Service
A clean claim is cheaper than a worked denial every single time. The point of scrubbing is not to catch errors after a payer finds them — it is to stop the claim leaving with the error on it.
Charges are entered from your documentation, then every claim runs through payer-specific edits, NCCI procedure-to-procedure pairs and unit limits, and local coverage determinations for the payer in question. Demographics, insurance IDs, referring NPI and place of service are validated against what the payer expects, because those are the fields that produce the boring, avoidable rejections.
A clearinghouse rejection never reached the payer, so it is not a denial and it does not need an appeal — it needs correcting and resending, quickly, before the filing clock runs down. Rejections are worked the day they land rather than batched, which is what keeps them from ageing into timely-filing write-offs.
Claims go out of your practice management system, not ours. There is no migration, no data export, and no period where you cannot see your own claims. You keep the audit trail and the submission log, and you can pull either without asking us for it.
What is included
| Medicare filing deadline | One calendar year from the date of servicesource: CMS, Medicare claim submission period |
|---|---|
| Coding edits applied | NCCI procedure-to-procedure pairs and medically unlikely editssource: CMS, National Correct Coding Initiative |
Other services
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Send an aging summary and a handful of denials. You get a written read on what is recoverable — no fee, no obligation to sign anything.
