From referral to reimbursement
Harbor connects the full PPEC lifecycle — intake, authorizations, attendance, documentation, and billing — so every claim is tied to evidence, validated in workflow, and ready for submission.
Harbor is the system of record across modules and integrations — with a unified audit trail.
Built for real operations
Harbor connects daily operations, authorizations, and billing into one system so care delivered becomes claims paid.
Attendance Dashboard
Daily truth across nursing, therapy, and transportation segments.
Exception Engine
Blocking defects with owners, due dates, and evidence links — before billing.
Billing Readiness
Claim packages validated in workflow, so submissions stay clean.
Authorization Tracking
Coverage windows, units remaining, and proactive warnings in daily operations.
Modules
Each module is built to feed the next stage of the pipeline — with validations and ownership that prevent downstream denial cleanup.
Referral intake
CRM pipeline, onboarding readiness, required artifacts, and tasks.
Authorizations
Eligibility, coverage windows, units, transportation components, and limits.
Scheduling & attendance
Daily truth with nursing, therapy, and transportation segments.
Documentation
POCs, orders, incident reports, transport logs — tracked as requirements.
Exceptions & tasks
Blocking/non‑blocking defects with owners, due dates, and audit trails.
Billing & EDI
Claim readiness, submission, status tracking, and reconciliation.
Analytics
Utilization, readiness, leakage, and financial performance.
Harbor Agents
AI assistance embedded in workflow to prevent denials before they happen.
Start clean — so everything downstream is clean.
Intake is where workflows drift: missing artifacts, incomplete eligibility, unclear requirements. Harbor turns intake into a structured readiness workflow with ownership and visibility.
- Referral CRM pipeline with statuses and milestones
- Readiness checklist for artifacts and payer requirements
- Tasks for follow‑ups (owned, due, auditable)
Authorization-aware operations.
Harbor keeps coverage windows, limits, and requirements present in every workflow — especially scheduling and attendance — so centers don’t discover gaps during billing cleanup.
- Coverage windows, service components, and unit limits
- Transportation authorization tracking (where applicable)
- Pre‑checks to warn before services drift out of bounds
When limits are exceeded or windows lapse, Harbor creates an owned exception and blocks claim readiness.
Operational truth that billing can trust.
Harbor captures the daily truth — attendance, segments, and service components — as first‑class records. That data becomes the source of units and the evidence behind claims.
- Multi‑segment attendance (nursing, therapy, transportation)
- Capacity and utilization visibility
- Validation against authorization limits as units accrue
Compliance as a requirement — not a scramble.
Harbor tracks required artifacts (POCs, orders, transportation logs, incident reports, and other evidence) as structured requirements tied directly to the child, payer, and time window.
- Plan of Care lifecycle and versioning
- Artifact completeness checks and expiry monitoring
- Exceptions when documentation is missing or invalid
For details on controls and auditability, see Compliance.
Own the defect while it’s still cheap.
When something is missing, out of bounds, or inconsistent, Harbor creates an exception with an owner and due date. Blocking exceptions prevent claim readiness; non‑blocking exceptions are still tracked and auditable.
- Exceptions are actionable: owned, due, and categorized
- Tasks unify follow-ups across CRM, compliance, and billing
- Audit trail on every change, assignment, and resolution
Billing, EDI, and reconciliation
Harbor’s billing pipeline is fed by validated operational truth. Claims are generated when (and only when) requirements are satisfied — then tracked through EDI responses and reconciled back to the original evidence.
Claim readiness
Rules-based validation across attendance, authorizations, and documentation before claim creation.
EDI submissions
Generate, submit, and track acknowledgements and rejections with full traceability.
Denial prevention + triage
Prevent common denial classes up front; route rejections and denials into owned work queues with the evidence attached.
Visibility operators can act on.
Harbor gives real-time visibility into utilization, readiness, exceptions, and financial performance — across centers, payers, and cohorts.
- Operational dashboards (attendance, capacity, utilization)
- Revenue dashboards (readiness, submission status, leakage)
- Drill-down from KPI → exceptions → underlying evidence
Harbor Agents
Agents are not a separate tool — they live inside Harbor. They continuously monitor the pipeline, draft work, and route tasks to the right role with approvals and auditability.
Pre-checks and proactive alerts
Agents warn before scheduling and before billing when artifacts are missing, expired, or inconsistent.
Drafting and evidence packaging
Agents assemble claim evidence packages, draft notes, and propose resolutions — with human approval.
Exception routing
Agents assign owners, set due dates, and recommend actions based on workflow context and payer rules.
Want to see the product end-to-end?
We’ll walk your team through the pipeline using your payer mix and center workflow.