Question:
Can I exclude claims for a specific payer from being processed by the OneSpot Claim Scrubber?
Answer:
Yes, you can! Follow the steps below to exclude a specific payer from the scrubbing process.
What Happens When a Payer Is Excluded?
- New claims (worklist items) for the excluded payer will not be added to your Scrubbing Worklist.
- Existing worklist items for that payer will remain visible and will retain their current status, even if you re-upload a previously uploaded scrubbing file.
- To clear these items from your worklist, you’ll need to manually mark them as either submitted or deleted.
How to Exclude a Payer
1. Navigate to Admin > Payers.
2. Select the payer you wish to exclude from the grid.
3. Locate the Include Payer in Scrubbing toggle.
Note: Only users with the Administrator or Billing Manager roles can update this setting.
4. Set the toggle:
- On – The payer's claims will be scrubbed.
- Off – The payer's claims will not be scrubbed.
4. Select Save Changes.