Next-Gen

Claims & Billing

Xoodoc Clean Claim Automation

Fewer rejections, faster payments. Xoodoc AI checks rules, fixes coding and data gaps, attaches proofs, and submits clean claims end-to-end and fully compliant.

Agent running: Xoodoc Clean Claim AI
  1. Claim & patient verified. Encounter, provider, and patient matched; charge lines and codes ingested for scrubbing. 6.3 seconds
  2. Eligibility & demographics validated. Active plan confirmed; COB, PCP, and subscriber data normalized and corrected. 11.9 seconds
  3. Edits & policy checks applied. NCCI/OCE/LCD–NCD and payer rules evaluated; auth/referral requirements and coverage limits checked. 15.4 seconds
  4. Gaps resolved. Missing modifiers, units, diagnosis links, and required clinicals requested and auto-filled where available. 18.7 seconds
  5. Clean claim generated. 837P/837I packet built with payer-specific routing; scrub preview and audit notes produced. 22.2 seconds
  6. Submission & acknowledgments tracked. 999/277CA and rejection loops monitored; fixes re-queued automatically and status synced to the EHR/billing system. Completed

Built for Clean Claim Automation

Xoodoc AI validates every claim before submission, eligibility, demographics, codes/modifiers, units, and payer/NCCI/OCE/LCD edits. It auto fills missing fields, attaches required clinicals, and exports EDI ready files while tracking ACKs, ERAs, and rejections back to your EHR.

Xoodoc Clean Claims AI

The Xoodoc Clean Claim Automation Platform AI

Automate claim scrubbing and submission validate eligibility, coverage, and coding before transmit, surface preventable rejections, and ensure first-pass acceptance with EHR-integrated AI.

Let AI Proof Your Claims in Seconds
Clean Claim Automation
What is clean claim automation?

Clean claim automation is the process of using automated tools to review, validate, and correct medical claims before submission. It ensures claims are accurate, complete, and compliant, increasing the chances of first-pass approval.

How does clean claim automation reduce claim denials?

Clean claim automation identifies errors such as missing information, incorrect codes, and payer rule mismatches before submission. By fixing these issues early, it significantly reduces claim denials and rework.

What is claim scrubbing automation?

Claim scrubbing automation is a key part of clean claim automation. It automatically checks claims against payer rules and coding guidelines to detect errors and inconsistencies before they are submitted.

Can clean claim automation improve revenue cycle performance?

Yes, clean claim automation enhances revenue cycle performance by reducing denials, speeding up reimbursements, and minimizing manual work, leading to more efficient billing operations.

What types of errors does clean claim automation detect?

It detects coding errors, missing patient or provider information, incorrect modifiers, duplicate claims, and payer-specific rule violations that can lead to claim rejections.

How is clean claim automation different from manual claim review?

Manual review relies on human checks, which can be time-consuming and prone to errors. Clean claim automation uses predefined rules and algorithms to quickly and consistently validate claims.