sent automatically each night.
Billing Claims Information: - Claims must be created in Barnestorm and sent through NCTracks.
- If not set up for SFTP submissions, manually upload claim files via NCTracks > MOVEit or manually key visits.
HHAeXchange - North Carolina Standard Plans, MCOs, LMEs, Tailored Plans
Payer Names: - Standard Plans: 840 PCS ADULT WELLCARE | 870 PCS ADULT AMERIHEALTH | 880 PCS ADULT UNITEDHC | 890 PCS ADULT CAROLINA COMPLETE
- LME: 892 Alliance | 894 Trillium | 896 Vaya | 898 Partners
How EVV Visits are Submitted: Visits must be imported via Billing > HIPAA Transactions > HHAeXchange/CareBridge.
Billing Claims Information: - Configured HHAX contracts auto-send 837 claims for adjudication.
- Otherwise, claims must be manually uploaded to the payer’s portal.
- Vaya requires a testing phase; Trillium needs manual claim submission if not auto-sent.
CareBridge - North Carolina Healthy Blue (BCBS)
Payer Name: 860 PCS ADULT BCBS (861 Child)
How EVV Visits are Submitted: Visits must be imported via Billing > HIPAA Transactions > HHAeXchange/CareBridge.
Billing Claims Information: - CareBridge automatically generates and submits the 837 claim file for adjudication.
- Manual claim generation or submission is not required.
Other - Virginia Medicaid
How EVV Visits are Submitted: Information is sent with the claim generated within Barnestorm.
Billing Claims Information: Claims are generated and sent via Netsmart/Anthem.