We’re introducing a new claim scrubbing feature that saves you time and helps you get reimbursed quicker. Beginning immediately you can quickly set up claims and will see all edits at one time. Claims will move automatically to our claim scrubbing queue for additional validation before they go to the clearinghouse and payer. You’ll see the real-time status of your claim and get explicit information about edits and how to correct them.

Single claims

Click on Send Claim/Save Claim on the encounter screen.

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The system checks for missing information before initiating claim scrubbing. In the example below, the place of service is missing.

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Complete the missing fields and click on Send Claim/Save Claim.

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If all required fields are completed, the system will move the encounter to the Claim Scrubbing (In Progress) tab to perform claim scrubbing.

A message saying Scrubbing claim is displayed in the message column, indicating that the claim scrubbing is in progress.

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The encounter cannot be accessed from the Claim Scrubbing (In Progress) tab.

As soon as the claim scrubbing is complete, the claim is sent/saved successfully if no claim edits are required.

If claim edits are required, the encounter will move to the Claim Scrubbing (Corrections) tab.

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The Corrections column displays the number of edits that are required for each encounter.

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Click on the encounter number.

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The encounter displays each required claim edit.

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Make the claim edits.

Click on the Save button to save the changes.

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The claim edits will be displayed on the encounter until the Send claim or Save claim button is clicked.

Click on Send claim or Save claim. The encounter moves to the Claim Scrubbing (In Progress) tab and the process is repeated.

Bulk claims

Select 1 or more encounters in the Unbilled tab.

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Click on Send/Save claim button.

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The system will move the encounters to the Claim Scrubbing (In Progress) tab to perform claim scrubbing.

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The encounter cannot be accessed from the Claim Scrubbing (In Progress) tab.

As soon as the claim scrubbing is complete, the claim is sent/saved successfully if no claim edits are required.

If claim edits are required, the encounter will move to the Claim Scrubbing (Corrections) tab.

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The Corrections column displays the number of edits that are required for each encounter.

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Click on the encounter number in the Claim Scrubbing (Corrections) tab.

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The encounter displays each required claim edit.

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Click on the Save button to save the changes.

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The claim edits will be displayed on the encounter until the Send claim or Save claim button is clicked.

Click on Send claim or Save claim. The encounter moves to the Claim Scrubbing (In Progress) tab and the process is repeated.

Helpful tips

  1. Encounters with the status "Claim Scrubbing (In Progress)" cannot be edited.
  2. To optimize workflow, clicking Send claim or Save claim will navigate you to the Encounters screen where charges can be easily added.
  3. Clicking Send claim or Save claim from any screen will launch the new claim scrubbing process.
  4. To facilitate the new claim scrubbing tool, the following encounter preference has been removed from Utilities.
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Still need help? Contact us!

Have a great idea? Tell us about it!

 

 

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