Claims Submission
Generate, scrub and submit compliant 837 claims to every payer and clearinghouse - with acknowledgements tracked and rejections worked automatically.
MedXFlow builds compliant electronic claims, runs them through a multi-layer scrubber, and submits them to payers and clearinghouses. Every 999/277CA acknowledgement is tracked, front-end rejections are auto-triaged and corrected, and clean-claim and first-pass rates are measured so you can see - and improve - how much goes right the first time.
What's inside Claims Submission
- Multi-layer claim scrubbing - Format, payer-edit and clinical checks run before submission to maximise first-pass acceptance.
- Any payer, any clearinghouse - Electronic 837 submission across your full payer mix, with paper fallback where required.
- Acknowledgement tracking - 999 and 277CA responses are reconciled so no claim silently disappears.
- Auto-rejection handling - Front-end rejections are triaged, corrected and resubmitted without manual hunting.
How it works
- Claim assembled - A compliant 837 is generated from the coded, scrubbed charge.
- Scrubbed and submitted - Multi-layer edits run, then the claim is transmitted electronically.
- Acknowledged and tracked - Payer acknowledgements are reconciled; rejections loop back for correction.
What you get
- Higher first-pass and clean-claim rates
- No claims lost between practice and payer
- Faster time-to-submission, faster cash
- Rejections worked automatically, not weeks later
Frequently asked questions
How do you submit a claim to insurance?
Generate a compliant electronic 837 claim from the coded encounter, scrub it against payer edits, and transmit it to the payer or clearinghouse, then reconcile the 999/277CA acknowledgement. MedXFlow does this automatically for every payer.
What is claim scrubbing?
Claim scrubbing runs format, payer-edit and clinical checks on a claim before submission to catch errors that would cause a rejection or denial, maximizing first-pass acceptance.
What is the difference between a claim rejection and a denial?
A rejection happens before adjudication (a data or formatting error at the clearinghouse or payer front end) and can be corrected and resubmitted. A denial happens after adjudication, when the payer declines to pay.
What is a good clean claim rate?
A clean claim rate of 95 percent or higher is healthy; disciplined scrubbing and acknowledgement tracking can push first-pass acceptance toward 98 percent.