Neo Scrubber is a comprehensive EDI claims scrubbing platform built to help healthcare practices catch errors before claims are submitted. It validates EDI Professional claim files against CPT codes, NCCI edits, LCD/NCD coverage articles, and contractor jurisdiction rules — all backed by up-to-date CMS datasets.
Practices can upload EDI files individually or as batches, with the system automatically parsing and extracting claims for validation. Each claim is checked against age-specific, gender-specific, POS, and modifier rules, cross-referenced with National Correct Coding Initiative edits, and matched against Local and National Coverage Determinations for ICD-10 and HCPCS codes.
Built-in analytics and reporting give practices visibility into batch status, claim counts, and amounts, helping teams spot trends and prioritize follow-up. With CPT code lookup, NCCI data, ICD-10 coverage checks, and a full library of coverage articles in one workspace, Neo Scrubber reduces denials and speeds up clean claim submission.
Upload EDI Professional claim files in .txt, .edi, .837, or .x12 format, with automatic parsing and claim extraction.
Validate claims against CPT codes with built-in age-specific, gender-specific, POS, and modifier rules.
Check claims against National Correct Coding Initiative procedure-to-procedure edits and add-on code requirements.
Cross-reference claims with Local and National Coverage Determinations, including ICD-10 and HCPCS code coverage data.
Look up MAC contractor data with jurisdiction mapping and state-level routing for accurate claim submission.
Process entire EDI files as batches, then review, edit, and export scrubbed claims with detailed error reports per claim line.
Filter and review batch status, claim counts, and amounts to spot trends and prioritize follow-up.
Search CPT/HCPCS codes and verify diagnosis codes against article-linked ICD-10 covered lists for compliant billing.
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