Claims Scrubbing

Catch what breaks a claim before the payer ever sees it

Reviews every claim before submission, fixes the non-clinical errors that cause denials automatically, and holds anything where the coding is not supported by the note for a coder to resolve.
Stop denials at the source
Key Features
Claims Scrubbing
Find the Gaps Before Submission
Reviews each claim ahead of submission and identifies what would cause it to be rejected or denied, from missing data to conflicts a payer will catch. Problems get found on your side of the wall, while they are still cheap to fix.
Fix the Non-Clinical Errors Automatically
Corrects the non-clinical issues on its own: demographics, eligibility and registration data, field completeness and formatting, and duplicate suppression. Because these carry no clinical judgment and no effect on reimbursement, they are resolved fully autonomously, with no coder involved.
Hold and Route Anything the Note Doesn't Support
Flags any claim where the coding is not backed by the documentation, such as an NCCI conflict, an unsubstantiated modifier, or missing documentation for a billed level, and routes it back to the coder. Judgment calls stay with people; only the clean claims move forward.

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Fewer backlogs, dramatically less manual work, and faster turnaround for patient and administrative requests.
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