Electronic Claim Submission
Claims scrubbed, submitted electronically in 837 format, and tracked to confirmed payer receipt — every business day, for every payer.
A claim cannot be paid until it exists inside the payer's system — correctly formatted, complete, and confirmed received. Elite Bill Care's electronic claim submission service prepares, scrubs, transmits and tracks your claims through your clearinghouse to every payer, every business day, so the distance between providing care and starting the payment clock is as short as it can be.
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From charge to confirmed receipt
- Charge capture. Charges arrive from charge entry with coding reviewed under our coding support process.
- Claim scrubbing. Every claim passes eligibility-of-format checks: required fields, code validity, modifier and diagnosis linkage, bundling edits and payer-specific rules — fixed before transmission, not after denial.
- Transmission (837). Claims are submitted electronically in the standard 837 format through your clearinghouse to commercial payers, Medicare and Medicaid.
- Acceptance tracking. Clearinghouse and payer acknowledgment reports (including 277CA claim acknowledgments) are reviewed so every claim is proven received — the step most billing workflows skip, and the reason "lost claims" exist.
- Rejection correction. Anything rejected at the front door is corrected and resubmitted through rejection management — usually the same or next business day.
What "clean claim" really means
A clean claim is one that passes every edit and adjudicates without human intervention — no missing data, no invalid codes, no eligibility, authorization or enrollment defect upstream. Submission is where cleanliness is proven, but it is created earlier: in eligibility verification, in authorizations secured in advance, and in enrollment completed before the first claim. That is why submission sits inside our full revenue cycle service instead of being a stand-alone transmit button.
Primary, secondary, and the claims that get forgotten
Primary claims are the easy part. The revenue leaks in the follow-through: secondary claims that need the primary remittance attached, corrected claims and voids that must reference the original claim correctly, and claims for payers requiring attachments or paper submission. Each type is a defined workflow in our submission process — including the unglamorous exceptions — because a claim type nobody owns is a claim that never goes out.
Speed matters more than it looks
Every payer contract and plan carries a timely-filing deadline, and the clock starts at the date of service, not at submission. Daily submission with acceptance tracking keeps your claims months away from those deadlines, and produces the proof of timely filing that rescues claims in AR follow-up and appeals when a payer claims a claim never arrived.
Frequently asked questions
What is an 837 claim file?
The 837 is the standard electronic format for healthcare claims — the digital equivalent of the CMS-1500 paper form (837P for professional claims). Your practice-management system or clearinghouse generates it, and payers' systems read it. Working in this standard format is what makes same-day submission and electronic tracking possible.
What is a claim scrubber?
Software checks that run before a claim is transmitted, testing it against payer rules, coding edits (such as NCCI bundling), required-field and format requirements. A claim that fails scrubbing is fixed before submission instead of denied after it — scrubbing is a core part of how first-pass clean-claim rates improve.
How do we know a payer actually received our claims?
Each transmission generates acknowledgment reports — clearinghouse acceptance reports and payer 277 claim acknowledgments — confirming receipt claim by claim. We review these reports daily; a claim without an acceptance confirmation is resubmitted immediately, not discovered weeks later in AR follow-up.
Do you submit secondary and tertiary claims too?
Yes. After the primary payer's remittance posts, secondary claims go out with the primary EOB/ERA information attached as required — electronically where the payer accepts COB data in the 837, which is most cases. Coordination-of-benefits claims left unsubmitted are pure lost revenue.
What about claims that must go on paper?
A small number of payers and special claim types still require paper CMS-1500 submission or attachments. We handle those exceptions deliberately — including required documentation — while keeping everything else electronic.
Submit claims that arrive — and can prove it
Start with a free consultation: tell us your clearinghouse and main payers, and we will map your submission workflow end to end.