Still staring at Availity or UHC portal remits wondering why a clean EVV record won’t pay? In this deep dive follow up, Caretime’s billing lead and IAHHC’s compliance expert crack open real PathWays 835s and EOBs. Learn how to spot red flag codes in seconds, trace them back to EVV or eligibility issues, and fix them before month end. Bring your questions—this is the practical stuff that rarely makes it into manuals.
Key Takeaways:
1. A visual “remit anatomy” guide – know exactly where member ID, LOC, PMP and waiver flags hide in Anthem/Humana vs. UHC formats.
2. Top five PathWays denial codes—decoded – what they really mean and the fastest way to clear them.
3. A two level reconciliation workflow that links EVV exports, claim files and 835s so nothing slips between systems.
