Nexum
Claim Scrubbing

Six stages. Zero missed errors.

Every claim passes through our multi-stage validation pipeline before submission. Catch problems at the source, not in a denial letter.

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The Pipeline

1

Eligibility Verification

Real-time payer checks before submission. Catches expired coverage, inactive policies.

  • Real-time eligibility queries to payer databases
  • Catches expired coverage and inactive policies before submission
  • Validates subscriber ID and group number accuracy
  • Detects coordination of benefits issues early
  • Reduces eligibility-related denials by up to 85%
2

Modifier Validation

Cross-references CPT codes with modifiers. Catches 26/TC conflicts, gender-specific errors.

  • Cross-references CPT codes with applicable modifiers
  • Catches 26/TC (professional/technical) component conflicts
  • Validates gender-specific procedure and modifier combinations
  • Ensures modifier ordering follows payer-specific rules
  • Flags missing required modifiers for common lab procedures
3

Diagnosis Validity

ICD-10 code validation. Age/gender appropriateness, specificity requirements.

  • Validates ICD-10 code format and active status
  • Checks age and gender appropriateness for each diagnosis
  • Ensures codes meet specificity requirements (no truncated codes)
  • Validates diagnosis-to-procedure medical necessity linkage
  • Catches outdated or retired diagnosis codes
4

Hold Rules

Configurable business rules. Payer-specific requirements, bundling logic, frequency limits.

  • Configurable per-client and per-payer business rules
  • Enforces payer-specific billing requirements automatically
  • Frequency limit checks prevent duplicate billing
  • Bundling logic detects improperly unbundled services
  • Custom hold rules for lab-specific compliance requirements
5

Claim Implosion

Combines related line items. Reduces claim count, maximizes reimbursement.

  • Combines related line items into optimized claims
  • Reduces overall claim count submitted to payers
  • Groups services by date, provider, and payer intelligently
  • Maximizes reimbursement through strategic line item grouping
  • Prevents claim splitting that triggers audits
6

Output & Submission

Clean claims ready for clearinghouse. Real-time submission status tracking.

  • Generates clean 837P/837I electronic claims
  • Direct submission to STEDI clearinghouse
  • Real-time submission status tracking and acknowledgments
  • Automatic error notification and resubmission workflows
  • Complete audit trail for every claim touchpoint
98.2%
First-pass acceptance rate
674K+
Claims scrubbed
6 stages
Validation checkpoints

Stop losing revenue to preventable denials

See how the scrubbing pipeline catches errors before they cost you money.