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& Claims

Applications

Manage sponsor applications, program compliance, claims reimbursement, and more! 

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Customers

Trusted by State Agencies Nationwide

Trusted by State Agencies Nationwide dept educ
Trusted by State Agencies Nationwide utah state

Key Features

Comprehensive Solutions for Applications & Claims

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Filter claims by program, status, amount, and more.

Claim exports formatted for your payment systems.

Easily set state reimbursement rates.

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Application Question Formatting

Applications are dynamic and separated into Sponsor and Site level question sets. Program classification for every sponsor is determined by the approved application packets.

The software prepopulates the site application with Afterschool Snack Program enrollment data from the prior October claim and determines the area eligibility of the site.

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Features

Effortless Integration and Streamlined Processes

Sponsor Applications

PrimeroEdge lets state agencies manage sponsor applications with ease. Sponsors can enter site details, budgets, and documents, with dynamic questions based on responses. Prior year data can be copied for faster renewal or site setup.

Configuration

Agencies can set submission windows and require documents by program. Document tracking includes view, return, and acceptance options. Only relevant information is shown to sponsors, with all CFDA codes included for financial tracking.

Reduce Data Redundancy

Sponsor and site information is stored year over year to reduce administrative burden. Contacts and site-specific details can be added or changed during the renewal process and are centrally managed at the district level.

Sponsor Claims and Reimbursement

Submit and process monthly claims across all Child Nutrition Programs with manual or file upload options. All claim activity and communication is tracked for transparency and compliance.

Features

Better Claim Management

Revisions Ability

Late upward adjustments require state review. PrimeroEdge supports site-level submissions and district-level payment processing.

Claims can be revised at any status before payment, with up to 10 adjustments allowed after approval.

Processing Claims

The state agency sets deadlines for claims and adjustments, with exceptions requiring sponsor justification and review.

PrimeroEdge compares site application details to verify the number of meals claimed. The system shows necessary adjustments to the next payable claim based on payment status. 

Uploading Claims

Claims are only allowed for approved meal types and months, and cannot be submitted for unapproved months or suspended periods.​

After uploading, SFAs resolve system warnings and confirm claim submission. Users must provide meal/milk counts by program and ensure they don't exceed approved or enrolled students.

Batch Tracking and Financial File Export Capabilities

PrimeroEdge solution will allow the state agency to pick multiple sponsor claims for payment processing and provide reporting for the claim details in a batch format.

Financial exports to the state’s payment system can be built as required by the state Agency.

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Available Reports

PrimeroEdge Applications and Claims provides a variety of advanced reports at both the State and SFA level, including Claims Payment, Meal Participation, Site Status, USDA/FNS Reporting, and October Data.

Users can quickly and easily view data across all programs, by type, SFA, period, and status. Each report can be exported into a wide range of formats including Word, Excel, PowerPoint, PDF, TIFF, MHTML, CSV, XML, or Data Feed.

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Key Info

Captured by PrimeroEdge Applications and Claims:

Approved programs and mealtimes

Prices charged for meals/milk

Offer vs. Serve option

Program participation

Type of SFA (i.e., public school, RCCI, etc.)

Food Management Service Company contract data

Alternative provisions (Provisions 1, 2, 3 and Community Eligibility Provision)

Severe need breakfast

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Built-in Data Validation and Edit Checks

PrimeroEdge ensures precise data entry through real-time validation checks. Numeric fields, dates, phone numbers, and zip codes are verified at input. Required fields are analyzed upon saving, with warnings or errors flagged. Warnings allow users to proceed while errors must be corrected before moving forward.

Claims with errors can't be submitted, and SFAs receive detailed feedback on required changes. While claims with warnings can be submitted, payment processing requires State Agency review and approval. Built-in edit checks at both warning and error levels ensure compliance with role-based overrides possible.

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Features

Optimize Reimbursement and Program Configuration

Tracking Meals Claimed. Track all meals through PrimeroEdge's POS solution, otherwise through file upload or manual entry for all categories, programs, and eligibility types. The solution follows all rules and rounding calculations provided under USDA guidance when determining free, reduced-price, and paid claiming percentages for meal claims under CEP and Provision 2.

Preloaded USDA Information. PrimeroEdge tracks updates to federal guidelines and changes them for you via annual system updates. These can be downloaded from the PrimeroEdge website at any time.

Creating New Sponsors). PrimeroEdge allows new SFAs to be created through manual entry or bulk file import. A pre-application function lets potential sponsors submit required information for review, enabling the state agency to create the sponsor within the system. Additional sites can be added as needed.

Program Configuration and Provisions. Configure reimbursement rates based on previous claims to determine the SFA’s entitlement for the academic year. Program configurations like severe need breakfast, area eligible snack, and special provisions are automatically set during packet approval. The solution also supports CEP details for USDA reporting and SFA participation.

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