For clearinghouses & partners
One integration.
Many independent providers.
AgilaCare is a multi-provider care-management and billing platform for Medicaid-funded agencies. We are looking for long-term EDI partners that can carry our providers' claims, eligibility and remittance — starting in Pennsylvania and growing state by state.
How it works
Each provider keeps its own connection
AgilaCare builds clean, validated X12 5010 files from verified visits. Each agency connects its own account and enrollments — AgilaCare carries the files, the provider stays the submitter of record.
- Provider Aits own account & enrollments
- Provider Bits own account & enrollments
- Provider Cits own account & enrollments
AgilaCare EDI engine
Claims from verified visits · validation before sending · routing per provider and payer · acknowledgements, status and 835 picked up automatically · full transaction history
- Clearinghouse partnerSFTP or real-time web services
- State Medicaid (PA PROMISe)Direct, certified connection
Transactions
What we exchange today
ASC X12 version 5010.
- 837P
Professional claims
Certified - 270/271
Eligibility — batch and real time
Certified - 835
Remittance advice (ERA), auto-posted
Supported - 999
Implementation acknowledgement
Supported - TA1
Interchange acknowledgement
Supported - 277CA
Claim acknowledgement
Supported
EVV: certified with the Sandata aggregator for Pennsylvania DHS.
Why partner with AgilaCare
Built to be easy to carry
Clean claims
Every claim comes from a GPS-verified visit, an active authorization and a submitted Daily Note — and is validated before it leaves.
One integration
Connect once; every AgilaCare provider who chooses you is onboarded through the same connection, with no new build.
Simple for providers
Agencies connect their account in minutes inside AgilaCare — fewer support calls for your team.
The path to go-live
How we work with a new partner
- 1
Introduction
A short call on coverage, transactions, connection type and commercial terms.
- 2
Specifications
We receive your companion guides and test environment access.
- 3
End-to-end testing
Claims, acknowledgements, status and remittance with test data until every scenario passes.
- 4
Go live
Providers connect their own accounts and start sending through you.
Let's build the connection together.
Write to admin@agilacare.com — our integration team will get back to you.