What type of software checks claims for errors?

Claim scrubbers are specialized software tools designed to analyze claims before they are submitted to insurance payers. Their primary function is to identify and correct errors in the claims, ensuring they meet the necessary coding and billing guidelines. By doing so, claim scrubbers help reduce claim rejections and denials, which can lead to faster payment cycles and reduced administrative costs for healthcare providers.

These tools check for common issues such as incorrect codes, missing information, and compliance with insurer requirements. By using claim scrubbers, healthcare providers can increase the accuracy of their submissions and enhance their revenue cycle management processes.

While clearinghouses also play a critical role in the claims process by acting as intermediaries that facilitate the submission of claims to multiple payers, their primary function is not error checking but rather processing and routing claims efficiently. Claim transmitters or claim checkers, although they may sound similar, are not widely recognized terms in the same context as claim scrubbers regarding direct error checking on claims.