Resource Topic

Claim Center

Claims preparation, scrubbing, submission, reconciliation, payer reports, and reimbursement workflows in ElderSuite.

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Adult Day Care Billing Software Adult Day Care Attendance Software Pricing & Plans Start Your Free 30-Day Trial

Illustration of adult day care billing code setup on a payment type, with no readable procedure codes, dollars, or client information.

Adult Day Care Billing Codes S5100, S5101, S5102 and S5105 in ElderSuite

What S5100, S5101, S5102 and S5105 mean, which unit each bills by, and how the code and unit are set on a Payment Type in ElderSuite.

September 6, 2026

Illustration of a remittance / mailbox vibe for one missing payer 835, with no readable patient names, PHI, claim dollars, or form copy.

Guide

Why One Payer Never Sends an 835 to ElderSuite

An 835 remittance advice reaches ElderSuite only if the payer delivers it through your clearinghouse. How to tell whether a payer delivers automatically, needs ERA enrollment, or never sends one.

September 5, 2026

Stack of billing reports for ElderSuite Claim Center

Guide

The Billing Reports ElderSuite Downloads and What Each One Means

One batch of claims comes back as several reports at different stages. Here is what each report family means, how to download them, and which ones Auto Reconcile can use.

September 5, 2026

Illustration of a stack of report pages with a bar chart on top, with no readable client names, PHI, or claim numbers.

Guide

How to View and Print Billing Reports in ElderSuite

Download Availity or TMHP response files from Claim Center → View Reports, learn what each report type answers (EBT, IBT, 277, DPR, ERA/835), and print them. Reconcile claims from the same files.

September 4, 2026

Illustration of a claim document with a correction overlay, with no readable claim numbers, PHI, or client names.

Guide

How to Adjust a Submitted Claim in ElderSuite

Replace or void an already-submitted claim in Claim Center: set Pending, choose Replacement or Void, enter the payer's Original Reference No., scrub, then Process Claims.

September 4, 2026

Illustration of two pipes from an office to two clearinghouse endpoints, with no readable credentials or client information.

Guide

How to Manage Clearinghouses in ElderSuite

Open Claim Center → Manage Clearing Houses to enter Availity FTP mailbox or TMHP Submitter credentials, run Test Connection, and update the Password box after a clearinghouse login change.

September 4, 2026

Illustration of a generic claim form with one field highlighted, with no readable NPI, names, or codes.

Article

How Do I Change My Taxonomy Code in ElderSuite? (You Don't — Here's Why)

ElderSuite sends Adult Day Care taxonomy 261QA0600X on electronic claims. There is no field to edit. If a payer reports a mismatch, update enrollment with the payer, then resubmit.

September 4, 2026

Illustration of a generic payment-type list and payer record, with no readable names, no personal information, and no payer IDs.

Guide

How to Manage Payment Types in ElderSuite

Open Manage Payment Types from the Claim Center, then add or edit a Payment Type in Payment Type Information. A payer in ElderSuite is a Payment Type, not a separate module.

August 29, 2026

Illustration of a generic claims list with status tags, a short check-and-change flow, and a simple ElderSuite-style reconcile grid with no readable names.

Guide

How to Reconcile Claims in ElderSuite

Open Reconcile Claims from the Claim Center, Find claims for the date range, check the rows to update, apply a new status with Change to..., then Save & Close.

August 25, 2026

Illustration of a generic adult day care claim path from attendance checks to a clearinghouse report, with no readable names or codes.

Article

Adult Day Care Claim Denials: Common Causes and How to Prevent Them

Adult day care claim problems often begin before submission. Check attendance, payer information, provider identifiers, authorization requirements, and units, then review the reports that come back.

August 23, 2026

Illustration of a generic adult day care claim file moving from a center through a named clearinghouse to a payer, with reports coming back and no readable names.

Article

What Is a Clearinghouse? A Guide for Adult Day Care Providers

A clearinghouse sits between the adult day care center and the payer. It receives the electronic claim transaction and returns response files. Acceptance is not payment.

August 23, 2026

Illustration of a generic adult day care attendance record becoming an electronic professional claim file sent to a named clearinghouse, with no readable names or IDs.

Article

837P Claims for Adult Day Care Providers: A Plain-English Guide

An 837P is the professional electronic claim file ElderSuite builds from stored billing and service data and sends through the appropriate clearinghouse. Staff never type one by hand.

August 23, 2026

Illustration of a generic adult day care attendance day flowing into units, a claim, a named clearinghouse path, and a remittance check, with no readable names.

Article

Medicaid Billing for Adult Day Care: A Practical Guide

Medicaid billing for adult day care runs from eligibility and attendance to units, a claim, a clearinghouse, and remittance. Each state Medicaid program still sets rates, codes, authorization, and routing rules.

August 23, 2026

Illustration of a generic adult day care attendance grid flowing into a claim form, a clearinghouse path, and a reports-versus-payment check, with no readable names.

Article

Adult Day Care Billing Software: What Providers Should Look For

Adult day care billing software should keep claims tied to daily attendance, review billing data before submission, transmit through the correct clearinghouse, and reconcile payer results.

August 23, 2026

Illustration of a generic claim stack, a payer-to-clearinghouse flow, and an ElderSuite-style Process Claims wizard with no readable client or claim data.

Guide

How to Process Claims in ElderSuite

Claims must be scrubbed successfully before submission. Run Scrub & Fix, resolve all scrub errors, then use Process Claims to select the payer, clearinghouse, service dates, and clients.

August 17, 2026

Soft-UI illustration of a generic claim form on the left, a check-and-flag flow in the middle, and a generic ElderSuite-style claims grid on the right. No readable client or claim data.

Guide

How to Scrub Claims in ElderSuite

Scrub Claims is the required pre-submission step that reviews Pending claims, fills available billing details, refreshes rates, and flags unresolved errors.

August 16, 2026

Illustration of ElderSuite connecting to TMHP for claim submission and report downloads without a VPN

Article

TMHP Connectivity Changes for ElderSuite Claims and Reports

TMHP is replacing VPN connectivity for batch EDI transactions with SFTP on September 1, 2026. Current ElderSuite versions use the SFTP workflow for TMHP claims and report downloads.

July 14, 2026

Illustration of clearinghouse claim reports being reconciled with ElderSuite records

Guide

How Auto Reconcile Updates Claim Statuses in ElderSuite

Learn how Auto Reconcile matches clearinghouse report data with ElderSuite records and automatically updates claim statuses, claim numbers, and audit notes.

November 18, 2025

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