What Is Claim Submission in Medical Billing?
Claim submission is the process of sending patient treatment and billing information to insurance companies for reimbursement. It involves converting medical services into accurate CPT, ICD-10, and HCPCS codes, attaching the required documentation, and submitting them electronically (EDI) or on paper, depending on payer requirements.
There are two types of claim submissions:
Electronic Claim Submission — The fastest, most efficient method, with quicker payments and fewer errors.
Paper Claim Submission — Used when payers don’t accept electronic claims or for special cases.
Why Claim Submission Matters
Faster reimbursements — Clean, on-time submissions shorten payment cycles.
Reduced denials — Correct coding and documentation prevent costly rejections.
Improved compliance — Following payer rules keeps you compliant and audit-ready.
Higher staff efficiency — Outsourcing claim submission frees your team from manual billing tasks.
Stronger patient satisfaction — Smooth billing reduces confusion and disputes.
Common Challenges with Claim Submission
Many practices lose revenue because of:
Inaccurate patient or insurance data
Coding errors or missing modifiers
Missed filing deadlines
Lack of payer-specific formatting
Rejected claims that aren’t followed up promptly
Manual workflows leading to delays
GladMedRCM Claim Submission Services
We ensure your claims are accurate, timely, and payer-compliant through:
Accurate Data Entry & Verification — Collecting and validating patient demographics, insurance details, and provider information.
Charge Capture & Medical Coding — Translating services into correct CPT, ICD-10, and HCPCS codes.
Claim Scrubbing — Detecting and fixing errors before submission to increase first-pass acceptance rates.
Electronic & Paper Submission — Submitting claims via EDI or paper, depending on payer requirements.
Payer-Specific Compliance — Adhering to payer policies, bundling rules, and filing deadlines.
Rejection Management — Tracking and resubmitting rejected claims quickly to avoid revenue leakage.
Transparent Reporting — Regular updates on claim submission status, denial trends, and reimbursement cycles.
Benefits of Partnering with GladMedRCM
High first-pass claim acceptance rate
Faster payments and improved cash flow
Lower denial and rejection rates
Customized solutions for your specialty
Compliance with HIPAA and payer guidelines
Dedicated support team for claim tracking and follow-up
Get Started Today
Don’t let claim errors, delays, or denials slow down your revenue. With GladMedRCM’s Claim Submission Services, you can achieve cleaner claims, faster reimbursements, and stronger financial performance.
📞 Contact GladMedRCM today to schedule a free consultation and discover how we can optimize your claim submission process.
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