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REVENUE CYCLE MANAGEMENT

Medical Claim Submission Services for Clean, Fast Payments

Medical claim submission services prepare, check and send your claims to insurers, then track each one until it is paid. ZanexMed submits electronic and paper claims within 72 hours of service, fixes rejections quickly and keeps every claim inside payer filing deadlines.
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  • Claims sent within 72 hours of service
  • Electronic and paper claims handled
  • Every claim tracked until it is paid
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    What Are Medical Claim Submission Services?

    Medical claim submission services send the claim for each patient visit to the insurer for payment, in the format that payer accepts, and follow it until it is paid. That means building the claim, checking it, sending it, and tracking the acknowledgment and the payment.

    Claims go out either electronically, through a clearinghouse, or on paper. Professional claims use the CMS-1500 form or the 837P file. Facility claims use the UB-04 form or the 837I file.

    Submission is where small mistakes become big delays. One wrong ID can bounce a claim, and every day of delay pushes payment further away. The National Uniform Claim Committee maintains the CMS-1500 claim form instructions.

    Electronic vs Paper Claims

    Our medical claim submission services use the right format for each payer and claim type.
    Claim typeWho uses itOur approach
    Electronic 837PPhysicians, clinics and ER physician groupsDefault method. Fast, scrubbed and trackable.
    Electronic 837IHospitals and freestanding ERs billing facility feesSent with revenue codes and facility data.
    Paper CMS-1500Professional claims when a payer or situation needs paperPrinted, mailed with proof of delivery and tracked.
    Paper UB-04Facility claims on paperPrinted, mailed with proof of delivery and tracked.

    How Our Medical Claim Submission Services Work

    Every claim moves through the same six steps, so nothing is skipped when volume is high.

    1. Charge and demographic check

    We confirm charges, patient details and insurance data are complete.

    2. Coding and necessity review

    Codes, modifiers and diagnosis links are checked against documentation.

    3. Claim scrubbing

    Claims are tested against payer rules and edits before they are sent.

    4. Submission within 72 hours

    Clean claims go out within 72 hours of service.

    5. Acknowledgment tracking

    We review clearinghouse and payer reports to confirm receipt.

    6. Rejection and status follow up

    Rejected claims are fixed and resent, and stalled claims are chased.

    Medical claim submission services process from charge check to payment follow up

    What Makes a Clean Claim

    A clean claim is one a payer can process without extra information. These are the items we confirm on every claim.
    • Correct patient demographics and insurance IDs
    • Accurate CPT, ICD 10 codes and modifiers
    • Valid provider NPI and taxonomy codes
    • Required authorization numbers
    • Correct place of service
    • Documentation attached when the payer asks for it
    • Submission before the timely filing limit

    Timely Filing: Why Speed Matters

    Every payer sets a deadline for filing a claim after the date of service. Limits vary widely, often from 90 days to one year, and a claim filed late is usually denied with no right to appeal.

    Sending claims within 72 hours of service leaves plenty of room to fix a rejection and resubmit. Any claim that does slip is tracked in our medical AR management workflow so it is never forgotten.

    GOT QUESTIONS?

    Medical Claim Submission Services FAQs

    Medical claim submission services build, check and send claims to insurers and follow them until they are paid. A billing partner such as ZanexMed also fixes rejections and tracks every claim against payer deadlines.
    ZanexMed submits claims within 72 hours of service, as soon as charges and documentation are complete.
    The CMS-1500 is the claim form for professional services billed by physicians and other practitioners. The UB-04 is the claim form for institutional services, such as hospital and freestanding ER facility charges.
    Electronic claims are faster, cheaper and easier to track, so they are the default. Paper is used only when a payer requires it, with mailing proof and tracking. See our EDI medical billing services for how electronic claims work.
    Timely filing is the deadline each payer sets for submitting a claim after the date of service. Limits vary, often from 90 days to one year, so we check every payer contract.
    We find the error, correct it and resubmit as soon as the rejection report arrives. Repeat causes are added to our scrubbing rules so they stop coming back.

    RELATED SERVICES

    Explore More ZanexMed Billing Services

    Claim Preparation

    Checks that prevent rejections before submission.

    EDI Medical Billing

    Electronic claims, ERAs and eligibility handled for you.

    Denial Management

    Find the root cause of denials and appeal with proof.

    Medical AR Management

    Follow up on aging claims until they are paid.

    Ready to Get Claims Out the Door Faster?

    Talk to ZanexMed about medical claim submission services and get a free review of your claims process.
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