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Claims submission

  • Submitting a medical insurance claim is one of the key steps in the medical billing process. It determines the amount of reimbursement that the healthcare provider will receive after the insurance company clears the dues. It is important to understand what exactly happens during the process of submitting a claim to the insurance provider. We have a dedicated team expertise in checking for transmission related errors at a ‘loop level’ and fix it.
  • The EDI team is responsible for

  • Transmit the claims on a daily basis
  • Track the EDI transmission reports every day
  • Identify ‘rejections’ from EDI transmission reports
  • Fix the rejections and rebill the claim
  • The teams at MedLegends, realize the importance of tracking the reports on a daily basis so that EDI rejections are handled immediately and re-submitted for processing. This ensures that there is no delay or lag in the payments from the Insurance payers.

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