Overview
The scrubbing file generated from Eyefinity Encompass is the same file type (EDI 837) that is either submitted or uploaded to your clearinghouse. This file will be used by the Scrubbing module to scrub your claims. The instructions below explain how to export a claim scrubbing file from your practice management system.
Exporting a Claim Scrubbing File
1. Log in to Eyefinity Encompass.
- From the main dashboard, select the Claim Management tile.
- Then, select Billing Claims.
2. From the drop-down menu, select EDI Transmission > Search.
3. Set the following search filters:
a. Carrier: Select All from the drop-down menu. If there are any carriers you'd like to exclude, leave those unchecked.
b. Service Date (Optional): Enter a date range in the From and To fields.
c. Provider: Select All.
4. If multiple pages of claims are returned, use the Show entries field to view all claims on one page.
5. Select the box to the left of Carrier to include all claims. If there are specific payers whose claims you do not want to include in the scrubbing process, refer to the article: Exclude a Payer from the Scrubbing Process.
6. Select Create EDI File.
Uploading the Claim File to OneSpot's Scrubbing Module
⚠️ For Accounts in the Onboarding Process Only:
Do not complete this step on your own. Your onboarding specialist will assist you during the Scrubbing Kick-Off Call.
For established accounts, once you’ve exported the EDI (837) file from Eyefinity Encompass, upload it to the Scrubbing module to begin the scrubbing process. To learn more about this process, view the Upload a Claim Scrubbing File documentation.
Claim Submission Information
Direct TriZetto (Gateway EDI) Integration:
- After creating the EDI file, claims will remain in Ready to Bill status.
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Once the file is scrubbed in OneSpot:
- Make any necessary corrections directly in Eyefinity Encompass.
- Then, select Create and Send to submit the claims from your practice management system.
Standard EDI:
After creating the EDI file, claims will be marked as Billed.
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Once the file is scrubbed by OneSpot:
If no corrections are needed for your claims, you can submit the original scrubbed file.
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If corrections are needed:
Correct any flagged claims in Eyefinity Encompass.
Update the batch’s status from Billed to Ready to Bill.
Recreate the EDI file with your corrections.
Need help re-batching claims?
Refer to the Eyefinity - How to Rebatch Billed Claims documentation for full instructions.