experian-claims-scrubber

JSON twin: https://www.healthaidb.com/software/experian-claims-scrubber.json

Company Name

Experian Health

Product URL

https://www.experian.com/healthcare/products/claims-management

Company URL

https://www.experian.com/healthcare

Categories

Summary

Automated claims scrubbing solution that validates and applies payer-specific edits to pre-billed medical claims to reduce denials and underpayments.

Description

Experian Claim Scrubber examines claims line-by-line, applies general and payer-specific edits, flags coding and data errors before submission, and integrates with Experian claims and contract tools to improve first-pass acceptance and accelerate reimbursement.

Api Available

unknown

Certifications

Company Founding

Company Offices

Compliance

Customers

Data Residency

US-based hosting; contact vendor for region/residency options

Data Standards

Deployment Model

Features

Id

P0578

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

proprietary commercial

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing; product literature and demos available via Experian Health; no public list prices.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Experian Health",
  "company_url": "https://www.experian.com/healthcare",
  "company_offices": [
    "United States",
    "United Kingdom",
    "Ireland",
    "Canada",
    "Australia",
    "India"
  ],
  "company_founding": "",
  "product_url": "https://www.experian.com/healthcare/products/claims-management",
  "categories": [
    "administrative",
    "revenue cycle management",
    "claims management",
    "billing",
    "compliance"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "links": [
    "https://www.experian.com/healthcare",
    "https://www.experian.com/healthcare/products/claims-management",
    "https://www.experian.com/healthcare/about",
    "https://www.mpv.com/app/WebObjects/ClaimScrubber",
    "https://elion.health/products/experian-claims-scrubber",
    "https://www.experian.com/blogs/healthcare/7-top-healthcare-revenue-cycle-challenges-and-how-to-overcome-them/",
    "https://www.experian.com/blogs/healthcare/healthcare-runs-on-revenue",
    "https://www.experianplc.com/newsroom/press-releases/2015/h1-health-new-business",
    "https://www.hfma.org/wp-content/uploads/2023/06/First-Illinois-newsletter-Oct2019.pdf"
  ],
  "summary": "Automated claims scrubbing solution that validates and applies payer-specific edits to pre-billed medical claims to reduce denials and underpayments.",
  "description": "Experian Claim Scrubber examines claims line-by-line, applies general and payer-specific edits, flags coding and data errors before submission, and integrates with Experian claims and contract tools to improve first-pass acceptance and accelerate reimbursement.",
  "target_users": [
    "medical billing staff",
    "revenue cycle managers",
    "hospital administrators",
    "medical group administrators",
    "billing services/clearinghouses"
  ],
  "specialties": [
    "multi-specialty",
    "hospital medicine",
    "outpatient services",
    "pharmacy billing"
  ],
  "regions_available": [
    "United States",
    "Canada",
    "United Kingdom",
    "Australia"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing; product literature and demos available via Experian Health; no public list prices.",
  "license": "proprietary commercial",
  "deployment_model": [
    "SaaS (cloud)"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Pre-bill line-by-line claim edits",
    "Payer-specific edit rules",
    "Batch claim scrubbing",
    "Undercharge detection and correction",
    "Denial risk identification",
    "First-pass claim pass-through optimization",
    "Integration with claims workflow/prioritization",
    "Payer policy content maintenance",
    "Reporting/analytics on scrubbing results",
    "Closed-loop audit when paired with Contract Manager"
  ],
  "optional_modules": [
    "ClaimSource (claims workflow/prioritization)",
    "Contract Manager & Analysis",
    "Denial Workflow Manager",
    "Payer Alerts"
  ],
  "integrations": [
    "Experian ClaimSource",
    "Experian Contract Manager",
    "Experian Denial Workflow Manager",
    "Payer networks/clearinghouses (batch submission)"
  ],
  "data_standards": [
    "ANSI X12 (837/835 claims and remittance formats)"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA"
  ],
  "certifications": [],
  "security_features": [
    "Encryption (in transit and at rest)",
    "Role-based access control (RBAC)",
    "Audit logging"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) available"
  ],
  "data_residency": "US-based hosting; contact vendor for region/residency options",
  "customers": [
    "State of Franklin Healthcare Associates"
  ],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [
    "phone",
    "client sign-in/portal",
    "request form / contact us",
    "implementation/account management"
  ],
  "training_options": [
    "documentation",
    "training (Experian client training)",
    "implementation support",
    "account management"
  ],
  "release_year": "",
  "integration_partners": [
    "ClaimSource",
    "Contract Manager",
    "Denial Workflow Manager",
    "Payer Alerts",
    "practice management systems",
    "EHRs"
  ],
  "id": "P0578",
  "slug": "experian-claims-scrubber",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/experian-claims-scrubber.json"
  }
}