Medical Claims Submission Services

Between “claim created” and “claim received by payer” sits a surprising amount of failure: clearinghouse rejections nobody reworks, batches that error out silently, payer acknowledgments that never arrive. Claims lost in this gap age quietly until they hit timely-filing limits and become permanent write-offs.

Our submission service runs a daily cycle — submit, confirm acknowledgment, rework rejections — with batch-level tracking so every claim is provably either at the payer or in a worked exception queue.

Problems This Service Addresses

• Clearinghouse rejections sitting unworked for weeks
• Claims lost between the practice system and the payer with no one noticing
• Timely-filing write-offs caused by submission gaps, not slow payers
• No confirmation trail proving when claims reached the payer

What’s Included

• Daily electronic claim batch submission
• Clearinghouse acceptance and payer acknowledgment (277CA) tracking
• Rejection rework with same-week resubmission targets
• Secondary and tertiary claim submission workflows
• Timely-filing deadline monitoring on unsubmitted and rejected claims

Who This Service Is For

• Practices that have found unsubmitted claim batches after the fact
• Groups writing off claims to timely filing without a clear cause
• Billing teams without a daily acknowledgment reconciliation habit

Risks and Operational Considerations

Submission tracking proves delivery, not payment — adjudication issues are handled in denial management, a separate workflow.

Payer and clearinghouse edits change; recurring rejections usually mean an upstream data fix, which we report rather than silently patching forever.