Claims Submission - Work Edits and Rejection Management

Claims scrubbing or Claims submission process involves reviewing the claim data before submitting the claims to payers. We utilize the functionality in the practice management systems to check the data integrity. We identify and correct the rejections and work edits before onward submission to insurance payers.

Our Work Edits and Rejection Management Process

As many as 10% of healthcare claims face quality, payment, and reconciliation issues. Our work edits and rejection management team will resolve any problems with the claims during submission. The result is that you can address your denials upfront and reduce rework on the claim denials.

Benefits offered by our Claims Submission Team

Medical Billing Wholesaler’s claims submission -work edits and rejection management teams offer the following benefits.

  • Reduce costs by 30-50% through our global delivery model
  • Avoid claim denials by addressing issues upfront.
  • Improve the Accounts Receivable cycle by reducing the number of claims denied
  • Achieve higher and quicker reimbursement