Automated Claims Review & Editing
As a fully integrated solution that scrubs all inpatient, outpatient and specialty claims with unparalleled accuracy, ClaimScrub is the industry’s most reliable and comprehensive rule engine. Our process provides full verification of correct coding and coverage, and we work with you to establish custom edits or modified rules, configure specific modules, or integrate the processing power of ClaimScrub into other applications.
The custom edit engine allows your organization to meet its exact needs and extends ClaimScrub’s functionality for the last mile, with full documentation and transparency.
With ClaimScrub, your team gets the error alerts and green lights they need for efficient, accurate claim handling in real time or in batch mode, across pre-service, post-service and audit implementations.