Claims Submission

Timely and accurate claims submissions are essential for getting reimbursed and keeping your practice’s cash flow steady. At Priority Medical Billing, we ensure that your claims are filed correctly and promptly to support your practice's financial health. 

We manage various steps, from collecting receipts and identifying payer details to filling out claims and submitting them. Our team ensures a seamless fit into your current workflow for hassle-free claims submission and integrates smoothly with any clearinghouse your practice uses. 

With our claims submission services, your practice can save time and improve accuracy.

We understand that each practice has its preferred systems and processes. That’s why we work with whichever clearinghouse your practice uses, ensuring smooth integration without disrupting your existing workflow.

Our team ensures that the submission process flows seamlessly between your practice, the clearinghouse, and the insurance companies.

Our team makes sure that your claims are submitted with precision and speed. Here’s how we ensure optimal claims submission.

• Daily data collection: We collect and track daily diaries from providers, ensuring all patient and billing details are accurate and up-to-date.
• Quick data entry: We enter patient demographics and details within 48 hours of receipt, keeping the billing process on track.
• Payer identification: Before submitting claims, we identify the correct insurance payers and get the right electronic payer IDs to reduce the chance of rejections.
• Electronic & manual claims submission: While most claims are processed electronically, some require manual submission. We handle both electronic and manual claims submissions for primary and secondary claims.

Our team continuously monitors the status of all submitted claims. If any claim is not processed within a designated time frame, we follow up directly with the payers to address any issues or delays.

If we come across any problems or denials during this follow-up, we swiftly take action to resolve the matter.

Dealing with claims rejections and denials can be a major headache for any medical practice. These issues not only delay payments but also consume extra time and effort to resolve. 

At Priority Medical Billing, we focus on minimizing these problems with our proactive claims management approach. However, if claims are denied, we jump into action to pinpoint the issue, fix any errors, and resubmit them promptly. 

Our team keeps a close eye on denied claims, ensuring they are resolved quickly to keep your practice’s cash flow steady and avoid unnecessary disruptions.

Outsourcing your claims submission process to Priority Medical Billing provides many benefits to your practice.

• Improved reimbursement rates: Accurate and timely claims submission can significantly improve your reimbursement rates. By entrusting your claims to us, you can maximize your revenue.
• Reduced administrative burden: Our claims submission services can free up your staff to focus on providing patient care. By offloading this time-consuming task to us, you streamline operations and cut down on administrative costs.
• Expertise & accuracy: Our team knows the ins and outs of the claims submission process, from current coding guidelines to payer requirements. We ensure your claims are spot-on from the start, reducing errors and maximizing reimbursement.
• Compliance with regulations: We stay up-to-date with the latest claim submission regulations to ensure that your claims are submitted correctly. This helps to avoid penalties and ensure accurate reimbursement.

At Priority Medical Billing, we offer expert medical billing solutions tailored to meet the needs of your practice. Our team handles the complexities of billing and claims processing for you so that you can focus on caring for your patients.

To find out how we can help your practice, please call 708-362-6080 or fill out the online form.