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Feature

Claim Scrubber

Catch duplicate CPTs, missing auths, time‑rule issues, and coding conflicts before submission—reduce denials and rework.

Claim scrubber deep-dive

Common checks

  • Duplicate / mutually exclusive CPTs
  • Missing or exhausted authorizations
  • Time‑rule conflicts (e.g., context from 8‑Minute Rule)
  • Invalid/missing identifiers (TIN/NPI, policy, address format)

Workflow

  1. Run checks in‑chart while coding.
  2. Resolve flagged items with quick‑fix actions.
  3. Submit via optimized route (direct or clearinghouse).
  4. Track status → ERA auto‑post.

Examples

  • Flag when units imply overlapping timed codes without support.
  • Alert if auth remaining visits/date window is exceeded.
  • Catch duplicate same‑day code pairs that frequently deny.

FAQ

Education only; payer policies vary. Follow current rules and clinic policies.