Every visit verified.Every rejection explained.
GPS-verified clock-in, aggregator transmission, and plain-English rejections in one place.
Invite-only. Every agency starts with a conversation.
Today
Tuesday · Sample Home Care
- Visits today128
- Sent to aggregator121
- Accepted117
- Need attention3
Visits
| Caregiver / client | Service | Visit | Status |
|---|---|---|---|
| Maria LopezE. Johnson | Personal care | 8:00 – 10:00 AM | Accepted |
| Aisha KhanD. Nguyen | Personal care | 9:00 – 11:00 AM | Needs action |
| James TurnerR. Alvarez | Homemaker | 9:30 – 11:30 AM | Sent |
| Daniel ReedM. Brooks | Respite | 10:00 AM – 1:00 PM | Clocked in |
| Grace ParkL. Carter | Personal care | 12:30 – 3:00 PM | In progress |
Needs attention
- Needs action
The state doesn't recognize this client's Medicaid ID
Check the ID against their eligibility letter, then resend.
- Needs review
Clock-out was 0.6 mi from the service address
Confirm with the caregiver, then approve or edit with a reason code.
Open exception queue
A visit that doesn't reach the aggregator clean is a visit you don't get paid for.
Every Medicaid-funded personal care and home health visit has to be verified electronically and sent to your state's aggregator. In states that validate claims against EVV data, a visit that never arrives clean can mean a claim that isn't paid. Garnet gets it there clean, and tells you plainly when it doesn't.

Everything between the front door and the aggregator.
Four parts of Garnet, built around how Medicaid home care actually works.
Two visits need attention. One was accepted.
REJECTED 1207 CLIENT_IDENTIFIER_UNMATCHED
The state doesn't recognize this client's Medicaid ID
Needs actionCheck the ID on the client's record against their eligibility letter. Correct it, then resend the visit.
REJECTED 3310 SVC_AUTH_DATE_RANGE
This visit falls outside the client's authorization dates
Needs reviewIf the authorization was renewed, update its end date on the client's record, then resend the visit.
ACK 0000
Visit accepted by the aggregator
AcceptedNothing to do.
Exception queue
Rejections explained in English.
When a visit doesn't meet your state's program rules, the aggregator rejects it. Garnet puts every rejection in one queue with what went wrong and how to fix it, and polls for status so you know a visit was accepted without logging in somewhere else.
Learn about the exception queueSpecific, not superlative.
What Garnet does, in details you can check for yourself in a demo.
2 GPS captures per visit
Location and accuracy radius at clock-in and at clock-out, checked against the client's service address.
6 yrs Audit log retention
Append-only. Entries are added and never edited or removed.
0 Raw error codes to decode
Every aggregator rejection is mapped to plain English and a way to resolve it.
Built for the obligations HIPAA places on you.
Compliance takes policies and training too, so we won't hand you a badge. These are the specific safeguards Garnet provides.
Roles and access
| Admin | Supervisor | Caregiver | |
|---|---|---|---|
| Agency settings | |||
| All visits and clients | |||
| Own visits and assigned clients |
Role-based access
Everyone sees only what their role requires.
Administrators, supervisors, and caregivers have separate permissions. Caregivers see only their own visits and assigned clients.
From the client's door to a visit you can bill from.
The caregiver clocks in
From their phone, against the scheduled visit. GPS is captured at clock-in and clock-out, with or without signal.
Garnet transmits the visit
Client, employee, and visit records go to your state's aggregator in the required order, in the background.
Exceptions come back in English
If a visit doesn't meet the state's program rules, it appears in your queue with what happened and what to do.
You bill from verified data
Export verified visits as CSV for billing. Garnet produces the visit data you bill from. It does not submit claims.
See what a rejection looks like in plain English.
We'll walk you through visit capture, transmission, and the exception queue, and answer your compliance lead's questions directly.
Garnet is invite-only. Every agency starts here.

REJECTED 1207 CLIENT_IDENTIFIER_UNMATCHED
The state doesn't recognize this client's Medicaid ID
Needs action