Verified Care Happens. Payment Fires.

When providers lose revenue, communities lose care. We close that gap.

Eldrwand is payment verification infrastructure for home care—connecting the moment a caregiver delivers a verified service to the moment money moves. We are replacing a broken, manual billing sequence with a real-time verification system that makes same-day caregiver payment possible and every Medicaid dollar accountable.

Billing data lives in siloes

Services documented in an EVV, claims submitted through a clearinghouse, payments posted in a remittance hub—but nothing connects them. There is no single system that sees a care visit and a payment in the same view.

The cost of invisibility

When verification and payment are disconnected by weeks of manual work, the consequences compound. Caregivers wait up to two weeks to be paid for work they already did — and 79% leave within their first year as a result. Agencies absorb the cash flow gap between paying caregivers and receiving reimbursement. Fraud hides in the space between a submitted claim and a payer's response.

Communities pay the price

Financially strained providers freeze hiring and turn away patients. The 65+ population will double by 2030 and families are already waiting months for care. Fixing how home care gets paid for isn't just good business. It's what keeps care available to the people who need it most.

We're building infrastructure for healthcare's next chapter

Built for providers. Designed for the healthcare ecosystem.

The current payment sequence for home care — verify, document, build a claim, submit, wait, reconcile — was designed for institutions. Eldrwand is replacing that sequence with a single event. When a caregiver clocks out of a verified visit, Eldrwand's verification engine confirms identity, location, authorization, and service in real time. Payment fires the same day. The claim is auto-generated from the verification record. The billing team reviews exceptions instead of processing everything from scratch.
This is not a dashboard layered on top of a broken system. It is the infrastructure that replaces the sequence that makes the system broken.

THE VERIFICATION LAYER STARTS HERE

REVENUE LIFECYCLE DASHBOARD

Every visit, every claim, every payment — pulled from the systems you already use and matched automatically. Eldrwand connects your EVV data, clearinghouse submissions, and remittance records into a single verified view of your revenue lifecycle. See exactly where the breakdown happened — authorization gap, claim error, missing payment — with the dollar value attached to each one.

VERIFIED. PRIORITIZED. ACTIONABLE.

PRIORITY RECOVERY QUEUE

Every denied or underpaid claim, classified by root cause and ranked by what is worth recovering first. Each item surfaces the reason it was denied in plain language and the exact action needed to resolve it. Your team knows what to work on and why — without hunting through five systems to find out.

FIRST

We Connect Your Fragmented Data

We pull visit data, claims, and payment records from the systems agencies already use — then match them automatically across every point where a claim can break before it reaches a payer

  • Seamlessly integrate with existing systems like MyEVV, Office Ally, Availity, and Tellus.

  • No engineering lift—we use read-only access, exports, or APIs.

  • Up and running in days, not months—no rip-and-replace required.

THEN

We Surface What Needs Action

Every denied, underpaid, or missing claim — classified by root cause, ranked by value and urgency, with a specific action attached to each one.

  • Unpaid services dashboard — see dollar value by category: authorization gaps, claim errors, payment posting delays.

  • Client-by-client reconciliation queue — prioritized by revenue at risk, shows exactly which services are missing payments.

  • Payment transaction gaps — missing deposits by client and service date, instantly visible.

  • Revenue health overview — total billed vs. collected with denial breakdowns by reason code.

Join Us in Building the Future of Care Infrastructure

We're recruiting pilot agencies and mission-aligned investors to help solve the billing crisis that's keeping post acute care providers small while communities who need them grow.
Providers: Get pilot access • Investors: Request deck • Community: Stay updated

Thank you!

You're now part of the Eldrwand's community. We'll be in touch soon with updates on our pilot program, product development, and how we're working to unlock billions in care capacity trapped by payment system chaos.