Identify and correct billing errors before they cause denials. Our expert claim scrubbing and transmission services ensure your medical claims meet all payer rules and formatting requirements, maximizing your first-pass acceptance rate.
Submitting claims with missing data, coding errors, or mismatched patient information guarantees rejection. By utilizing professional claim scrubbing and transmission services that adhere to strict CMS guidelines, you ensure every claim is thoroughly audited against millions of coding rules before it ever leaves your practice.
Identify NCCI edit violations and missing modifiers automatically
Catch demographic and insurance eligibility mismatches pre-submission
Ensure seamless EDI transmission to clearinghouses and payers
A dedicated team and advanced rules engine working together to validate every single claim before submission.
We run claims through millions of payer-specific edits and National Correct Coding Initiative (NCCI) guidelines to catch systematic errors.
Once claims pass validation, we ensure fast, secure EDI routing directly to the designated clearinghouse or payer.
Our certified billers personally review and correct any flagged claims, ensuring modifiers and codes are adjusted accurately.
We cross-check patient IDs, names, dates of birth, and policy numbers to prevent simple front-end demographic rejections.
We tailor our scrubbing rules to match local payer policies, ensuring compliance with specific Local Coverage Determinations (LCD).
If a claim bounces back from the clearinghouse, we instantly intercept and fix the error on the same day it occurs.
We compile your coded encounters, charges, and demographics into an initial EDI claim file.
The file runs through our advanced scrubbing engine to immediately catch formatting errors and CCI edit violations.
Flagged claims are diverted and instantly routed to our billing experts for manual review and correction.
Clean claims are securely transmitted in HIPAA-compliant 837 formats directly to the clearinghouse.
Don't let simple formatting errors delay your revenue. We ensure your claims go out clean, compliant, and correctly formatted.
Our tailored claim scrubbing and transmission services include specialized coding knowledge and robust auditing logic across 40+ practice types.
See how we’ve helped medical centers uncover revenue and eliminate compliance risks.
"Since Synergy started handling our claim scrubbing, our clearinghouse rejections dropped to near zero. Our cash flow is faster than ever."
"Their custom payer edits catch things our old software missed. The manual review process ensures our claims go out clean on the first try."
"The transmission is seamless. We don't even have to think about EDI files anymore; they handle the entire lifecycle perfectly."
"Investing in their scrubbing services was the best decision for our revenue cycle. It completely eliminated the backlog of rejected claims we used to face."
"Since Synergy started handling our claim scrubbing, our clearinghouse rejections dropped to near zero. Our cash flow is faster than ever."
"Their custom payer edits catch things our old software missed. The manual review process ensures our claims go out clean on the first try."
"The transmission is seamless. We don't even have to think about EDI files anymore; they handle the entire lifecycle perfectly."
"Investing in their scrubbing services was the best decision for our revenue cycle. It completely eliminated the backlog of rejected claims we used to face."
Get a free consultation to see how our claim scrubbing and transmission services can secure your revenue and prevent clearinghouse rejections.
