Claim Scrubbing
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Claim Scrubbing
LCD/NCD Edits in real time during coding or before the claim leaves your software.
Scrubbing includes the gender, age, date of service, place of service, required modifiers and NCCI edits
Automate claims processing, reducing costs while increasing collections.
Submitting claims is tedious and costly, with nuanced rules across payors, procedural codes, services, and more. To prevent errors and free your staff to focus on higher-value work, our Claims Processing automation generates, cleans, and submits claims through your existing EDI connections or directly through payor portals.
Secondary claims and beyond, we’ve got you covered end-to-end.
After the primary payment has been applied to the claim, our Claims Processing automation identifies the patient’s secondary payor and the outstanding balance to be applied. It collects the primary EOB from the primary payor portal and attaches a cover sheet if needed before sending the secondary claim to the payor. It can even proactively monitor for the receipt of the secondary EOB and update the claim accordingly.
