Does Reeve work with HHAeXchange, which New Jersey requires for EVV?

Yes. New Jersey uses HHAeXchange as its statewide EVV aggregator, and the Margin Review reads an export of your visit, authorization, and claim data. It reconciles what was authorized, delivered through EVV, billed on the 837, and paid on the 835. Reeve reads only. It does not write to HHAeXchange, never changes a visit, and does not file a claim.

We use CareBridge because we bill Horizon or Wellpoint. Does that matter?

No. Horizon NJ Health and Wellpoint collect EVV through CareBridge and forward it to HHAeXchange. Reeve works from your exported data regardless of which collection tool feeds it, and it can reconcile visits across all five NJ FamilyCare MCOs in one review.

Will Reeve tell me the dollar amount I can recover in New Jersey?

Not yet, and here is why. 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 comes to you in hours, units, and the exact records. A rate Reeve has not verified is a rate Reeve will not quote. For New Jersey, Reeve reports the exact hours, units, and records where your four columns disagree, and you apply your own contracted rates.

How does New Jersey's timely-filing limit affect what I can recover?

New Jersey Medicaid must receive a non-institutional claim within one year of the date of service, and it does not pay claims received after that. Reeve ranks every unpaid or held visit by how close it is to that one-year wall, so the records about to expire get worked first. This is often where the fastest, most avoidable losses hide.

Is my member data safe? This is Medicaid PHI.

The Margin Review runs in your own browser, on your own machine. It replaces the names in the export locally before any reconciliation runs, so names, member IDs, and addresses are replaced with coded references on your side. Your file is processed in your browser, and no name is written into any output. Reeve does not upload your file to a server to process it.

What exactly do I need to hand over to run a review?

An export you already control: your authorizations, your EVV visit data, your billed claims, and your remittances for a period you choose. You do not give Reeve a login to HHAeXchange or your EMR. You do not sign a long contract. You run the review yourself and keep the findings whether or not we ever talk again.

Does Reeve replace my biller or my billing company?

No. Reeve finds the gaps and hands you a worklist with the records attached. Your biller works the records. Reeve reads, it does not write, it does not file claims, and it does not move money. It is a second set of eyes on the reconciliation your team is already responsible for.

New Jersey home care margin recovery: find the hours you delivered but never got paid for.

You run a personal care agency on NJ FamilyCare. Your caregivers clock in through HHAeXchange, your claims go out as 837 files, and somewhere in the handoff between authorization, EVV, the claim, and the remittance, hours you actually delivered quietly fall out. Reeve is a free, read-only Margin Review that runs in your own browser, reconciles those four columns on an export you provide, and shows you exactly where the gaps are, with the record attached.

Start my free Margin Review

The four numbers

Every dollar of personal care margin in New Jersey has to survive four checkpoints. Reeve lines them up side by side.

Authorized

Your member has an MLTSS plan of care or a service authorization from one of the five managed care organizations. That authorization is a ceiling in units, usually the T1019 personal care family billed in 15 minute increments. If the authorization lapses or the units run out mid month, everything after it is at risk.

Delivered

Your caregiver worked the visit and it landed in EVV. New Jersey runs an open EVV model with HHAeXchange as the statewide aggregator, live since December 14, 2020, with the personal care EVV mandate effective January 1, 2021. Every handoff is a place a delivered visit can arrive incomplete, unmatched, or late.

Billed

The visit becomes a claim, sent as an 837 through the HHAeXchange portal to the MCO. This is where delivered care either turns into a clean claim or gets held, scrubbed out, or never assembled because the EVV visit and the authorization did not line up.

Paid

The 835 remittance comes back. A visit you delivered and billed can still land as denied, underpaid, or paid at the wrong rate, and if nobody reconciles the 835 against what went out, that gap just sits there.

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

01
The EVV-to-claim gap: a visit that completes in EVV but fails to match its authorization gets held or scrubbed before it ever reaches the payer.
02
Authorization run-out and lapse: care delivered after units are exhausted, or during a re-authorization gap, is delivered-but-unbillable unless someone chases the auth.
03
Timely-filing expiration: a non-institutional claim must reach the fiscal agent within one year of the date of service, or it is gone for good.
04
Rate and modifier mismatch across five payers: a visit billed under the wrong modifier or the wrong plan's convention can underpay or deny.

Illustrative findings

Every number is illustrative and synthetic. Because Reeve has not verified a published New Jersey personal care rate, findings are expressed in hours, units, and records to check against your own rate sheet, never in dollars.

Finding A

Delivered visits that never became a claim

Across a synthetic 90 day export, 214 personal care visits, roughly 428 authorized units of T1019, show a completed EVV record in HHAeXchange with no matching line on any 837 that went out. These are visits worked and verified, but never billed. Reeve lists each one with its date, coded member reference, and EVV visit ID so your biller can work the exact records.

Finding B

EVV clock mismatch holding claims

In the same synthetic export, 63 visits have an EVV clock-in or clock-out that does not reconcile against the scheduled or authorized time, the kind of mismatch that gets a claim held or scrubbed inside the aggregator before it reaches the MCO. That is roughly 141 units sitting in limbo, invisible on any remittance because they never reached the payer.

Finding C

Care delivered past the authorization ceiling

For 11 synthetic members, delivered units exceed the authorized units for the period. Reeve separates these into two buckets: units delivered under the auth and legitimately billable, versus units delivered over the ceiling. It never counts the over-ceiling hours as recoverable, because they are not.

Finding D

Claims aging toward the one-year wall

Reeve sorts every unpaid or held synthetic visit by date of service against New Jersey's one-year timely-filing limit. In this example, 38 visits are inside 90 days of expiration. After that date the money is gone for good. This is a worklist ranked by deadline, so the records closest to the wall get worked first.

Finding E

Billed but not paid, and never reconciled

Matching synthetic 837 lines against 835 remittances, 47 visits were billed but show no corresponding paid or formally denied line coming back. Care delivered, claim sent, and then nothing. Reeve surfaces each one so it can be traced instead of written off.

The blind spot

Why an annual audit or the EMR alone misses this.

The timely-filing window closes faster than an annual review. New Jersey gives you one year from the date of service, and not a day more. A visit that gets held for an EVV mismatch in February and does not surface until next year's audit is already dead. Reconciliation has to happen on a rolling basis, because the deadline is rolling.

The EVV-to-claim gap lives between two systems, so neither one reports it. A visit that completes in EVV and then fails to assemble into a clean claim does not show up as a denial. It shows up as nothing. Your EMR reports what it billed and what came back, not the delivered visit that never turned into a claim in the first place.

Reeve puts the delivered column and the billed column next to each other and shows you the difference. It is not a replacement for your biller or your EMR. It is a read-only second set of eyes that reconciles the four columns those systems keep in separate places.

That silence between systems is exactly the gap Reeve is built to make visible.

Questions

Plain answers, on the record.

Straight answers about how the Margin Review works on a New Jersey book.

01 Does Reeve work with HHAeXchange, which New Jersey requires for EVV?: Yes. New Jersey uses HHAeXchange as its statewide EVV aggregator, and the Margin Review reads an export of your visit, authorization, and claim data. It reconciles what was authorized, delivered through EVV, billed on the 837, and paid on the 835. Reeve reads only. It does not write to HHAeXchange, never changes a visit, and does not file a claim.
02 We use CareBridge because we bill Horizon or Wellpoint. Does that matter?: No. Horizon NJ Health and Wellpoint collect EVV through CareBridge and forward it to HHAeXchange. Reeve works from your exported data regardless of which collection tool feeds it, and it can reconcile visits across all five NJ FamilyCare MCOs in one review.
03 Will Reeve tell me the dollar amount I can recover in New Jersey?: Not yet, and here is why. 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 comes to you in hours, units, and the exact records. A rate Reeve has not verified is a rate Reeve will not quote. For New Jersey, Reeve reports the exact hours, units, and records where your four columns disagree, and you apply your own contracted rates.
04 How does New Jersey's timely-filing limit affect what I can recover?: New Jersey Medicaid must receive a non-institutional claim within one year of the date of service, and it does not pay claims received after that. Reeve ranks every unpaid or held visit by how close it is to that one-year wall, so the records about to expire get worked first. This is often where the fastest, most avoidable losses hide.
05 Is my member data safe? This is Medicaid PHI.: The Margin Review runs in your own browser, on your own machine. It replaces the names in the export locally before any reconciliation runs, so names, member IDs, and addresses are replaced with coded references on your side. Your file is processed in your browser, and no name is written into any output. Reeve does not upload your file to a server to process it.
06 What exactly do I need to hand over to run a review?: An export you already control: your authorizations, your EVV visit data, your billed claims, and your remittances for a period you choose. You do not give Reeve a login to HHAeXchange or your EMR. You do not sign a long contract. You run the review yourself and keep the findings whether or not we ever talk again.
07 Does Reeve replace my biller or my billing company?: No. Reeve finds the gaps and hands you a worklist with the records attached. Your biller works the records. Reeve reads, it does not write, it does not file claims, and it does not move money. It is a second set of eyes on the reconciliation your team is already responsible for.

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.

Run a free, read-only Margin Review on your own New Jersey book. It runs in your browser, on an export you provide, on your schedule. You will see, in hours, units, and records, where your authorized, delivered, billed, and paid columns disagree, and which records are closest to the one-year filing wall. No sales call required to see your own numbers.

Start my free Margin Review

01
Read-only. Reeve reads your data. It does not write to HHAeXchange, never changes a visit, does not file a claim, and does not move money.
02
Names coded on your side. Your export is coded locally in your own browser before any reconciliation runs. Names, member IDs, and addresses become coded references on your machine.
03
Reeve does not upload your file to process it. The care you delivered stays yours, and so does every record with a name on it.
04
Straight about the terms. There is no guarantee and no recovery fee, just a review that reconciles the four columns New Jersey's system keeps apart and shows its work on every line.

Any dollar figures in examples are illustrative and synthetic, method rather than results. Reeve never invents a rate; dollars come from the rate on your own export or the rate your own remittances actually paid most often.