Electronic Claims Submission

Electronic Claims Submission

A close-up of a hand tapping a tablet screen displaying text on a digital document.
A close-up of a hand tapping a tablet screen displaying text on a digital document.
A close-up of a hand tapping a tablet screen displaying text on a digital document.

The pivotal stage within the medical billing process entails the submission of claims via Electronic Data Interchange (EDI). These healthcare claims encompass sensitive information such as patient data and insurance details. By utilizing EDI for claims submission, processing delays are minimized, and higher acceptance rates with Payers are ensured. Below, we outline our standard EDI procedures:

Electronic Claims Submission

  • Daily transmission of claim batches through EDI

  • Diligent monitoring of EDI transmission reports on a daily basis

  • Identification of any 'rejections' within the EDI transmission reports

  • Promptly returning rejections to the Billing team for error resolution

  • Efficient coordination with the Clearing House to address any field mapping issues that may arise

Our Electronic claims submission has been perfected in order to ensure that timely reimbursements will be made and will come back with as little claim denials as possible. With our constant audit processes in place, changes can be made swiftly to rectify any errors and prevent them again from happening in the future.

The pivotal stage within the medical billing process entails the submission of claims via Electronic Data Interchange (EDI). These healthcare claims encompass sensitive information such as patient data and insurance details. By utilizing EDI for claims submission, processing delays are minimized, and higher acceptance rates with Payers are ensured. Below, we outline our standard EDI procedures:

Electronic Claims Submission

  • Daily transmission of claim batches through EDI

  • Diligent monitoring of EDI transmission reports on a daily basis

  • Identification of any 'rejections' within the EDI transmission reports

  • Promptly returning rejections to the Billing team for error resolution

  • Efficient coordination with the Clearing House to address any field mapping issues that may arise

Our Electronic claims submission has been perfected in order to ensure that timely reimbursements will be made and will come back with as little claim denials as possible. With our constant audit processes in place, changes can be made swiftly to rectify any errors and prevent them again from happening in the future.

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Revenue Performance Management delivers complete RCM solutions—billing, coding, authorizations, credentialing, denials, and collections—for all specialties.

Email Us

billingmanager@rpmgmt.health

© 2025 Revenue Performance Management (RPM). All rights reserved.

Revenue Performance Management delivers complete RCM solutions—billing, coding, authorizations, credentialing, denials, and collections—for all specialties.

Email Us

billingmanager@rpmgmt.health

© 2025 Revenue Performance Management (RPM). All rights reserved.

Revenue Performance Management delivers complete RCM solutions—billing, coding, authorizations, credentialing, denials, and collections—for all specialties.

Email Us

billingmanager@rpmgmt.health

© 2025 Revenue Performance Management (RPM). All rights reserved.

Revenue Performance Management delivers complete RCM solutions—billing, coding, authorizations, credentialing, denials, and collections—for all specialties.

Email Us

billingmanager@rpmgmt.health

© 2025 Revenue Performance Management (RPM). All rights reserved.