Peerclaim

Recovery community organizations often record peer-support contacts in shared spreadsheets, then manually translate them into billable encounters. The supplied research confirms that 41 states reimburse peer-support services and cites $12–$65 per 15-minute unit, observed reimbursement references, not fixed product pricing. It also confirms one claims interface supporting both synchronous and batch professional-claim submission, while finding no direct peer-specialist encounter billing tool. A named reference product in the original rationale was misidentified as a behavioral-health record incumbent; the source research corrects it to a discharge-education product and the public case does not rely on that false comparison. Peerclaim captures only services actually supplied and confirmed by the peer specialist, including date, duration, location, modality, goal, qualifying activity, supervision and required attestations under an approved state, program and payer rule version. Voice output is a draft: recording notice and consent where applicable, speaker and encounter binding, transcript review and correction are mandatory. The product never invents a clinical diagnosis, establishes medical necessity, expands a peer's scope, chooses a code for unattended submission or guarantees reimbursement. Encounter, signed documentation, supervisor review, coding review, claim approval, submission command, clearinghouse acknowledgment, payer acceptance, adjudication, denial, payment, remittance, appeal and correction remain distinct.

An operations, billing or program leader at a recovery community organization that employs peer-support specialists and currently translates encounter logs into Medicaid claims manually.