The Billing & Payments project establishes a unified, automated financial backbone for dala.care, enabling agencies to seamlessly convert care delivery data into accurate invoices, payroll, and real-time financial reporting.
Today, agencies rely on fragmented tools, manual reconciliation, and error-prone workflows that delay revenue and undermine trust. Billing & Payments transforms these processes by tightly integrating visit data, care plans, schedules, EVV events, caregiver activity logs, and audit trails into a single financial engine.
The project delivers:
1. End-to-End Billing Automation
Automatically generates invoices from completed visits, approved timesheets, and payer rules.
Supports private-pay, Medicaid, insurance, and municipal billing models.
Handles rate tables, overtime rules, service codes, modifiers, split shifts, and multi-payer scenarios.
2. Integrated Payments
Provides modern payment options including ACH, cards, and recurring billing.
Reconciles payments automatically and updates the agency ledger in real time.
Initiates caregiver payroll through integrated providers (e.g., QuickBooks, or similar).
3. Real-Time Financial Visibility
Dashboards showing gross revenue, outstanding invoices, caregiver cost, margins, and write-offs.
Alerts for billing exceptions, pending approvals, and discrepancies flagged by the Audit Trail.
4. API-Driven & MCP-Enabled
Exposes clean financial APIs that partner systems (e.g., Sensi.ai) can embed into their workflows.
Supports agentic automation: billing agents can prepare invoices, validate exceptions, and notify admins using MCP-driven logic.
5. Compliance & Trust
Transparent audit logs tying every billed unit to a verified care event.
Reduces claim denials and supports compliance with Medicaid EVV and payer-specific requirements.
Outcome
Billing & Payments turns dala.care from a scheduling and operations platform into a revenue engine for agencies, shortening cash cycles, reducing admin time, eliminating errors, and establishing a financial layer that can scale across home care, municipal care, and clinical-research reimbursement models.