A rejected claim never entered adjudication, so nothing about it is working in the background. It sits in a clearinghouse queue looking exactly like a claim in process, and the difference only becomes visible when the balance is old enough to hurt.
Claims are accepted the first time more often, and the ones that are not get worked while the deadline is still comfortable.
At a glance
Step 1
Run every claim through an internal scrub before it leaves
Step 2
Correct format, demographic, and payer-specific errors at the source
Step 3
Submit electronically and confirm acceptance rather than assuming it
Step 4
Work clearinghouse rejections the same week they appear
What we actually do
- Run every claim through an internal scrub before it leaves
- Correct format, demographic, and payer-specific errors at the source
- Submit electronically and confirm acceptance rather than assuming it
- Work clearinghouse rejections the same week they appear
- Track first-pass resolution so the scrub is measured, not trusted
What this fixes
- Rejections nobody is watching because they never became denials
- Payer-specific quirks rediscovered claim by claim
- A clean claim rate measured on clearinghouse acceptance rather than payment
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at how this runs today and where it leaks.
Scope
A written scope and price before any work starts.
Transition
We take it over without a gap in submission.
Report
The same six numbers every month, so you can see it working.
Claim Scrubbing & Submission — Frequently Asked Questions
Do you use our clearinghouse or yours?
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Yours, wherever possible. Keeping the connection in your name means you retain the payer relationships and the data if we ever part ways.
What counts as a clean claim?
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One paid on first submission with no rework. Not one the clearinghouse accepted — that measures formatting and is the more flattering number.
How is claim scrubbing & submission priced?
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It is included in ongoing revenue cycle management, which is priced as a percentage of collections banded by practice size — or as a flat monthly fee in states that do not permit percentage compensation of a billing company. Front-end services are also available on their own, per occurrence, without a billing contract.
Do you guarantee a result from claim scrubbing & submission?
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No, and nobody honestly can. Coverage, adjudication, payment amounts and appeal outcomes are decided by the payer. What we commit to is the process and the six numbers reported every month, all of which you can reproduce from your own practice management system rather than take on trust.
Can we buy claim scrubbing & submission without moving all of our billing?
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Front-end services are sold per occurrence and stand alone. The back-end work is harder to separate — denial management without control of coding and submission means inheriting problems created upstream — but we will say plainly which parts make sense on their own rather than sell a partial engagement that cannot succeed.
Ready for books you can actually trust?
Book a free consultation and we will tell you what your revenue cycle needs and what it costs.
- Done-for-you
- Solo or group
- Nationwide
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