01
Ingest
Upload your full claim batch or XML file. The entire file is processed at once. No claim-by-claim review needed.
Claim Scrubber Stop Claim Rejections
Stop Claim Rejections
Before They Happen
Pre-submission validation across every claim file. Errors caught before the payer sees them.
Lower rejection rates. Cleaner claims. Faster payment.
Pre-Submission ValidationPayer ComplianceClearinghouse ValidationFull Audit LogDenial Prevention
Claim quality reviewScanning
Batch validation in progress
Frequency rules checked✓
Bundling logic validated✓
Payer requirements applied✓
Clean claims ready to submitHealthOrbit AI
The Problem
Why Claims Break Down at Submission
Frequency limits get exceeded. Procedures are bundled incorrectly. Diagnosis codes land in the wrong position. These errors pass review and become denials.
Claim Scrubber stops them before submission.How it works
How Claim Scrubber Works
02
Scan
Every claim is checked against frequency thresholds, quantity limits, diagnosis positioning, and payer requirements. The same logic payers apply internally.
03
Flag
Every error surfaces with a plain-language explanation. Your team knows exactly what to fix before anything leaves your system.
04
Submit
Clean claims move forward. Flagged claims are corrected at source. Every decision is logged with the rule that produced it.
Validation
What Claim Scrubber Catches
Frequency and Quantity Violations
Maximum-per-day thresholds and excess unit counts caught across the full batch.
Primary Diagnosis Positioning
Secondary codes in the primary position flagged automatically. Sequencing corrected before submission.
Bundling and Panel Logic
Unbundled panels, procedure conflicts, and redundant codes resolved before the file leaves your system.
Modifier Compliance
Modifier combinations validated against payer rules. Non-compliant modifiers flagged with a clear correction path.
Batch and XML File Integrity
Full structural validation before upload. Formatting errors and missing fields resolved internally.
Payer Rule Replication
The same adjudication logic payers apply is replicated inside your environment. Your team finds every failure point before the payer does.
Built for
Who Uses the Claim Scrubber
RCM and Billing Teams
Cleaner batches from the first cycle. Fewer denials. Less rework. Faster revenue.
Claims Coordinators
Every error explained in plain language. Your team corrects with confidence, not guesswork.
Coding Compliance Teams
A complete validation log for every batch. Every decision documented and ready for audit.
Digital and Integration Teams
Batch XML validation with structured output. Integrates into existing workflows. No system changes required.
Where it works
Built for Every Claims Environment
Hospitals and Health Systems
High-volume batches validated at scale. Consistent payer logic across every facility and department.
Clinics and Physician Groups
Claim files validated before every submission cycle. Cleaner claims in. Faster payment out.
RCM and Billing Organisations
Consistent validation across every client account. Regardless of payer mix, specialty, or volume.
Book a Demo
See Claim Scrubber on Your Own Claim Files
A 30-minute demo with the HealthOrbit team. Bring a real claim batch. See live validation on your actual data. No commitment required.
For billing teams and healthcare claims leaders wherever you operate.- ✓30-minute live product walkthrough
- ✓Live validation on your own claim files
- ✓Integration review for your billing workflow
FAQs
Frequently Asked Questions
What is claim scrubber software?
A pre-submission validation tool. It checks claim files for frequency violations, bundling errors, modifier conflicts, and sequencing issues before they reach the payer.
How is Claim Scrubber different from coding accuracy checks?
A correct code does not guarantee a clean claim. Claim Scrubber runs the same checks payers run internally, covering frequency rules, bundling logic and adjudication patterns, before anything is submitted.
Does Claim Scrubber work with full batches or single claims?
Full batches and XML files, processed at once. Scales with your submission volume. No claim-by-claim review needed.
What happens when Claim Scrubber flags an error?
Every flagged error includes a plain-language explanation of the rule that triggered it. Your team corrects at source before anything reaches the clearinghouse.
Is Claim Scrubber suitable for large health systems?
Yes. High-volume batches validated at scale. Consistent payer logic applied across every facility, department, and physician group.