Features

Everything you need to automate ADC billing.

From attendance tracking to claim submission, CareOS Systems replaces spreadsheets, paper forms, and manual portal entry with one streamlined platform.

Attendance Tracking

Replace paper sign-in sheets and error-prone spreadsheets with a digital daily roster. Staff checks in patients with a single click, and the system automatically generates jittered pickup and dropoff times for compliance with transportation broker requirements.

  • One-click patient check-in on a daily roster
  • Automatic jittered pickup and dropoff time generation
  • Real-time attendance counts and history
  • Supports multiple service types per patient

Daily Roster — Feb 14, 2026

42 patients
Maria Garcia
8:15 AM
Robert Chen
9:22 AM
Linda Williams
10:29 AM
Thomas Brown
11:36 AM
Ana Martinez
12:43 AM

Insurance Claim Generation

When attendance is marked, insurance claims are created instantly using your configured payer rates. No more manually entering data into clearinghouse portals. Every claim includes the correct procedure codes, diagnosis codes, and billing amounts.

  • Automatic claim creation when attendance is marked
  • Configurable payer-specific rates and procedure codes
  • Support for S5102, S5100, and custom service codes
  • CSV export compatible with Availity and other portals

Claims — Auto-Generated

12 new today

Simply Healthcare

S5102

$85.00Ready

Sunshine Health

S5102

$92.50Ready

Humana

S5100

$78.00Ready

Molina

S5102

$88.00Review

Transportation Billing

Automated mileage-based claims for transportation brokers. Configure base rates and per-mile rates for each broker. The system calculates exact amounts using A0120 (Ambulatory) and A0130 (Wheelchair) procedure codes.

  • Support for Modivcare, MTM, Alivi, and custom brokers
  • Base rate plus per-mile rate calculations
  • A0120 and A0130 procedure code support
  • Broker-specific rate management and propagation

Broker Claims — Modivcare

Feb 2026

Total Trips

148

Revenue

$12,450

A0120 - Ambulatory: 98 trips
A0130 - Wheelchair: 50 trips

PDF Trip List Parsing

Upload Modivcare PDF trip lists and let the anchor-based parser extract trip data automatically. The system matches trips to patient records, flags mismatches, and prepares claims — eliminating hours of manual reconciliation.

  • Anchor-based PDF extraction for reliable parsing
  • Automatic patient record matching
  • Mismatch flagging and review workflow
  • Batch processing for monthly trip list reconciliation

PDF Parser Results

modivcare_feb.pdf

38 of 42 trips matched successfully

4 trips flagged for review

Patient name mismatch (2) · Date discrepancy (2)

Private Payer Invoicing

Generate professional invoices for families, foundations, the VA, and other private payers. Set custom rate plans per payer with flexible billing cycles — weekly, biweekly, or monthly.

  • Custom rate plans per private payer
  • Flexible billing cycles (weekly, biweekly, monthly)
  • Professional invoice generation with facility branding
  • Payment tracking and aging reports

Private Invoice

INV-2026-0214

Johnson Family Trust

February 1 – February 14, 2026

Adult Day Care (10 days)$1,500.00
Transportation Surcharge$250.00
Total Due$1,750.00

Financial Dashboard

See your entire billing operation at a glance. Revenue by payer, claim status breakdowns, attendance trends, and denial rates — all updated in real time so you always know where your money is.

  • Revenue breakdown by payer and service type
  • Claim status tracking (submitted, pending, paid, denied)
  • Attendance trend analysis and forecasting
  • Denial rate monitoring with root cause insights

Revenue Overview — February 2026

Total Revenue

$84,320

Pending

$12,450

Denial Rate

0.8%

Coming Soon

Phase 2 features on the roadmap.

We're building fast. These features are in active development and will be available in the coming months.

Availity Integration

Direct API connection to Availity for electronic claim submission and real-time eligibility checks.

Coming Q2 2026

837P Electronic Submission

Generate and submit 837P files directly to payers without manual portal uploads.

Coming Q2 2026

Eligibility Verification

Real-time patient eligibility checks before services are rendered to prevent claim denials.

Coming Q2 2026

See these features in action.

Schedule a 20-minute demo and we'll walk through your exact billing workflow.