Revenue cycle
It tells you which box is wrong.
Validation runs before the claim leaves, highlights the exact field that will get it kicked back, and says why in plain language — not a rejection code you have to look up.
Behavioral health rules included. Not a generic medical scrubber.
Before it leaves
Not a rejection code. The box, and the reason.
Clearinghouse rejections arrive as a code and a claim number, days later, to someone who has to reconstruct what went wrong. Scrubbing runs on the claim in front of you and points at the field.
The rule set
Behavioral health edits, not a generic medical scrubber.
Most scrubbing engines were built for medical claims and bolted onto behavioral health afterwards. These are the categories that actually decide whether a BH claim pays.
Date of service inside the authorized window, and units within the authorized amount.
Rendering provider licensed, enrolled with that payer, and billing under a taxonomy the payer accepts.
Telehealth modifiers, group codes, and per-diem revenue codes checked against payer rules.
The code billed matches the level of care the patient was actually admitted to that day.
The supporting note exists and is signed. Unsigned encounters do not leave as claims.
Member ID format, subscriber relationship, and coordination of benefits order.
The real cost
A rejected claim gets touched two or three more times.
The rejection itself costs nothing. The staff hours to decode it, correct it, resubmit it, and follow up on it are the expense — and they recur on every claim that leaves with the same mistake in it.
Works with
It runs on the same record as the rest of the platform.
Revenue cycle
Remittance & bulk posting
Read the ERA, match the lines to the claims, post the payments and adjustments, and route what didn't match to the denials queue.
Read more →Revenue cycle
Denials work queue
Every denial and underpayment lands in a queue with the reason, the dollar amount, the deadline, and the person responsible.
Read more →Revenue cycle
Payer contracts & rates
Contracted rates stored per payer and per service, so the expected payment is on the claim before it goes out and underpayments are visible the moment the remittance posts.
Read more →Get started
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