Increase claim accuracy and improve cash flow
Client Video: Northwell Health
From 2013 to 2017, Northwell Health has reduced their denials 50 percent by using Experian Health’s Claim Scrubber.
Claim denials are operational headaches that are costly to cure. It pays to get claims right the first time.
Medical groups devote thousands of dollars per year to interactions with payers—many are the direct result of denied claims. Claim Scrubber helps you submit clean claims every time. Our automated solution reduces undercharges and denials, optimizes your staff time and improves cash flow.
Submit complete and accurate claims
- After reviewing each pre-billed claim on a line-by-line basis to ensure proper coding and correct information, Claim Scrubber applies an extensive set of general and payer-specific edits before preparing the claim for processing
- Your claims are error-free before submission to the payer or clearinghouse
- You eliminate undercharges, boost first-time pass-through rates and do away with costly, time-consuming rework
Get paid faster
- Because errors that result in denials or undercharges are identified before claims reach the payer, your operations are more efficient, you spend less time chasing aged accounts receivable and your administrative costs stay in check
- Fewer denials mean your organization gets paid more quickly
- When paired with our Contract Manager solution, providers can audit claims before and after remittance. This closed-loop approach results in more timely reimbursement and a healthier bottom line.
ClaimSource® provides the workflow and automation you need to prioritize claims that need attention and minimize financial impact.
Contract Manager & Analysis
Verify the accuracy of payment received from third-party payers and negotiate successful contracts.
Denial Workflow Manager
Denial Workflow Manager helps avoid payment delays and rework.
Timely alerts provide immediate access to changes posted on the websites of more than 1,900 payers.
Validated by Experian Data Quality