Pre-submission validation across every claim file. Errors caught before the payer sees them.
Lower rejection rates. Cleaner claims. Faster payment.
The Problem
Frequency limits get exceeded. Procedures are bundled incorrectly. Diagnosis codes land in the wrong position. These errors pass review and become denials.
Step 1
Upload your full claim batch or XML file. The entire file is processed at once. No claim-by-claim review needed.
Step 2
Every claim is checked against frequency thresholds, quantity limits, diagnosis positioning, and payer requirements. The same logic payers apply internally.
Step 3
Every error surfaces with a plain-language explanation. Your team knows exactly what to fix before anything leaves your system.
Step 4
Clean claims move forward. Flagged claims are corrected at source. Every decision is logged with the rule that produced it.
Maximum-per-day thresholds and excess unit counts caught across the full batch.
Secondary codes in the primary position flagged automatically. Sequencing corrected before submission.
Unbundled panels, procedure conflicts, and redundant codes resolved before the file leaves your system.
Modifier combinations validated against payer rules. Non-compliant modifiers flagged with a clear correction path.
Full structural validation before upload. Formatting errors and missing fields resolved internally.
The same adjudication logic payers apply is replicated inside your environment. Your team finds every failure point before the payer does.
Cleaner batches from the first cycle. Fewer denials. Less rework. Faster revenue.
Every error explained in plain language. Your team corrects with confidence, not guesswork.
A complete validation log for every batch. Every decision documented and ready for audit.
Batch XML validation with structured output. Integrates into existing workflows. No system changes required.
High-volume batches validated at scale. Consistent payer logic across every facility and department.
Claim files validated before every submission cycle. Cleaner claims in. Faster payment out.
Consistent validation across every client account. Regardless of payer mix, specialty, or volume.
A 30-minute demo with the HealthOrbit team. Bring a real claim batch. See live validation on your actual data. No commitment required.
For billing teams and healthcare claims leaders wherever you operate.
A pre-submission validation tool. It checks claim files for frequency violations, bundling errors, modifier conflicts, and sequencing issues before they reach the payer.
A correct code does not guarantee a clean claim. Claim Scrubber runs the same checks payers run internally, covering frequency rules, bundling logic and adjudication patterns, before anything is submitted.
Full batches and XML files, processed at once. Scales with your submission volume. No claim-by-claim review needed.
Every flagged error includes a plain-language explanation of the rule that triggered it. Your team corrects at source before anything reaches the clearinghouse.
Yes. High-volume batches validated at scale. Consistent payer logic applied across every facility, department, and physician group.
