Clean Claims. Faster Payments. Every Time.

We submit electronically scrubbed claims within 24 hours of charge entry — with real-time tracking and proactive follow-up to ensure every claim gets paid.

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98%
First-Pass Acceptance Rate
24hrs
Claim Submission Time
500+
Payers Accepted
<30
Avg. Days to Payment

End-to-End Claims Management

From charge capture to ERA posting, we handle every step of the claims lifecycle

Pre-Submission Scrubbing

Every claim passes through our custom scrubbing engine to catch coding errors, missing modifiers, and eligibility issues before submission.

Electronic EDI Submission

Claims submitted electronically to all payers via EDI 837 within 24 hours of charge entry — no paper claims, no delays.

Real-Time Status Tracking

We monitor every submitted claim in real time and identify issues the moment a payer responds.

Secondary & Tertiary Billing

Automatic crossover billing to secondary and tertiary payers after primary adjudication, maximizing total reimbursement.

ERA/EFT Enrollment

We enroll your practice in electronic remittance advice and electronic funds transfer with all payers for faster payment posting.

Claims Reporting

Detailed submission reports showing acceptance rates, rejection reasons, and payer response times — updated monthly.

Clean Claims Submission: The Discipline Behind Fast Payment

Claims submission looks like the simplest part of the revenue cycle — push the button, claims go out. In reality, the gap between a mediocre submission operation and a disciplined one is the difference between getting paid in 12 days and 45, between a 4% denial rate and a 14% one. Payment speed is decided before the payer ever sees the claim. Here's the submission discipline we run for every client.

Scrubbing Against the Payer's Rules, Not Generic Ones

Every claim passes through payer-specific edits before it leaves: NCCI bundling pairs, modifier logic, diagnosis-to-procedure matching, eligibility flags, and the quirks each payer documents in its companion guides — the CLIA numbers, NDC formats, and referring-provider rules that generic scrubbers miss. A claim that will deny is cheaper to fix before submission than after; that arithmetic drives everything we do.

Daily Submission and the 48-Hour Standard

Charges become claims within 48–72 hours of the visit, submitted daily — not in weekly batches. Faster submission means faster payment, obviously, but it also means problems surface while the encounter is fresh: a missing note gets completed today instead of being archaeology next month, and timely filing pressure never builds in the first place.

Rejections: The Silent Claim Killers

A rejected claim — bounced at the clearinghouse or the payer's front door — never officially existed. No denial letter, no remittance, no appeal rights, and the timely filing clock keeps running. Unworked rejections are where practices quietly lose claims forever, and they're the first thing we audit at new clients. Our team reconciles acceptance reports every morning: every claim confirmed accepted by the payer, every rejection fixed and resubmitted same day.

Secondary Claims and Crossovers

Secondary billing is a follow-through problem: primary pays, and the secondary claim with its attached EOB either goes out promptly or falls into a someday pile. We submit secondaries within days of primary adjudication, track Medicare crossovers so nothing double-submits or slips through, and chase the small balances that add up to real money across a year of claims.

Status Tracking Until the Money Posts

Submission isn't done until payment posts. Every claim over 30 days old gets actively statused on a payer-specific schedule — not 'checked occasionally.' Claims stuck in payer review get escalated with references; claims the payer claims not to have received get resubmitted with proof. If a claim does deny, it moves into our denial management workflow within 24 hours, and each reason code follows its own playbook from our denial code library.

No Claim Left Untracked

  • EDI 837 electronic claim submission
  • Real-time eligibility verification
  • Custom claim scrubber rules
  • Primary, secondary & tertiary billing
  • ERA 835 posting & reconciliation
  • EFT enrollment with all payers
  • Timely filing deadline monitoring
  • Rejected claim correction & resubmission

Frequently Asked Questions

How fast do you submit claims after service?
We submit claims within 24 hours of receiving encounter data from your EHR. Faster submission means faster payment and less exposure to timely filing denials.
Do you handle all insurance payers?
Yes. We submit to Medicare, Medicaid, and all major commercial payers including UnitedHealth, Aetna, BCBS, Cigna, Humana — over 500 payers total.
What happens if a claim is rejected?
We identify the rejection reason, correct the issue, and resubmit within 24 hours. You receive a notification with the reason and resolution.
What is a clean claim rate and why does 98% matter?
A clean claim is paid on first submission with no rework. At a 90% clean rate, one claim in ten costs staff time and weeks of delay; at 98%, it's one in fifty. Across thousands of claims a year, those percentage points are the difference between predictable cash flow and a permanent rework backlog.
What's the difference between a rejection and a denial?
A rejection bounces before adjudication — format errors, bad member IDs — and legally the payer never received it, so timely filing keeps running with no appeal rights. A denial is an adjudicated 'no' with remittance codes and appeal rights. Rejections are more dangerous precisely because they're quieter; they must be worked daily.
How fast should charges become submitted claims?
Within 48–72 hours of the encounter. Lag beyond that delays payment dollar-for-dollar, hides documentation problems until they're hard to fix, and erodes your timely filing margin — the three costs compound each other.
Do you handle workers' comp and other paper-heavy claims?
Yes — workers' compensation, auto/liability, and payers that still demand paper or portal submission with attachments. These claims have their own state rules and timelines, and they're exactly the category most likely to age out when nobody owns them.

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Free resources: Timely Filing Deadline Calculator  |  CO-16 — claim lacks information  |  CO-29 — timely filing expired  |  POS Code Reference

Read our guide: How to Reduce Medical Claim Denials in 2026