CLAIM CHECKS BEFORE SUBMISSION
Catch the denial before the payer does
Our agents plug into your billing system and daily workflow to check each claim before submission
Catch it before it goes out
Fictional claim with examples from separate service lines
WHAT DENIALS COST
of claims denied on first submission
Kodiak · H1 2026of providers report denial rates above 10%
Experian · 2025of denials start at registration or intake
Optum · Denials Indexof denied claims are never reworked
HFMA / MGMAUS dollars to rework one denied claim
AHIMA · practice to hospitalA claim can go wrong before it leaves your office
01 / WHAT IT CATCHES
Familiar codes
Earlier checks
Turn a card to see what the agent checks
02 / HOW IT WORKS
Follow one claim
before it goes out
No new software for your team
03 / A DAY WITH IT
Claims move forward
Errors get a closer look
Open a caught claim to approve its correction
IN YOUR EXISTING WORKFLOW
Your systems
Your final say
No new billing screen
Flags appear where your team already works
You approve the changes
Agents suggest a correction. Your biller decides whether to apply it
A record of each check
See the original flag and who approved the change
04 / REVENUE AT RISK
How much is waiting
in your denials?
Use your monthly volume to estimate what denials hold up
These are industry assumptions. We can calculate your actual exposure from your remits
Review my numbers ↗We used to find the error when the denial came back. Now we see it before submission, and the team has that time back for billing
05 / QUESTIONS FROM BILLING TEAMS
Before we
look at your claims
Will my billers need a new tool?
Your team keeps its daily billing workflow. We bring flags and suggested corrections into it
Does it submit claims on its own?
No. A biller reviews the correction and approves the claim before it goes out
Which systems do you connect to?
We connect to your EHR/PM and clearinghouse. We check the available interfaces with your team before choosing an integration
How long until it’s running?
We first look at your billing process, then build and run the checks around it. The timeline depends on your systems and the access available
How is this different from my clearinghouse scrubber?
A scrubber checks claim format. Our agents also check the payer’s denial history and the records behind a claim, including authorization and eligibility on the service date
BEFORE YOUR NEXT BATCH
Give your next claim
a closer look
Bring a month of denials to a claim review. We’ll show you which errors the agents could check before submission
Book a claim review ↗