Vigilant on every file

Claim Submission

Q: What happens to a claim that is rejected by the clearinghouse?

Front-end rejections are worked the same business day. Because they never reached the payer, the timely-filing clock is still running — speed here matters more than anywhere else in the cycle.

Q: Do you handle secondary claims?

Yes. Secondary and tertiary claims are generated automatically once the primary remittance posts, including COB details that commonly cause secondary denials.

Electronic submission to every payer with acknowledgement tracking — so a claim that silently fails at the clearinghouse never goes unnoticed.

A billing specialist smiling after a batch of claims is accepted for submission

Daily
Submission cadence: 277CA tracked
Acknowledgement reconciliation: Automated alerts
Timely-filing safeguards

What this actually involves

Claims are submitted electronically to commercial, Medicare and Medicaid payers with appropriate CPT and ICD-10 codes per CMS guidelines. The part most practices miss is the acknowledgement layer: we reconcile every 277CA and clearinghouse report against what we sent, so a claim that quietly failed in transit is caught in days rather than discovered at the 90-day timely-filing wall.

How we run it

1
Batch release
Scrubbed claims are batched and transmitted daily, not weekly.
2
Acknowledgement match
Every submitted claim is matched to a payer acknowledgement.
3
Rejection triage
Front-end rejections are corrected and resubmitted the same day.
4
Filing-clock watch
Claims approaching a timely-filing limit are escalated automatically.

Questions