VA Community Care software for nursing agencies: document the visit, produce the UB-04.
Agencies that care for veterans through VA Community Care carry the same operational work as any nursing agency, plus a claim form most small agencies never had to produce. Paloma Clinical documents VA Community Care visits and produces UB-04 claims for them.
UB-04 claims are included for every Clinical agency, for administrators and billing staff.
What Paloma is, and who it is for.
Paloma Clinical is operations software for nursing agencies, and it supports VA Community Care work. The referral becomes a patient and orders, visits are scheduled and charted, the Director of Nursing reviews each note, and administrators and billing staff produce UB-04 claims for the visits.
It is for agencies that already serve veterans in the community, or are adding that work beside pharmacy-paid or private-pay nursing. One price per agency covers every Clinical capability, including UB-04 claims.
Paloma’s current commercial focus is home infusion and specialty pharmacy nursing. Paloma Cares is a broader healthcare operations platform, with Medicare-certified home health coming next and Paloma Talent providing workforce capabilities for eligible subscribers.
A second payer means a second process.
The claim is unfamiliar
An agency used to invoicing a pharmacy or a family now has to produce an institutional claim, and learns the form by having claims returned.
Documentation has to support the claim
A visit that was made but not properly documented and reviewed is a claim that cannot be defended.
Two systems for one nurse
When VA work is tracked apart from everything else, the same nurse has two schedules and two places to chart.
A billing service, a fillable PDF, or not at all.
Small agencies usually meet the UB-04 in one of three ways: they pay a billing service a percentage, they fill in the form by hand from the visit notes, or they decline the work. In each case the claim is assembled far from the record of the visit it describes.
In Paloma the claim is produced from the same record the nurse charted and the DON reviewed, by the administrators and billing staff your agency authorises.
The same record, from referral to claim.
Referral → patient
AI reads the referral documents and proposes the patient, orders and prescriber. Your intake staff review what it proposes.
Authorization → visit
Each authorization is tracked with its dates and the visits used against it, and is flagged when it is expiring or running low. Orders become scheduled visits, and you see licence and competency status before assigning a nurse.
Visit → review
The nurse charts the visit on a phone. The DON reviews, returns for correction, or approves.
Reviewed visit → UB-04
Administrators and billing staff produce UB-04 claims for VA Community Care visits.
Who Paloma is for, and what to know before you buy.
A good fit
Nursing agencies that provide skilled visits to veterans under VA Community Care and want the visit record and the claim in one place.
How claims are submitted
Paloma produces the UB-04 for you to download and submit through your Community Care Network’s portal, under your contract with that network. Electronic submission through a clearinghouse is coming later.
Not what Paloma is
Paloma does not enrol your agency as a VA community provider or request authorizations from the VA. It tracks the authorizations you hold and keeps the records the work depends on.
Simple pricing. No feature tiers. No per-user charges.
One price per agency, monthly or annual. Create your agency yourself; we are here if you want help.
The complete Clinical product. Every Clinical capability included.
- Referral intake with AI document reading
- Orders and pharmacy workflows
- Scheduling
- Nurse charting and DON review
- Workforce readiness
- Billing and survey tools
$499 charged at checkout. Renews monthly.$4,990 charged at checkout. Renews annually.
Prefer help? Book a guided demo
Run the care and find the clinicians to deliver it. When a patient needs staffing, search from the patient chart: your own eligible staff first, then Paloma Talent prospects near the patient.
- Everything in Paloma Clinical
- Find Staff from the patient chart: your own eligible staff first, then Paloma Talent prospects near the patient
- Call, email or invite prospects straight from the staffing search; no patient-identifying details leave your agency
- No placement fee when you hire through Paloma Talent under this plan
$999 charged at checkout. Renews monthly.$9,990 charged at checkout. Renews annually.
Prefer help? Book a guided demo
Paloma Talent on its own has no monthly fee: a placement fee is earned only when a candidate we introduced accepts your offer. No hire, no fee. See Paloma Talent →
VA Community Care agency software: what agencies ask.
Does Paloma support VA Community Care?
Yes. Paloma Clinical documents VA Community Care visits and produces UB-04 claims for them. UB-04 claims are included for every Clinical agency.
Who in my agency can produce UB-04 claims?
UB-04 claims are for administrators and billing staff. Staff see and do what their role allows.
Can we run VA and pharmacy-paid work in the same system?
Yes. The same Clinical platform runs referrals, orders, scheduling, charting, DON review and staff readiness for all of an agency’s patients, with pharmacy invoices for pharmacy-paid visits and UB-04 claims for VA Community Care visits.
What does Paloma cost?
Paloma Clinical is one price per agency, with every Clinical capability included and no per-user charges. You can pay monthly or annually; annual saves two months. The current prices are in the table on this page and on the pricing page.
How do I start?
Explore the demo agency first: it is a working Paloma with synthetic data and needs no sign-up. When you are ready, create your agency and sign your agreements, including a Business Associate Agreement before any patient information is added. Your first billing period is charged when you complete checkout. There is no trial.
Related: Home infusion software · Private duty nursing software · Pricing · All of Paloma Clinical
See your workflow in Paloma.
Explore the live demo agency now, or book a guided demo around your own referrals, pharmacies and staff.
The demo agency uses synthetic data; no credit card required · create your agency when you are ready (first billing period charged at checkout) · or talk to a person