Validate ICD-10 and CPT codes against DHA, DOH Shafafiya, payer rules, and medical necessity requirements before claims reach submission.
The Problem
Every coding error discovered after coding adds unnecessary rework, delays claim processing, and slows reimbursement.
HealthOrbit Coding Validator identifies issues before claims move to the next stage, helping reduce rework, improve coding accuracy, and keep reimbursement on track.
Whether codes are assigned manually, generated by our Medical Coding Engine, or produced by another coding solution, the Coding Validator reviews every assigned code before the claim moves forward.
Checks diagnosis and procedure codes against thousands of coding rule combinations.
DHA, DOH Shafafiya, and payer-specific adjudication rules applied to detect coding issues that lead to claim denials.
Validates diagnoses and clinical investigations against common medical necessity requirements.
Flags coding decisions not supported by the clinical documentation.
Coding issues resolved before they move downstream.
No repeated review cycles between coding and billing teams.
Consistent code quality across every coder, with fewer manual rechecks.
Cleaner coding helps claims move smoothly to submission.
Works with your existing coding workflow without replacing your current systems.
Complements the Medical Coding Engine by validating assigned codes before they move to the Claim Scrubber.
See how the HealthOrbit Coding Validator identifies coding issues before they become claim denials.
