Good morning, Pedro

Active clients

0

Notes awaiting approval

0

Unbilled claims

0

Collected in July (demo)

$0

Open denials

0

Clean claim rate

—

goal >95%

Days in AR

31

goal <40

💵 Collected revenuelast 6 months (thousands $)

⚡ Compliance alertsthe pipeline watchdog

🔄 TCM Pipelineevery case at its stage · handbook deadlines

🛡️ Units guardiancase auth + 344/month cap

🔍 Audit risk by case managercontinuous self-audit (MPI)

Score = notes with findings + note-to-note similarity + atypical units/day. Green <15% · Amber 15-30% · Red >30%

📡 Florida 2026 Radartransitions + regulatory watch

until the CMS Plan → Molina transition (Oct 1, 2026)

3 CMS Plan clients detected — start Molina credentialing NOW · CoC up to 8 months

🟡

8 clients changed plans this month — caught by the batch 271 check on the 1st.

SMMC 3.0 · claims re-routed automatically

🔵

FX/PSM live since April — enrollment and revalidations now via enterprise.floridafx.gov.

Q3 revalidations: 2 case managers

🟢

Monday watch: no changes in fee schedules or 59G policies.

🟠

October: PA-list quarter — Humana and other MCOs publish new lists.

Automatic reminder scheduled

📋 Today's queueclick to go

⏳ Appeals about to expiredenials on the clock

Clients

Stored in your browser (localStorage) — add as many as you want

Client	Medicaid ID	Dx (validity)	Payer	Authorized units	Used

Team

5 supervisors · 50 case managers — caseloads, units and audit risk (for inspections: who supervises whom, in one click)

New progress note

The validator checks against the handbook BEFORE you complete the note

Document title

Billable

Case # (auto)

Client

Current Dx (auto)

Date of service

Code

Place (POS)

Face-to-face

TCM service performed (all 14 from the handbook)

Service name (short label, Cedrus style)

Start time

Duration (min)

End time (auto)

Plan objective addressed

Observed progress

Area of Need — service plan domains & GOALS (check what was worked on TODAY)

= Cedrus' "Select Objectives", but wired to the validator

Summary of Service / Narrative (Intervention)

Outcome of Service(s) *

Follow-up *

✍️ CASE MANAGER SIGNATURE

"I certify that I provided the services documented above in accordance with all applicable regulations."

Print name

Credentials

Sign Here — checking = legal electronic signature (eSign)

The SUPERVISOR signs in the Notes/Approval tab — never in the same act (separation of roles).

✨

NorthBridge AI Validator

Fill out the note and press
“Validate with NorthBridge AI”

Notes / Supervisor approval

Each supervisor sees and approves ONLY their TCMs' notes — the real role-based flow

Acting as

Status	Client	DOS	Service	Units	AI Score	Action

Billing

Real TCM Fee Schedule rate: $14.82/unit · batch + simulated 835

Billing Reports

Cuts by service date on the real calendar — weekly (Sun–Sat), biweekly (1–15 / 16–end), monthly and yearly

Period

From

To

📅 Breakdown by periodbilled vs collected · real calendar

👤 By supervisor (in range)

Claims detail in range

Billing Center — EDI BETA

⚡ EDI active since May 18, 2026 · Clearinghouse: Claim.MD

Electronic claims, 835 remittances, eligibility, per-client statements, reports and audit trail — with NorthBridge AI validating before anything is generated.

Reference 📚

The project's real knowledge base, fully searchable — data from official sources

Table

Search

Ask NorthBridge AI ✨

Real search across the embedded base: type a code (CO-50, F33.2, T1017, 90837) or a question

Hi Pedro! I'm NorthBridge AI 👋 — your Florida billing expert. Ask me in English or Spanish (I reply in the same language). Pregúntame en inglés o español y te respondo en tu idioma. I search the project's real knowledge base and cite the source.

CO-197

F32.9

90837

H2019

Molina timely filing

what is a write-off?

TCM units math

golden thread

837 vs 835

re-bill dual denial