ThePracticeBridge
Medical Billing Support

Connect With An EMR Billing
Solutions Expert Today!- (609)-807-8008

Claims Management Companies Q&A

Medical Billing Service Company NJ

Paper claims that are almost obsolete are still used by certain payers. To send out paper claims, billers will have to enter claim details in the forms provided by insurance companies and send the completed details across. In contrast electronic claims are created and sent to clearinghouses/insurers via their EHRs.

Read More

After receiving access from clients, the billing companies will log in to the EMR of providers. They complete the billing process and transmit claims within the system. Most providers give billing companies NP level access.

Read More

A clearinghouse is akin to a post office. All completed claims will have to be sent to clearinghouses for review. The clearinghouse accepts or rejects claims based on their accuracy. Claims can be transmitted to insurers only via a clearinghouse.

Read More

A clearinghouse is akin to a post office. All completed claims will have to be sent to clearinghouses for review. The clearinghouse accepts or rejects claims based on their accuracy. Claims can be transmitted to insurers only via a clearinghouse.

Read More

Practices can fax EOB details to the fax number of their EMR/EHRs. All details are archived in the EMR/EHR of medical practices. If the medical practice has a lockbox account, it can share its log in credentials with its billers. The billers can post payment details directly into the systems.

Read More

Upon receiving the rejection details, billers analyse the reason provided for the rejection and act on it accordingly. Claims are corrected and resubmitted based on the rejection reason given.

Read More

When claims are not accepted by insurers they deny claims. The reasons for denied claims vary. From inaccurate information to submitting claims past submission deadlines, the reasons for claim denials vary.

Read More

A denied claim could be the result of inaccurate billing, coding or a flaw in the claim processing system of insurers.

Read More

The best practice target rate is 97%. There is no standard claim acceptance rate. Numbers vary widely based on the accuracy of claims.

Read More


Most billing companies offer a plethora of services. The extent to which a billing company handles the billing tasks of a medical practice depends on the service signed up for.

Read More

A full cycle billing company does handle the entire billing tasks of providers. They file claims, transmit them and follow up on unpaid claims.

Read More

They are the last date for submitting claims. Every insurance company has a different deadline for submitting claims. Insurers do not reimburse claims that are not filed within the claim submission deadline.

Read More