Claims Submission

We submit your medical claims within two working days of receiving your charge form (Superbill), we also receive and process your superbills directly from your EHR. We submit electronic claims to over 4,200 payers nationwide including Medicare, Medicaid, BlueCross & BlueShield, as well as Commercial payers; for those few payers that still do not accept electronic claims, we submit the claims on paper. We use both CMS 1500 (HCFA 1500), professional and CMS 1450 (UB 92), institutional; forms to submit your claims to payers.

We check your claims against LCD (Local Coverage Determinations) in order to make sure that procedures are justified by the diagnosis included in the claims; we also add the required modifiers according with the requirements of each payer. Claim errors can be significantly reduced by using our system, they are checked for consistency before being saved including: ICD9-CM and ICD10-CM codes, CPT-4 codes, DOS, POS and much more; they are later checked by the Clearinghouse for payer ID and insurance ID formats and much more. As a result we achieve a very high percentage of clean claims reaching more that 97% on average.