Which tool validates payer-specific requirements and catches errors before claim submission in Resolute?

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Payer Edits, also called the claim scrubber, performs payer-specific validation before submission. It runs edits that enforce each payer’s rules—checking that required fields are present, data formats are correct, codes are valid, and payer constraints (such as bundling, modifiers, or NCCI considerations) are met. If something doesn’t align, it flags the issue and prevents submission so you can fix it, reducing avoidable denials and rework. Other tools have different purposes: the Denied Claims Analyzer looks at claims that were denied after submission to identify patterns and improve processes; the Encounter Validator ensures encounter data aligns with the clinical encounter details; and the Payment Posting Engine handles posting payments after adjudication.