How EVV Bridge Works.

From your visit data to your state aggregator in four steps. EVV Bridge automates the transmission so your team can focus on patient care.

Step 01
1
Ingest
API · SFTP · Portal upload
Step 02
2
Validate
State rules · schema · required fields
Step 03
3
Normalize
State-aggregator exact format
Step 04
4
Transmit
Near real-time · auto-retry · acknowledged
The EVV Bridge process

Automated EVV data transmission in four steps.

Each stage is independently monitored and retryable. Your team gets visibility without operating the pipeline.

01 · Process
Step 011

Ingest — your EVV data, your way.

Your EVV data comes to us automatically through your preferred method. We support multiple integration options to fit your workflow, not the other way around.

  • API integration for real-time data sync
  • Secure file upload (SFTP, HTTPS)
  • Batch file processing
  • Compatible with major EMR systems
Step 022

Validate — surface issues before transmission.

Every record is validated against state-specific requirements before submission. Issues are flagged to your team early, with the detail needed to correct them.

  • State-specific validation rules
  • Required field verification
  • Data format checking
  • Early issue detection and alerts
Step 033

Normalize: one source, each aggregator format.

Data is transformed into the exact format required by your state aggregator. Each state has different specifications that EVV Bridge applies automatically.

  • Automatic format conversion
  • State aggregator specifications
  • Data enrichment where needed
  • Multi-state support from a single source
Step 044

Transmit — near real-time, with automatic retry.

Validated, normalized data is transmitted to your state aggregator in near real-time, with automatic retry and a per-record audit log.

  • Near real-time transmission
  • Acknowledgement tracking per record
  • Automatic retry on failures
  • Comprehensive audit logging
Integration options

Meet your team where they are.

Three ways to get data into EVV Bridge. Pick one, or combine them.

02 · Integration
REST APIReal-time

REST API

Real-time integration via our secure REST API. Ideal for organizations with development resources who want automated data sync.

POST /v1/visits
Authorization: Bearer …
Content-Type: application/json

{
  "visit_id": "v_87a3f1",
  "state":    "TX",
  "patient":  "p_9c12",
  "caregiver":"c_47ab",
  "start_ts": "2026-04-15T09:02:11Z",
  "end_ts":   "2026-04-15T13:18:44Z"
}
File UploadManual

File Upload

Upload your EVV data files through our secure web portal. Simple and straightforward for teams without technical resources.

evv-2026-04-15.csv
───────────────────────────
visit_id,state,patient_id,
caregiver_id,start,end
v_87a3f1,TX,p_9c12,c_47ab,
2026-04-15T09:02,13:18
…
Upload · Validate · Submit
SFTPScheduled

SFTP

Automated batch file transfer via secure FTP. Set it up once and your data flows automatically on your schedule.

sftp.syndech.com
user@agency:~$ put evv_daily.csv
  Uploading evv_daily.csv
  100%  2.1 MB   11 MB/s
Schedule · 04:00 UTC daily
Retention · 90 days
Encryption · SSH-2 / AES-256
Aggregator roadmap

Where EVV Bridge connects first.

Connectors for Sandata and HHAeXchange are in development, starting with high-volume Medicaid states. Each aggregator requires vendor testing before go-live, which we complete with the first agency in each state.

03 · Coverage
State
Jurisdiction
Aggregator
Status
TX
Texas
TMHP
Planned
FL
Florida
Netsmart
Planned
CA
California
CalEVV (Sandata)
In development
IL
Illinois
HHAeXchange
In development
OH
Ohio
Sandata
In development
PA
Pennsylvania
Sandata
In development
NY
New York
HHAeXchange
In development
More aggregators plannedDon't see your state? · Contact us →
Technical details

Built for reliability and security.

04 · Platform

Enterprise-grade infrastructure.

EVV Bridge is built on cloud infrastructure designed for healthcare data processing. It is designed for high visit volumes, with comprehensive security controls: the same stack large home care agencies build in-house, packaged as a managed service.

We built this system to handle enterprise-scale EVV requirements. That same reliability is now available to agencies of all sizes.
Compliance posture
HIPAA
Encryption
TLS 1.3 in transit
At rest
AES-256
Audit logging
Comprehensive, per-record
Acknowledgements
Tracked per record
Retry policy
Automatic on transient failures

Ready to get started?

See EVV Bridge in action with a personalized walkthrough. We'll work through your volume, states, and integration method in a 30-minute call. No slide deck required.