ClaimScrubTM vs DataTankTM

A Comprehensive Comparison

What is it?

ClaimScrub

Comprehensive claim validation and scrubbing system.

DataTank

Flat file raw data extracted from ClaimScrub.

Input

ClaimScrub

From simple queries to full claim feeds and custom content/rules.

DataTank

Output

ClaimScrub

Real-time or batch API, XML, HL7, csv, white-labeled widgets, and custom response protocols.

DataTank

Update Frequency

ClaimScrub

Daily.

DataTank

Raw data feed as downloaded, tested and deployed at client’s discretion and time-constraints.

Edit and database structure maintenance, extension, implementation of new edits and logic requirements

ClaimScrub

Included. Dedicated Staff maintain edits, code libraries, all logical inter-relationships, as well as developing new data and logic structures evolving from payer and standards organizations.

DataTank

Standard Service Deliverables

ClaimScrub

  • Pre-service medical necessity.
  • Patient Cost Estimation.
  • Claim scrubbing pre-submission.
  • Claim evaluation post-submission.

DataTank

Raw feed only. No end-user ready deliverables.

Optional Service Deliverables

ClaimScrub

Claim repository to enable historical service editing (as opposed to claim by claim editing).

DataTank

Raw feed only. No end-user ready deliverables.

Workload and Staff Costs

ClaimScrub

Included. We average 10K changes/week across Medicare, Medicaid and private payers.

DataTank

**Varies. Contact Us for review.

ROI and Quality Control

ClaimScrub

Costs apportioned across hundreds of partners who depend on our services 24/7, providing a quality control cycle measured in minutes.

DataTank

Burden is on your staff to monitor, classify, implement and test changes, limited by your client base, breadth, and responsiveness.

Sample Logic Complexity

ClaimScrub

“Will this excision revision for delayed healing be covered for a 61 year-old female patient treated on 7/14/17 in an ASC by Richard Watkins, MD under her Blue Cross plan if the original excision was on 6/29/17? Is a modifier required?”

DataTank

“Is this diagnosis code considered medically necessary for this procedure code by Medicare?”

Suggested Use Cases

ClaimScrub

Anything from standard procedure validation to full claim custom adjudication.

DataTank

Legacy systems without API call interface that are in maintenance only/sunset phase.