SeraClaims NC Medicaid billing
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For North Carolina adult care homes

Bill a month of care
in one click.

Sera Claims turns a month of daily service lines into one clean, compliant NC Medicaid claim — computed, validated, and filed for you.

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HIPAA-ready Electronic claim filing NCTracks 837P
Claim batch · July 2026 · R. Odell
Date of service Procedure Units Charge
+ 23 more days · one line each
Monthly total · 80 hrs authorized $0.00
Submitting 837P… POS 13 · 99509·HC · $61.52 / diem

The daily grind

Today, someone keys every resident, every day, into NCTracks by hand — then watches for the lines that deny.

Sera automates the entire process — a full month of claims filed in one click, returning hours to your team every billing cycle.

✕Enter one line per resident, per date of service — 31 rows a month, each typed by hand
✕Miss the 1-unit-per-line rule → the line denies
✕Bill across the Aug 1 rate change → wrong per-diem
✕Reconcile the 835 remittance line by line in a spreadsheet

The lifecycle

Four steps, start to payment.

Sera Claims runs the whole path a claim takes — from confirming coverage to matching the payment back — so your team runs the exceptions, not the routine.

01270 / 271

Eligibility

Confirm each resident's Medicaid coverage before a single line is billed.

→
0299509·HC

Generate

One compliant service line per covered day, with the per-diem computed from the rate in effect.

→
03837P

Submit

Validated, then filed straight to NCTracks. A 277CA acknowledgment comes right back.

→
04835

Reconcile

Payments and adjustments matched back to each claim automatically — no spreadsheet.

What it gets right

The billing rules, handled — so lines don't deny.

Personal-care billing has a handful of rules that decide whether you get paid. Sera Claims treats them as first principles, not afterthoughts.

Per-diem

Computed, never guessed

The daily rate is derived from authorized hours and the effective-dated rate — not stored, not hardcoded.

80 hrs × $5.96 × 4 ÷ 31 days
= $61.52 / diem
One line, one day

Exactly one unit per date

Procedure 99509 with modifier HC, place of service 13 — one line per date of service, one unit each. The shape NCTracks expects.

Effective-dated rates

Rate changes, automatically

When the 15-minute rate rose 18% on Aug 1, 2026, claims split cleanly at the boundary. No mid-month math by hand.

Any date range

Day, week, or month

Bill any span. Sera splits it by calendar month into its own batch, and never bills a day twice.

PHI posture

Handled with care

Encrypted at rest, sandbox-first, and never a line of raw PHI in the logs. Built for a BAA from day one.

Multi-facility

One home or many

Every record is scoped to its facility with its own credentials — so a second location is a setting, not a rebuild.

Trust & compliance

Built for protected health information — from the first commit.

Medicaid billing is real money and real PHI. Sera Claims runs on HIPAA-eligible infrastructure with the controls that posture demands.

✓HIPAA-eligible hosting — encrypted at rest, private networking, signed BAA
✓Electronic filing — claims submitted straight to NCTracks, never raw EDI by hand
✓Multi-factor sign-in — email one-time codes on every login
✓Full audit trail — who did what, when, on every claim and record
✓No PHI in logs — sensitive data never leaves the vault it belongs in

Now onboarding facilities

Stop filing claims by hand.

Tell us about your facility and we'll get you set up — eligibility, generation, submission, and reconciliation, running by your next billing cycle.

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