Claim Scrubber

DavLong’s Advanced Claim Checker is a valuable tool that allows practices to check out-going claims before submitting to the insurance company. It is designed to reduce claim rejections and coding errors not compliant with the current standards and specifications. Using the Advanced Claim Checker assures that virtually 100% of all out-going claims are submitted clean the first time (from a clinical standpoint).

Utilizing Unicor’s Coding System technology, the Advanced Claim Checker performs over 2.7 million edits on all out-going claims. In addition, an unlimited number of practice defined custom edits can be created based on special needs. Custom Rules can be built using virtually every field in MedInformatix that deals with claims, for example rules that allow errors to be ignored.

Some edits include:

• CPT/ICD9 relationship
• Modifier usage
• Bundling/Unbundling issues
• Ordering of CPT and ICD9 codes on the claim