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EDI Claims Scrubbing Made Simple

Neo Scrubber

scrubber-1

Overview

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.

What's Inside

Upload EDI Files

Upload EDI Professional claim files in .txt, .edi, .837, or .x12 format, with automatic parsing and claim extraction.

CPT Code Validation

Validate claims against CPT codes with built-in age-specific, gender-specific, POS, and modifier rules.

NCCI Edits

Check claims against National Correct Coding Initiative procedure-to-procedure edits and add-on code requirements.

LCD/NCD Articles

Cross-reference claims with Local and National Coverage Determinations, including ICD-10 and HCPCS code coverage data.

Contractor & Jurisdiction

Look up MAC contractor data with jurisdiction mapping and state-level routing for accurate claim submission.

Batch Processing

Process entire EDI files as batches, then review, edit, and export scrubbed claims with detailed error reports per claim line.

Analytics & Reports

Filter and review batch status, claim counts, and amounts to spot trends and prioritize follow-up.

CPT & ICD-10 Lookup

Search CPT/HCPCS codes and verify diagnosis codes against article-linked ICD-10 covered lists for compliant billing.

See It In Action

A closer look at the interface and core modules.

Built With

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