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Service 08 / Claims Management

Claims Management From Submission to Payment

Scrubbed before it goes, tracked after it lands, and corrected the same day when a clearinghouse pushes back. A rejected claim nobody noticed is still ageing toward its filing limit.

98.2%
First-pass acceptance
24hr
Submission turnaround
3,000+
Automated edits
100%
Claims tracked to resolution
Claims Services

Every Claim Tracked.
Every Payment Collected.

Claims management isn't just about submitting. It's about knowing where every claim stands, at every moment, and acting immediately when something goes wrong.

  • Real-time eligibility verification before submission
  • Proprietary scrubbing with 3,000+ payer-specific edits
  • Electronic and paper claim generation and submission
  • Clearinghouse management and EDI transmission
  • Real-time claim status tracking by payer
  • Automated 277/835 processing
  • Rejection management and same-day resubmission
  • Payer portal follow-up on unpaid claims
  • Claim adjustment and corrected claim submission

Pre-Submission Scrubbing

3,000+ payer-specific edits catch coverage gaps, coding errors, and demographic issues before a claim ever leaves our system, protecting your first-pass rate.

Zero-Lag Rejection Response

Clearinghouse rejections are identified and corrected within the same business day. No claim sits rejected for more than 24 hours without action.

Claim states we track
  1. Submitted
  2. In adjudication
  3. Pending
  4. Paid
  5. Denied, in appeal

See where your claims actually are

Free claims assessment. We'll show you what a fully managed claims pipeline looks like for your practice.

Get a claims assessment