Medical Claims Submission Services
Accurate and timely medical claims submission services for faster reimbursements and fewer claim rejections.
PlusMed Solutions provides accurate and timely medical claims submission services to ensure healthcare providers receive faster reimbursements and experience fewer claim rejections. Our structured claim submission process follows payer-specific guidelines and industry best practices to improve first-pass acceptance rates and maximize revenue.
What Is Medical Claims Submission?
Medical claims submission is the process of sending properly coded and documented claims to insurance payers for reimbursement. Errors, missing information, or non-compliance with payer rules can result in delayed or denied payments. PlusMed Solutions manages this critical step with precision to ensure clean, compliant claims are submitted the first time.
Comprehensive Claims Submission Services
Claim Review & Validation
Before submission, every claim is carefully reviewed to ensure accuracy. This validation process reduces errors and improves approval rates.
- Accurate patient demographics and insurance details
- Valid CPT, HCPCS, and ICD-10 codes
- Correct modifiers and units
- Provider and facility identifiers (NPI, Tax ID)
- Compliance with payer-specific billing rules
Claim Scrubbing & Error Detection
We use advanced claim scrubbing tools to identify coding inconsistencies, missing or invalid data, payer rule violations, and duplicate or incomplete claims. Errors are corrected before submission to prevent rejections.
Electronic Claims Submission
PlusMed Solutions submits claims electronically to Medicare and Medicare Advantage plans, Medicaid programs, Commercial and private insurance carriers, and Managed care organizations. Electronic submission speeds up processing times and reduces manual errors.
Timely Claim Filing
We ensure claims are submitted within payer filing deadlines to prevent timely filing denials and lost revenue.
Claim Acknowledgment & Status Monitoring
After submission, we monitor payer acknowledgments, track claim status through clearinghouses and payer portals, and identify and resolve rejections or processing issues promptly.
Corrected & Resubmitted Claims
If a claim is rejected or returned, our team identifies the cause of rejection, corrects errors, and resubmits claims quickly. This proactive approach minimizes payment delays.
Key Benefits
Specialties We Support
- Primary Care and Internal Medicine
- Cardiology
- Orthopedics
- Mental Health and Behavioral Health
- Urgent Care
- Physical Therapy and Rehabilitation
- Specialty and Surgical Practices
Why Choose PlusMed Solutions
- Experienced medical billing professionals
- Expertise with Medicare, Medicaid, and commercial payers
- HIPAA-compliant and secure workflows
- Scalable solutions for practices of all sizes
- Transparent reporting and communication
Types of Claims We Submit
Get Started Today
With PlusMed Solutions' Claims Submission services, healthcare providers can rely on accurate, compliant, and timely claim filing—resulting in faster payments and improved revenue cycle performance.
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