Clean, timely claim submission is essential to healthy revenue. Incorrect or non-compliant claims are rejected or denied — costing time, resources, and cash.
Common Problems:
Missing modifiers
Incorrect member IDs
Improper place-of-service
Uncaptured secondary claims
Slow clearinghouse cycles
Our Solution:
Automated claim scrubbing
Payer-specific rules engine
Batch submission via trusted clearinghouses
ERA reconciliation
Fast rejection/resubmission workflows
Process:
Superbill → claim scrub → submit → monitor ERA → reject handling/appeal → payment posting
Benefits: Higher first-pass acceptance, shorter days in A/R, fewer manual corrections.
KPIs We Track: First-pass acceptance rate, average claim turnaround, rejection rate, resubmission time.
FAQ:
Q: Which clearinghouses do you use?
A: We partner with multiple enterprise clearinghouses to match payer connectivity for speed and reliability.
We identify your needs and devise customized solutions as per requirements.
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