Batch-Level Claim
Compliance Engine

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.

09:41:02

[ERR]

CLM-4821 Frequency check — 99213 ×3/day

09:41:02

[WRN]

CLM-4822 Panel unbundling — 80053 vs 80048

09:41:03

[OK]

CLM-4823 Primary Dx valid — E11.65

09:41:03

[OK]

CLM-4824 Units within threshold — 96372

09:41:04

[OK]

CLM-4825 Modifier check — 25 on 99214

batch_837p_2024-12.xml

2,847 scanned

1 rejected

1 flagged

2,845 passed

Submission Integrity

Coding Accuracy Is Not Enough

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.

Financial Firewall

Screens batches and XML files before they leave your environment, catching submission-level logic that internal systems miss.

Payer-Logic Replication

Applies the same complex frequency, quantity, and bundling rules that payers use to adjudicate claims.

Pre-Submission Assurance

Every claim file is validated for structural accuracy and compliance before it reaches the clearinghouse.

Submission Intelligence

Advanced Submission-Level Validation

Batch & XML Integrity

Validates full claim files for structural accuracy and compliance before submission.

Frequency & Quantity Enforcement

Detects maximum-per-day violations and excessive service units that commonly trigger denials.

Primary Diagnosis Controls

Prevents secondary codes from being incorrectly positioned as primary diagnoses in submission files.

Bundling & Panel Logic

Identifies unbundled laboratory panels, E/M conflicts, and procedural redundancies prior to payer edits.

Business Value

Operational Impact

99.5%

First-Pass Rate

↓38%

AR Aging

2.4x

Faster Cash Cycles

↓62%

Denial Repeats

For RCM Leaders

Improve first-pass acceptance rates, reduce AR aging, and accelerate cash realization.

For Billing Teams

Deliver cleaner submissions, reduce repeat denial cycles, and standardize compliance enforcement across facilities.

Frequently Asked Questions

1- When will I get my EIS3 certificate and when are the shares issued?

Shares are usually issued within two weeks of completing your investment. You’ll get your EIS3 certificate 2–4 months later, once HMRC processes it. This is what you’ll need to claim your tax relief.

You must hold your shares for at least three years from the date they were issued (or when the company started trading, whichever is later). Selling early could mean losing your tax relief.

You may exit if the company is acquired, lists on a stock exchange, or arranges a buyback or sale to other investors. Most exits happen after three years to keep the EIS tax benefits.

We’ll send regular updates—usually every quarter or six months—about company progress. You can also contact us anytime. We believe in open, transparent communication with our investors.

As with all early-stage investments, there’s a risk of losing money. But EIS helps reduce that risk:
✔️ 30% income tax relief
✔️ Loss relief if things don’t work out
✔️ Tax-free growth on exit

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