Claim Submission & ScrubbingServices
Automated claim submission and advanced scrubbing to ensure clean claims and faster reimbursements. Expert claim processing with industry-leading accuracy.
Fast, accurate claim submission is the single biggest driver of your practice's cash flow. Every day a clean claim sits unsubmitted costs your practice money. MedSure submits claims electronically within 72 hours of receiving complete documentation — with a 99.5% first-pass acceptance rate that means faster payments and fewer follow-up headaches.
Claim Submission & Scrubbing Solutions
Comprehensive claim submission & scrubbing services designed to optimize your revenue cycle.
Electronic Claim Submission
Automated EDI submission to all major payers
Claim Scrubbing
Advanced validation and error detection before submission
Status Tracking
Real-time tracking of claim status and processing
Error Correction
Automatic error detection and correction before submission
Key Features
- Automated claim submission to all payers
- Advanced claim scrubbing and validation
- Real-time error detection and correction
- Electronic claim submission (EDI)
- Claim status tracking and monitoring
- Compliance with all payer requirements
Benefits
- 99.5% clean claim rate
- Faster claim processing and reimbursement
- Reduced claim rejections and denials
- Real-time claim status updates
- Compliance with all payer requirements
- 24/7 claim monitoring and support
How It Works
Our proven process delivers results for your practice.
Documentation Review
Before any claim is submitted, our team verifies that complete documentation is on file — signed encounter notes, orders, referrals, and authorization numbers when required. Missing documentation is flagged and requested immediately.
Claim Preparation
Claims are built with accurate demographic data, insurance information, provider NPI and taxonomy, and complete service line detail. We apply payer-specific formatting requirements and attach supporting documentation when required.
Scrubbing & Validation
Every claim passes through our clearinghouse and proprietary scrubbing rules before transmission. We check for NCCI edits, LCD/NCD coverage issues, modifier requirements, and payer-specific edits that cause front-end rejections.
Transmission & Monitoring
Clean claims are transmitted electronically and tracked through acknowledgement. Rejections are identified within hours and corrected for same-day resubmission. We monitor claim status reports daily and escalate issues proactively.
Frequently Asked Questions
Get answers about our Claim Submission & Scrubbing services.
How do you handle claim rejections vs. denials?
Rejections occur before a claim enters the payer's system (clearinghouse or front-end edits) and can be corrected and resubmitted quickly. Denials occur after adjudication and require appeals. We address rejections within hours and denials within 24-48 hours.
Do you submit secondary claims automatically?
Yes. Once a primary payer pays, we automatically cross-bill to secondary insurance with the primary EOB attached. This ensures you collect the maximum allowed amount from all available coverage.
What clearinghouses do you use?
MedSure uses top-tier clearinghouses including Change Healthcare and Availity, which have direct connections to thousands of payers. This reduces transmission errors and speeds up claim acceptance confirmation.
Can you submit claims for services already provided?
Yes. We can submit backdated claims up to each payer's timely filing limit. If you have a backlog of unsubmitted claims, we assess timely filing status and submit as quickly as possible to maximize recovery.
Ready to Optimize Your Revenue Cycle?
Get a free practice analysis and discover how we can increase your collections by up to 30%.