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 gap has costs

When verification and billing are separated by weeks of manual work, the agency absorbs it. Payroll runs on capital that has not yet been reimbursed. The float shapes every hiring decision, every hour authorized, every market the agency can afford to serve. And in the gap between a submitted claim and a payer's response, fraud accumulates undetected.

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 home care payment sequence — document, build a claim, submit, wait, reconcile — was not built to support the kind of care home care actually delivers. It moves too slowly, creates too much administrative burden, and puts the financial risk on the providers closest to the patient. A system that makes it harder for agencies to operate and grow is a system that makes it harder for people to access the care they depend on.
Eldrwand is not optimizing the existing sequence. It is replacing the question the sequence was built to answer — from did the claim get paid to did the person get the care they depend on.

INTEGRITY AT CLOCK-OUT

VERIFICATION ENGINE

When a caregiver clocks out, Eldrwand runs every integrity check automatically — authorization, eligibility, EVV compliance, service documentation, caregiver enrollment, timely filing window, payer-specific rules. All of it in under 60 seconds. Visits that clear generate a clean claim and submit same day. Visits that flag surface the exact issue and exact fix. The billing team reviews exceptions only.

THE INFRASTRUCTURE THIS ENABLES

VERIFIED PAYMENT

Verification at clock-out collapses three events that today happen weeks apart — verification, billing, and payment — into one. The claim builds from the verification record. The checks that produce denials run before the claim exists. The identity, location, and authorization confirmation that fraud depends on slipping past fires before any payment moves.

FIRST

We Connect Your Fragmented Data

We integrate with the EVV systems, clearinghouses, and remittance sources agencies already use — then run integrity checks automatically at clock-out so that every visit is verified before it becomes a claim.

  • 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 visit verified at clock-out. Every exception surfaced with the exact fix. Nothing manual unless it needs human review.

  • Verified visits auto-generate clean claims and submit same day — no billing team action required

  • Flagged visits surface the exact issue and exact fix — billing team works exceptions only

  • Authorization gaps, EVV anomalies, enrollment issues caught at clock-out before the claim is ever built

  • Denial rate drops because the conditions that cause denials are prevented upstream

Join Us in Building the Future of Care Infrastructure

We are building in Virginia and looking for home care agencies and mission-aligned investors to build alongside us.
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 making sure the people who show up every day actually get paid for it.