eClinicalWorks claim scrubber for primary care
Syntra is an AI claim and chart scrubber for primary care practices on eClinicalWorks. It reads primary care documentation in eClinicalWorks against the claim before submission, so missed revenue and denial risk are caught while the encounter can still be corrected.
Example capture
99214 · Office visit, established patient, moderate MDM
Assessment documents moderate-complexity MDM across multiple chronic conditions with prescription management. Supports reporting 99214 when medical decision making meets moderate.
How does Syntra work with primary care documentation in eClinicalWorks?
eClinicalWorks PM already edits the claim that was entered. Syntra reads the primary care note in eClinicalWorks before that claim is final, so a service written in the chart but missing from the charge, or a modifier the note does not support, is caught while the encounter can still be fixed.
eClinicalWorks claim scrubbing checks claim fields and edits. Syntra reads the progress note to confirm E/M levels, procedures, and add-ons before the claim is sent.
E/M leveling under the 2021 and 2023 guidelines is based on MDM or time, which only the note can support.
Which primary care denials does Syntra prevent on eClinicalWorks?
- E/M level that does not match documented medical decision making
- Preventive and problem-oriented visits on the same day billed without modifier -25
- Chronic care management and annual wellness visit requirements not met in the note
Which modifiers does Syntra validate?
- -25 on problem E/M with preventive visits
- -33 for preventive services
- G2211 add-on where longitudinal care is documented
Common questions
- What is the best claim scrubber for primary care on eClinicalWorks?
- A clearinghouse scrubber checks the claim after it is built. eClinicalWorks's own edits do the same inside the charting system. For primary care billing, the gaps that survive those edits are in the note: a documented service that was never coded, or a modifier the note does not support. Syntra is an AI claim and chart scrubber that compares primary care documentation in eClinicalWorks to codes, modifiers, and payer rules before submission, and it runs alongside the clearinghouse you already use.
- Does eClinicalWorks scrub primary care claims on its own?
- eClinicalWorks PM applies claim-level edits. Those rules check the claim that was built, so services documented in a primary care note but never coded, and modifiers the note does not support, usually pass through. Syntra adds that chart-level review.
- How long does it take to start on eClinicalWorks?
- Practices start with a complimentary retroactive audit of recent primary care charts in eClinicalWorks, then move to controlled pre-bill review and autonomous submission on eligible encounters over about 90 days.
Related: Syntra on eClinicalWorks, Primary Care claim scrubber, and clearinghouse comparisons.
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