Claims submission is a crucial step in the medical billing process where healthcare providers send a formal request for payment to insurance payers for services rendered to patients. Timely and accurate claims submission ensures that healthcare providers receive payment for their services without delays. At Thrive Technologies, our claims submission services are designed to streamline the submission process, ensure compliance with payer requirements, and reduce the risk of claim rejections or denials. By handling this critical step with precision, we help healthcare providers maximize their revenue and minimize the administrative burden.
After the medical services are provided, our team prepares the claim by gathering all necessary information, including patient demographics, provider details, diagnosis and procedure codes, and charge amounts.
Once the claim is validated, we submit it either electronically via EDI or as a paper claim, depending on the payer’s preferences. We ensure that the claim meets all payer-specific guidelines and is submitted within the payer’s filing deadlines.
The claim undergoes a thorough review process where it is scrubbed for errors or inconsistencies. Any issues are identified and corrected before submission.
After submission, we track the claim’s progress and follow up with the payer if there are any issues or delays. Our team works to ensure that claims are processed efficiently and that payments are received in a timely manner.
