Stop rejections before they reach the payer. The Claims Scrubber validates frequency, quantity, bundling logic, and primary diagnosis positioning across entire claim files before submission.
Even clinically correct encounters are rejected due to frequency violations, excessive quantities, unbundled panels, or incorrect primary diagnosis sequencing. Payers apply complex submission-level logic that most internal systems do not replicate.
Screens batches and XML files before they leave your environment, catching submission-level logic that internal systems miss.
Applies the same complex frequency, quantity, and bundling rules that payers use to adjudicate claims.
Every claim file is validated for structural accuracy and compliance before it reaches the clearinghouse.
Validates full claim files for structural accuracy and compliance before submission.
Detects maximum-per-day violations and excessive service units that commonly trigger denials.
Prevents secondary codes from being incorrectly positioned as primary diagnoses in submission files.
Identifies unbundled laboratory panels, E/M conflicts, and procedural redundancies prior to payer edits.
First-Pass Rate
AR Aging
Faster Cash Cycles
Denial Repeats
Improve first-pass acceptance rates, reduce AR aging, and accelerate cash realization.
Deliver cleaner submissions, reduce repeat denial cycles, and standardize compliance enforcement across facilities.
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