Claim Submission Services That Get Practices Paid Faster
ClaraRCM's claim submission services scrub, review, and submit clean claims on a daily cycle — so your practice sees fewer denials, faster payer turnaround, and steadier cash flow without adding headcount.
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What Is Claim Submission and Why Does It Affect Practice Revenue?
Claim submission is the process of sending coded patient encounter data to insurance payers for reimbursement. A single rejected claim delays payment, adds administrative rework, and — left unmanaged — compounds into the kind of AR backlog that quietly drains a practice's revenue.
Most denials trace back to preventable claim submission errors: incomplete data, mismatched codes, or missed payer-specific formatting rules. Pairing accurate medical coding with a disciplined claim submission process is the single highest-leverage fix available to a practice trying to improve cash flow. It also reduces the volume of work that later lands with denial management.
ClaraRCM's team reviews every claim submission before it reaches your clearinghouse.
What Are Denied Claims Really Costing Your Practice?
Adjust the sliders to match your practice's numbers and see an estimate of what claim denials could be costing you every month — and every year.
(denial rate reduced to ~8%) $5,400/mo
Estimates only, based on figures you enter. Actual results vary by payer mix, specialty, and claim complexity.
Our Claim Submission Process, Step by Step
STEP 01
Document & Data Aggregation
We pull encounter data, patient demographics, and coding details from your EHR or practice management system into a single reviewed record.
STEP 02
Automated Claims Scrubbing
Every claim submission runs through an automated scrubbing pass plus manual review, checking for coding mismatches, missing modifiers, and payer-specific edits.
STEP 03
Daily Submission Cycles
Clean claims are batched and submitted via EDI to your clearinghouse on a daily cycle, rather than sitting in a weekly queue.
STEP 04
Real-Time Claim Tracking
You get visibility into claim status — accepted, pending, or rejected — as it happens, not after a monthly report.
A Claim Submission Partner Built for Practices That Can't Afford Errors
Daily Submission Cycles
Claims move out the same day they clear review, shortening the gap between service and payment.
High Clean-Claims Rate
Automated scrubbing paired with expert review keeps first-pass acceptance consistently above industry benchmarks.
Expertise Across Claim Types
Our team works across CMS-1500 and UB-04 formats for both professional and institutional billing.
Custom Payer Rule Sets
We build and maintain payer-specific submission rules so claims meet each payer's formatting requirements from the start.
Fast Rejection Identification
Rejected claims are flagged and corrected quickly, instead of sitting unresolved in a backlog.
A Dedicated RCM Team
Your practice works with a consistent team that understands your payer mix, not a rotating queue of generalists.
What Changes After ClaraRCM Manages Your Claim Submission
Ranges below reflect typical industry benchmarks for practices before and after implementing structured claim submission management.
| Metric | Before | After ClaraRCM |
|---|---|---|
| Clean Claims Rate | 85–88% | 95%+ |
| Submission Turnaround | 3–5 days | 24–48 hours |
| Denial Rate | 12–15% | Under 5–10% |
| AR Over 90 Days | 20%+ | Under 15–20% |
Figures represent industry-standard benchmark ranges, not a guarantee. Actual results vary by payer mix, specialty, and prior claim backlog.
Common Questions About Claim Submission
What is a claim submission service?
A claim submission service prepares, reviews, and sends coded patient encounter data to insurance payers for reimbursement. It includes error-checking the claim before it's submitted, so it has the best chance of being accepted on the first pass.
How can healthcare providers reduce claim denials?
Providers reduce denials by verifying eligibility before service, using automated claims scrubbing before submission, and applying payer-specific formatting rules consistently. Most denials are preventable with these steps in place.
What does a claim submission partner typically handle?
A claim submission partner typically handles data aggregation, coding review, claims scrubbing, EDI submission to clearinghouses, and tracking claim status through to payment or rejection.
How does ClaraRCM manage the claim submission process?
ClaraRCM aggregates encounter data, runs it through automated and manual claims scrubbing, submits clean claims daily via EDI, and tracks every claim's status in real time until it's resolved.
Why is timely claim submission important for practice revenue?
Timely claim submission shortens the gap between providing care and getting paid for it. Delayed or rejected claims extend AR aging and create cash flow strain that compounds the longer they go unresolved.