Revenue infrastructure for pediatric day-based care
Harbor enforces clean claims at the moment operational errors occur. Instead of discovering billing problems after submission, Harbor blocks claim readiness until authorization, attendance, and documentation requirements are satisfied — with AI agents to prevent repeat defects.
Why this wedge works
PPEC reimbursement is documentation-heavy and evidence-driven. When operational truth is fragmented, revenue becomes unpredictable. Harbor makes revenue predictable by turning compliance into workflow enforcement.
Operations
intake, authorizations, attendance, documentation
Enforcement layer
validation + exceptions + ownership + audit trail
Clean claims
EDI + status + reconciliation — boring-correct
What is a PPEC?
PPEC (Prescribed Pediatric Extended Care) centers provide daytime medical care for medically fragile children in a structured clinical setting — combining skilled nursing, therapy services, transportation, and coordinated documentation.
Daytime clinical care
Children attend daily like school/daycare — but with skilled nursing, therapy, and oversight.
Evidence-driven reimbursement
Payment depends on authorization, attendance truth, and documentation artifacts being complete and consistent.
Operational complexity
Transportation components, multi-segment service units, and time-bound certifications create frequent edge cases.
Harbor’s wedge
Revenue cycle infrastructure built directly on operational evidence.
Harbor wins by doing what generic systems do not:
- Make authorization and documentation requirements explicit and enforceable
- Validate at the moment services occur (not at month-end)
- Create owned exceptions with due dates (not “missing fields” lists)
- Tie EDI submissions and payer responses back to the evidence that produced the claim
- Use agents to reduce repetitive defect patterns and administrative burden
Expansion path
From PPEC operations into adjacent day-based, Medicaid-reimbursed care settings that share the same evidence-driven reimbursement constraints.
Multi-center operations
Consolidated reporting, consistent controls, and standardized workflows across centers and regions.
Payer rule libraries
Reusable rule sets and validation logic per payer/state — turning experience into software.
Agentic automation
Workflow agents that reduce denial classes and accelerate resolution while preserving auditability.
Request the investor brief
We’ll share the memo and walk through the platform, go-to-market, and expansion path.