Authorization gaps
Services rendered before authorization is confirmed create direct claims exposure. Every unconfirmed auth is a potential denial that cannot be recovered from the visit record alone.
Harbor
Most systems record operations. Harbor enforces them.
Harbor is the end-to-end operating platform for PPEC centers. Every intake, authorization, attendance record, clinical note, claim, and remittance stays connected to the work that actually happened.
Pediatric day-based healthcare — PPEC
Audit-traced operations
Claim-to-remittance visibility
PPEC operations have no margin for disconnected systems.
When intake, clinical documentation, authorization tracking, and billing run in separate tools — or are handled manually — the exposure compounds at every step.
Documentation drift
Notes completed after the visit break the audit trail between the attendance record and the claim. Payers check the timeline. Gaps in documentation sequence are grounds for denial and recoupment.
Revenue leakage
Denials without a structured workflow, unreconciled remittances, and missing denial follow-up compound into systemic revenue loss. Each gap that goes unworked is a permanent write-off.
One connected operating workflow.
Harbor connects every step of the PPEC operating cycle. Each stage gates the next — so a claim cannot be submitted without completed documentation, and a visit cannot be recorded without confirmed authorization.
What Harbor covers.
Every function in the PPEC operating cycle — from the first intake call to the final remittance posting — runs in a single connected system.
Intake & eligibility
Patient onboarding, demographics, insurance verification, and eligibility confirmation. Every new patient enters the system with the payer coverage confirmed before care begins.
Authorization management
Prior authorization tracking for every covered service. Auth expiry alerts, units remaining, and renewal workflows tied directly to the attendance and claim record.
Attendance
Daily attendance recording with sign-in and sign-out timestamps. Attendance records link directly to the authorization unit ledger and trigger clinical documentation workflows.
Clinical documentation
Structured clinical notes with date-stamped completion. Notes complete against the attendance record, creating the linked documentation chain the claim depends on.
Claims
Claim generation from the visit and authorization record. Claim readiness check, scrub, and submission ledger so every claim enters the payer rail in a billable state.
EDI & payer connectivity
837P claim submission, 835 ERA ingestion, 999/277CA response handling. Medicaid-dominant payer rail with structured payer routing. All EDI processing is live.
Remittance & reconciliation
ERA posting, payment application, denial recording, and remittance reconciliation into the general ledger. Every payment maps back to the claim it covers.
Compliance & audit
Every workflow transition, clinical entry, and billing action carries a traceable audit record. The audit trail connects the visit to the claim to the payment, so every step is defensible.
Harbor composes Aegis platform infrastructure.
Harbor is not a standalone app. It composes the Aegis platform's CRM, billing, communications, documents, automation, and compliance modules — and adds the PPEC-specific domain logic on top.
Platform modules handle multi-tenant isolation, permissions, audit trails, eFax, event processing, and the double-entry ledger. Harbor contributes the clinical workflow, authorization management, and PPEC-specific payer rail.
This structure means platform improvements — new EDI capabilities, updated compliance controls, improved document handling — compound directly into Harbor without rebuilding the vertical.
Harbor — Platform modules
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CRM + Patient records
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Documents + Forms
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Comms + Fax
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Billing + Ledger
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Authorization workflows
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Audit + Compliance
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Related across the Aegis portfolio.
Emprise Healthcare
Healthcare operations for ADHC, PACE, PHP, IOP, behavioral health, and multi-location programs. The broader healthcare umbrella that Harbor operates within.
Explore EmprisePayDoc
Aegis's billing and RCM module, including the Aegis clearinghouse, 837P/835 EDI, credentialing, denial management, and claim-to-cash-to-GL visibility — the billing spine Harbor runs on.
Explore PayDocGet started
Operating a PPEC center?
Bring the operating problem. Harbor is built for the specific compliance, authorization, and billing environment that PPEC centers operate in.