Claim scrubbing is the process of reviewing and validating a medical claim before submission to a payer to identify errors, inconsistencies, or missing information that could cause rejection or denial. Automated scrubbing tools check for issues like invalid code combinations, NCCI edit violations, missing required fields, and payer-specific rule violations. Nym’s autonomous medical coding engine improves downstream scrubbing performance by ensuring codes are accurate and compliant before they reach the clearinghouse, reducing the volume of errors that require correction after the fact.
