- (773)-985-1869
- info@stream-rcm.com
- 14430 Ocean Point, El Paso, TX 79938
Stream RCM supports practices and physicians with consistent electronic medical claims submission that reduces denials, rejections, and payment delays. Our experienced billing agency manages the complete claim processing in healthcare from documentation review to medical billing claims to strengthen overall revenue performance.
98% First-Pass Claim Acceptance
24–48 Hour Claim Submission
48-Hour Denial Resubmission
100% Timely Filing Compliance
95% Payer Acceptance
Rate
Claim submission in medical billing involves preparing and submitting medical bills to the insurance payers for reimbursement. This includes verification of patient data, accurate coding of claims, transmission of claims either electronically or paper-based. Healthcare claims submission ensures that services provided by physicians and practices are documented correctly for payment. A clean claim in medical billing reduces denials and accelerates the healthcare claims process. Efficient claim processing in healthcare improves revenue flow and minimizes administrative burdens for providers.
Ensures patient insurance details and provider information are correct before claim submission.
Uses correct CPT, ICD, and modifiers to process medical claims without denials and rejections.
Electronic medical claims submission ensures faster payer response and reimbursement cycles.
Patient verification, accurate coding, and timely electronic filing ensure clean claims and faster reimbursements.
Before medical claims submission, verifying patient eligibility and benefits is essential. Accurate insurance checks help practices avoid rejections and ensure claim submission in medical billing aligns with payer policies to strengthen the overall healthcare claims process and reduce delays.
Correct coding is central to clean claims medical billing. Assigning accurate ICD, CPT, and modifiers ensures the claim submitted reflects the services physicians provide. Proper coding reduces denials, supports compliance, and improves the medical billing insurance claims efficiency.
Charge entry ensures that all billable services are documented correctly before healthcare claims submission. The review of charges helps prevent underbilling or overbilling and supports a clean claim in medical billing. This step directly impacts reimbursement timelines and reduces disputes.
Electronic medical claims submission speeds up the claim submission process in medical billing. Secure clearinghouses transmit data to insurance companies, track claim status, and identify errors quickly. This improves claim processing in healthcare and reduces manual paperwork.
When denials occur, detailed review and correction are necessary. Addressing denials promptly ensures medical billing claims are resubmitted accurately. Effective denial handling strengthens the healthcare claims process and helps practices maintain consistent revenue flow.
Payment posting verifies reimbursements for submitted claims. Reconciling payments identifies discrepancies in the claim in medical billing and ensures accurate reporting. This step completes the medical billing insurance claims and financial transparency for healthcare providers.
Our claim submission services are trusted by hospitals, clinics, and practices across the USA for accurate, compliant, and cost-effective medical billing claims submission. We provide customized healthcare claims submission solutions tailored to each practice’s needs. Our services cover 50+ specialties and are available in all 50 states. Get in touch with us today to outsource your claim submission services.
Aspect
In-House Claim Submission
Our Claim Submission Services
Clean Claim
Average clean claim rate 70–80%.
Clean claim rate of 98%.
Denial Reduction
Denial reduction averages 50–60%.
Denial reduction up to 75%.
Revenue Collection
Revenue improvement 10–20%
Revenue collections 40–50% higher.
Paid Claims
72% claims paid within 30 days.
Savings limited to 15–25%.
Operational Cost
Savings limited to 15–25%.
Operational savings 40–50%.
Documentation & Reporting
Dedicated account teams with real-time updates.
Limited reporting and delayed support
Clean Claim
Clean claim rate of 98%
Average clean claim rate 70–80%
Denial Reduction
Denial reduction up to 75%
Denial reduction averages 50–60%
Revenue Collection
Revenue collections 40–50% higher
Revenue improvement 10–20%
Paid Claims
90% claims paid within 30 days
72% paid within 30 days
Operational Cost
Operational savings 40–50%
Savings limited to 15–25%
Documentation & Reporting
Dedicated account teams with real-time updates
Limited reporting and delayed support
We verify, code, submit, track, and reconcile claims to ensure accurate, timely healthcare reimbursements.
We verify patient demographics and insurance details before starting the claim submission process in medical billing. This ensures healthcare claims submission begins with accurate data, reducing rejections and supporting clean claims medical billing practices.
Our professional coders provide accurate CPT and ICD coding for the proper processing of claims. Proper coding ensures that only documented services are processed and reflected in the claims that are submitted in the health claims process.
We review and confirm all charges before electronic medical claims submission. This step ensures a clean claim in medical billing, reduces billing errors, and supports a smooth medical billing insurance claims process.
Claims are transmitted through secure clearinghouses for electronic medical claims submission. This improves tracking, accelerates payer communication, and enhances overall claim processing in healthcare environments.
We monitor each claim received for approval, rejection, or denial. It helps us update each claim for timely corrections, which enhances the healthcare claims approaches for proper reimbursements.
Once payments are received, we reconcile accounts and generate detailed reports. Transparent reporting completes the claim submission process in medical billing and keeps practices informed about financial performance.
Stream RCM offers customized medical claims submission solutions aligned with your specialty, payer mix, and operational goals. Our flexible approach adapts to evolving healthcare claims processes and regulatory updates to optimize revenue and reduce denials.
Have questions? Talk to Us
Healthcare Claim processing is a workflow in healthcare where medical billing claims submitted are checked, coded and assessed by insurance payers. It makes certain reimbursement of the services delivered, taking care of errors, and approvals or rejections or denials in healthcare claims.
A clean claim is a medical billing claim that has no mistakes, the correct patient information, correct coding as well as the documentation needed. Clean claims limit denials, accelerate payment, and improve the healthcare claims submission process by practices and providers by making it smoother.
The processes in medical insurance claims cover the eligibility of the patients, the coding of the services properly, the entry into the computer of the charges, the submission of the claims electronically or in paperwork, track the response of the payers, the management of the denials, the recording of payments and finally the reconciliation of the accounts to make sure that the revenue is properly collected and the claims are properly closed.
The two forms of claim submission include the electronic claim submission and the paper claim submission. Electronic submissions are more accurate and faster whereas paper submissions are traditional and slow but are still applicable to some healthcare payers.
The CMS-1500 form, which is applicable in individual providers and outpatient services, and the UB-04 form, which is applicable in hospitals and institutional providers in making claims and reimbursement on healthcare facilities are the two most common forms of submitting medical claims.
One of the processes of submitting medical claims electronically to insurance payers is electronic medical claims submission. It guarantees quicker handling, fewer mistakes, greater claim quality, facilitates clean claims medical billing, and simplifies the healthcare claims filing procedure over-all.
Our claim submission process is designed for accuracy, compliance, and efficiency for smooth medical billing workflows.
