ClaimScrub is a core component of Vālenz Health's Validation, Integrity and Accuracy (VIA) Provider Solutions suite, designed to ensure medical claims are processed correctly and efficiently. It is a comprehensive, SaaS-enabled platform targeting health systems, providers, and health plans. The primary value proposition of ClaimScrub is to significantly decrease claim denials and optimize reimbursement revenue by focusing on coding efficiency and claim accuracy.
Key Benefits and Capabilities:
- Claim Accuracy and Validation: The solution provides smart, actionable tools and datasets to improve the accuracy of medical coding, ensuring claims are compliant and cost-effective before payment is made.
- Denial Reduction: By catching billing errors, surprise charges, and broken claim processes early, ClaimScrub helps providers and payers limit exposure, save time, and reduce the high volume of denied claims that often go unreworked.
- Reimbursement Assurance: It protects and optimizes reimbursement revenue, ensuring that providers are paid promptly and properly on every claim.
- Compliance Monitoring: The platform offers solutions for proven healthcare compliance monitoring and management, which is critical for healthcare organizations.
- Integration with Valenz Ecosystem: As part of the larger Vālenz Health Ecosystem, ClaimScrub works in conjunction with other solutions like Out-of-Network Repricing and Clinical Bill Review to provide an integrated approach to payment integrity and cost containment.
ClaimScrub is built for the complexity of the modern revenue cycle, helping to assure the quality of care for patients and members while driving better financial outcomes for the organization.
