Claims scrubbing
Catch the denialbefore it happens.
The cheapest denial is the one that never happens. A clean claim gets paid on the first pass. A flagged one comes back weeks later as lost time and lost revenue.
Altair checks every claim against each payer's policies before you send it, and turns the denials it works into new pre-submission checks, so the same mistake does not come back.
How Altair scrubs your claims.
Altair checks every claim against the payer it is going to, not a generic policy set.
- 1
Validates the basics
Demographics, subscriber IDs, NPI, and required fields are checked and corrected before anything else.
- 2
Confirms eligibility and authorization
Altair verifies active coverage and that any required prior authorization is on file for the date of service.
- 3
Checks coding and modifiers
It validates CPT, HCPCS, and ICD-10 codes, runs NCCI edits, and confirms modifiers like 25 and 59 are used only when clinically justified.
- 4
Applies each payer's policies
On top of national edits, Altair layers the specific billing policies of the payer the claim is going to.
- 5
Fixes, then submits
Flagged claims are corrected up front and sent clean, so they get paid on the first pass.
Works with everything you already run.
Altair runs on top of every EHR, practice-management system, and clearinghouse on the market, including yours. No rip-and-replace, no new software, no exceptions.
Runs the whole cycle: eligibility and benefits, prior authorization, medical necessity and documentation, payer-specific claim scrubbing, submission, claim tracking, remittance, autonomous denials, payer-specific appeals, and CFO-grade financial forecasting and underpayment detection.
95% clean-claim rate is the benchmark.
Altair checks every claim against each payer's policies before it goes out, so claims are paid on the first pass and fewer come back as denials.
MGMA best-practice clean-claim target. Benchmarks vary by source and specialty.
Claims scrubbing, answered.
What is claims scrubbing software?
Claims scrubbing software reviews medical claims for errors before they are submitted to a payer, checking coding, modifiers, NCCI edits, demographics, and payer-specific policies, so problems are caught and fixed up front instead of coming back as denials.
Does Altair scrub before or after submission?
Before. Altair runs a pre-submission scrub so issues are caught and fixed while you can still correct them cleanly. When a denial does slip through, it also works and appeals it automatically.
How is Altair different from a generic clearinghouse scrubber?
Generic clearinghouse scrubbers check claims against broad, static policies that are the same for every payer. Altair checks every claim against each payer's actual denial behavior, and every denial it works teaches it a new edge case, so the same mistake doesn't happen twice.
Does scrubbing tie back to what we collect?
Yes. Altair forecasts first-pass collections and flags which claims have low payment probability before they go out, so the scrub is about the dollars you keep, not just the errors you catch. Financial intelligence rolls those forecasts up across every claim.
Does it replace my clearinghouse?
No. Altair layers a payer-specific intelligence layer on top of your existing EHR and clearinghouse, adding to the edits you already run with no rip-and-replace.
Is Altair HIPAA compliant?
Yes. Altair is HIPAA compliant. Review our security posture and controls in detail at our Trust Center.
How fast can we start?
Days. Altair connects to your existing EHR and clearinghouse, so there is no rip-and-replace and no new software for your team to run.