 |
Home / Revenue Cycle Management / Claims Submission
Revenue cycle management
Clean claims scrubbed and sent to every payer on time, so you get paid faster with fewer rejections.
Industry estimates suggest that inefficient claims processing can cost a medical practice 10–14% of its revenue.
Our claims submission process keeps your insurance claims organized and moving, which protects your revenue. Because this step matters so much, our specialists review each claim and fix problems before it goes to the payer, and our claim-scrubbing software catches about 90% of the errors that would otherwise cause rejections.
Every charge is checked against the visit note, the patient's coverage and the payer's rules before it is billed.
Claims run through clearinghouse and payer edits to catch coding, modifier and demographic errors before they are sent.
Clean claims go out electronically on time, with paper or portal submission for payers that require it.
We watch every clearinghouse and payer report and fix rejected claims straight away, so nothing sits unsent.
A rejected claim never entered the payer's system because of an error such as a wrong ID or missing field; it is corrected and resent. A denied claim was processed but not paid, and needs a correction or an appeal.
We work in the clearinghouse connected to your billing software or EHR, such as Availity, Waystar, Office Ally or TriZetto, so there is nothing new for your staff to set up.
Yes. Once the primary payer pays, we bill the secondary and tertiary payers with the correct payment information attached.
You receive regular reports showing claims submitted, accepted, rejected and paid, and you can ask your account manager about any claim at any time.
See the offers for your organization:
Get paid faster for the care you provide.
Talk to Healthcare Providers Care today.