Home health
Guarantee the episode before the first visit.
Home health bills in episodes — weeks of visits, supplies, and clinician time delivered before the payer decides whether any of it was covered. With Medicare Advantage dominating referrals, every plan has its own auth rules, and every denial arrives after the care is sunk. Undersign clears the episode at intake. If a cleared episode is denied, we pay contracted value within 30 days.
You deliver the episode first and learn if it was covered second. That ordering is the entire problem.
Medicare-certified home health agencies, each navigating a different auth regime per MA plan
annual payer-billed spend — the largest market we serve
days to guaranteed payment on cleared-then-denied episodes
In your workflow
Where the guarantee plugs in.
Clear the episode
Payer, member, episode type, expected visit mix. The engine checks eligibility, MA plan status, and auth requirements against live payer data.
Recert, re-cleared
Recertifications and auth windows are re-cleared automatically. A plan change mid-episode surfaces as step_up while you can still act — not as a denial after discharge.
Paid, appealed, done
Eligibility, coverage, or auth denial on a cleared episode: contracted value paid within 30 days, appeal handled by us. Your clinicians were never the right people to fight it anyway.
Home Health, visualized
The episode Gantt.
Six weeks of care, one recert checkpoint, three MA plans with three different rulebooks — cleared up front.
What changes
Three lines on your P&L, rewritten.
Underwrite the MA chaos
Plan-by-plan auth variance is a pricing problem, not a staffing problem. We price it per payer, per plan, per region — so you don't staff for it.
Episode economics you can plan on
Cleared episodes convert your largest revenue unit from an estimate into a number.
Intake moves faster
Referrals convert while competitors are still faxing verification forms. cleared is a same-call answer.
Fair questions
Asked by every home health operator we talk to.
“Our denials are mostly documentation, not eligibility.”
Then the guarantee is cheap for you — it covers the eligibility, coverage, and auth classes, and our clearance data will show you exactly how much of your denial mix is preventable at intake. Many agencies are surprised.
“MA plans are adversarial.”
That's the thesis, not the objection. An adversarial counterparty is precisely when you want a guarantor with appeal expertise and no emotional attachment to eating the loss.
“We're mid-migration to a new EMR.”
The API is EMR-agnostic JSON over HTTPS. Clear from the intake system you have today; move it when you migrate.
The API is in development
Be first on the ledger.
Home health is our largest market by spend — pilots open after launch-market data seasons. Join the list.