Claims submission in medical billing follows a defined path from patient intake to payment. Each step—eligibility checks, documentation, coding, claim submission, and payer review—guides how claims move through the billing cycle until payment is posted and patient balances are billed.

Paper claim submission in medical billing remains necessary for certain payers and claim types. CMS-1500 forms require strict rules for formatting, data entry, and handling. Small errors can result in claim returns or delays. This blog outlines key CMS-1500 rules that help reduce paper claim issues and improve processing.

Understanding claim submission types in medical billing helps determine how claims are reviewed and processed by insurance payers. This blog covers the key submission methods, purposes, and formats, and explains how selecting the right approach from the start can reduce delays and limit follow-up activity throughout the billing cycle.

Minimizing claim submission errors is important for maintaining steady reimbursements. Manual workflows often miss coding details, eligibility changes, and payer rules. RCM automation tools help address these issues with structured validation and real-time checks. This overview highlights five tools that improve submission quality, reduce denials, and support more consistent billing results.

Clean claims are the backbone of efficient revenue cycle management. By ensuring accurate demographics, payer details, coding, and provider data, practices can cut denial rates, shorten payment cycles, and strengthen cash flow.

See how Billings Clinic Emergency Department reduced claim denials by 64%, cut A/R in half and fixed coding issues with MBW's support.

The claims submission process is the backbone of healthcare revenue cycle management. This guide breaks down each step to help reduce denials, speed up payments, and protect revenue.

Underpaid claims drain healthcare revenue. From coding errors to payer mismatches, small mistakes cost providers thousands. Learn the top 5 causes of underpayment—and proven strategies to recover revenue and strengthen your revenue cycle.

Learn the claim submission process in medical billing with this detailed guide. From coding to follow-up, improve revenue cycle management, ensure

Our client, a Maryland-based Medical Billing & Coding Company, was challenged with billing & coding for all vaccinations done at an urgent care clinic in North Carolina. The urgent care center had partnered with the North Carolina Department of Health & Human Services, thereby conduction the majority of the Vaccination drives at their care centers. In this case study, we share the best practices applied by our team while billing & coding for COVID-19 vaccination.

Recovering claim dues from payers for physician assistance claims requires intricate knowledge of payer-specific guidelines. Medical Billing Wholesalers’ denials research team helped the client identify and resolve out-of-network claims.

With a focus on recovering denials of PA claims from UHC and Oxford, we rebilled the claims after adhering to the payer-specific guidelines and were able to recover over $80K of A/R, while reducing the monthly denials from 73 to 11.