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ReeveFor Arizona home care agenciesRead only

You delivered the care and logged the visit. Did all of it turn into a clean AHCCCS claim before the filing window closed?

Reeve is a free, read-only review that reconciles what was authorized, delivered, billed, and paid, and shows you the gaps with the record attached.

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The four numbers

For every client on your book, four numbers should agree, and in Arizona home care they often do not. Reeve reads them side by side and flags every row where they disagree.

Authorized

What AHCCCS or your health plan approved. In Arizona that runs through the Arizona Long Term Care System, or ALTCS, and the acute plans, with attendant care and personal care approved in 15-minute units against a service plan.

Delivered

What your caregiver actually worked, now captured through Electronic Visit Verification. As of October 1, 2025, AHCCCS retired Sandata and moved EVV onto its own AHCCCS aggregator, what the state calls EVV 2.0. The clock in and clock out data is the delivery record.

Billed

What your biller submitted to the plan on a claim, usually under HCPCS codes like S5125 for attendant care and T1019 for personal care, in 15-minute units with plan-specific modifiers.

Paid

What the plan actually remitted after its edits ran.

The money does not leak in any one column. It leaks in the gaps between them.

  • 01
    The EVV-to-claim match: when the visit record and the claim line do not reconcile, the claim can be denied or held, and it may read like a routine denial.
  • 02
    The filing window: a visit stuck in an EVV mismatch or an authorization hold can quietly age past a tight clean-claim deadline, and once it does the money is gone.
  • 03
    Authorized versus delivered: service plans lapse, get reduced, or run out of units mid-month, and hours delivered above the ceiling are not recoverable.
  • 04
    Rate and modifier mismatch: a unit billed under the wrong modifier or line configuration can underpay or deny without anyone catching it.
Illustrative findings

Every number is illustrative and synthetic. Findings are expressed in hours, units, and records to check against your own rate sheet, never in dollars.

Finding A
EVV visits with no matching paid claim
41 verified EVV visits across the review period show a clock in and clock out but no matching paid claim line. That is roughly 62 delivered hours sitting unreconciled. Each one is a record to pull: was the claim denied on the EVV match, held, or never submitted?
Finding B
Authorization lapse mid-service
3 clients show delivered units continuing 8 to 15 days after the authorized units on their service plan were exhausted. Reeve flags the delivered-but-unauthorized hours separately and does not count them as recoverable. The recoverable question is the reverse: authorized units that were never delivered or never billed.
Finding C
Timely-filing risk
17 visit records are between 95 and 118 days past the end date of service and show no evidence of a clean accepted claim. Under a 120-day plan window, these are days from closing permanently. This is a worklist ranked by days remaining, so your biller works the ones about to expire first.
Finding D
Rate or modifier mismatch
9 claim lines under S5125 appear to carry a modifier or unit configuration that does not match the pattern of the paid lines for the same service and plan. Each is a record to verify against your own contracted rate sheet.
The blind spot

Why an annual audit or the EMR alone misses this.

01

Your EMR is very good at running today. It is not built to constantly ask whether last month's visits ever became paid claims.

02

The filing window. If your plan closes a clean claim at 120 days from the end of service, a leak found in an annual look-back is often already past the deadline. You can identify the money and still not be able to collect it.

03

The EVV-to-claim gap. EVV lives in the aggregator, claims live in your billing system, payment lives on the remittance. No single one of those three shows you the whole reconciliation, and Arizona's move to its own EVV aggregator in late 2025 only added a seam where visits and claims can fall out of sync.

Reeve is that line-up. Read-only, on an export you already have, run as often as you want instead of once a year.

Questions

Plain answers, on the record.

Straight answers about how the Margin Review works in Arizona.

01
Does Reeve work with AHCCCS and Arizona managed care plans?
Yes, and the dollar works differently on each. Reeve reconciles what AHCCCS or your health plan authorized against what your caregivers delivered through EVV, what your biller submitted, and what the plan paid. It works from an export you provide, so it does not need a direct connection to any plan or to AHCCCS. Fee-for-service rows are priced against the published AHCCCS schedule. Plan rows come back in hours, units, and record counts with no dollar, because Arizona does not publish a rate the plans are bound to pay. You price those against your own contract.
02
How does Reeve handle Arizona EVV, now that AHCCCS runs its own aggregator?
Reeve reads the EVV visit data in your export and matches it against your claim lines and remittances. As of October 1, 2025, AHCCCS retired Sandata and moved EVV onto its own AHCCCS aggregator. Reeve does not connect to the aggregator or change any visit. It simply checks whether verified visits turned into paid claims and flags the ones that did not.
03
Will Reeve tell me the dollar amount I can recover in Arizona?
No, and here is why plainly. Reeve never invents a rate. Dollars come from the rate on your own export or the rate your own remittances actually paid most often. Where Reeve cannot find a rate in your data, the finding still comes to you in hours, units, and the exact Arizona records where the four columns disagree, with the dollar figure left to your own rate sheet. A rate Reeve has not verified is a rate Reeve will not quote.
04
What is the timely-filing deadline I should worry about?
It depends on your plan. Arizona Complete Health, for example, requires a clean claim within 120 days of the end date of service. Other AHCCCS plans and fee-for-service can differ, so confirm your own contract. Reeve ranks findings by how close each visit is to its filing deadline so the ones about to expire get worked first.
05
Is my client data safe? Does anything with a name on it leave my building?
Your file is processed in your browser. The Margin Review runs read-only in your own browser on an export you provide, and client names, staff names, and identifiers are replaced with a coded reference locally before any reconciliation runs. Reeve reads only. It does not write to your EMR, does not file or edit a claim, and does not move money.
06
Which Arizona services and codes does Reeve look at?
Personal care and attendant care are the core, commonly billed under HCPCS codes such as T1019 for personal care and S5125 for attendant care, in 15-minute units. Reeve checks the reconciliation across those service lines and flags rate or modifier configurations that do not match your paid pattern, for you to verify against your own rate sheet.
07
Who is behind Reeve, and how does the review work?
Reeve is arm's-length software, built by operators and engineers rather than a career software vendor. The Margin Review is free, it runs read-only on your own machine, and nothing with a name on it leaves your building. Nothing about that changes the read-only, nothing-named-leaves promise.
Two lanes, priced separately

Collect is money you never captured. Cover is money a payer can still take back.

Reeve reports the two separately and never adds them together, because only one of them is yours to go and get. The Margin Review reads both on your own export and costs nothing.

Margin Review
Free

One pass over your own export, in your browser. The findings are yours to keep, with no obligation.

Collect
$750 per branch per month

The recovery lane. Care you delivered and never billed, units short of what was authorized, lines paid under the published rate.

Cover
$1,000 per branch per month

Everything in Collect, plus the exposure lane. Retired codes, authorizations at the end of their period, care delivered past what was approved.

Month to month, no annual contract. Read-only in every tier. Run the free review.

Start with a Margin Review

Try it yourself. Run a free Margin Review.

The Margin Review is free, and you run it. No sales call required, no access handoff, no contract to sign before you see anything. You bring an export you already have from your EMR, and the review runs read-only in your own browser. In a few minutes you get a ranked worklist of the visits where authorized, delivered, billed, and paid do not agree, with the record attached to each one.

Start my free Margin Review
  • 01

    Read-only. Reeve reads your data. It does not write to your EMR, does not file or correct a claim, and does not move money.

  • 02

    Names coded locally. Names and identifiers are replaced with a coded reference unique to your agency in your own browser before any math runs. Your file is processed in your browser, and no name is written into any output.

  • 03

    Honest about dollars. For Arizona, Reeve shows hours, units, and records to check against your own rate sheet. It does not quote a recovery figure off a rate it has not verified.

  • 04

    Reeve never invents a rate; dollars come from the rate on your own export or the rate your own remittances actually paid most often. Reeve makes no guarantee of recovery. The review is free and the findings are yours to keep.

Any dollar figures in examples are illustrative and synthetic, method rather than results.