Claims Submission
Submit Clean Claims and Get Paid Faster
Every delayed or rejected claim costs your practice time, money, and administrative resources. VMC Medone Solutions submits clean, accurate claims within 24 hours across all major payers ensuring faster reimbursements and a healthier revenue cycle every month.
THE CHALLENGE
The Challenge.
Claim submission errors are responsible for billions in delayed and lost healthcare revenue every year. Incorrect patient information, missing modifiers, wrong procedure codes, and improper billing formats cause claims to be rejected before they even reach the adjudication stage.
Manual claim submission processes are slow, error-prone, and expensive. VMC Medone Solutions eliminates these problems with a systematic, technology-driven claims submission process that delivers clean claims the first time — every time.
“A single claim error delays payment by an average of 30–60 days and costs over $25 per claim to identify, correct, and resubmit.”
How VMC Medone Handles Claims Submission
Our billing specialists review, scrub, and submit every claim with precision ensuring maximum first-pass acceptance rates across all payers.
Before any claim is submitted, our billing specialists conduct a thorough review of all patient demographics, insurance information, diagnosis codes, procedure codes, and modifiers. We verify that every element of the claim is accurate, complete, and formatted correctly for each specific payer eliminating errors before submission.
Every claim goes through our multi-level scrubbing process — checking against NCCI edits, LCD/NCD policies, payer-specific rules, and coding guidelines. Our scrubbing process identifies and corrects errors before submission dramatically improving first-pass acceptance rates and reducing costly rejections.
We submit all claims electronically through secure, HIPAA-compliant clearinghouses ensuring fast, reliable delivery to all major payers. Electronic submission dramatically reduces processing time compared to paper claims accelerating reimbursements and reducing the administrative burden on your staff.
After submission, we track every claim through our real-time monitoring system confirming receipt by the payer, monitoring adjudication status, and flagging any rejections for immediate correction and resubmission. Full visibility into every claim at every stage of the billing cycle.
Numbers That Speak for Themselves
Our claims submission process consistently delivers industry-leading clean claim rates, faster approvals, and zero timely filing failures across all payers and specialties.
Clean Claim Rate
Verification Turnaround
Timely Filing Failures
HIPAA Compliant
Our Step-by-Step Claims Submission Process
A clean-claim workflow designed to improve acceptance rates and accelerate reimbursement.
01.
Claim Preparation
Patient, provider, coding, and charge details are compiled into a complete claim file.
02.
Claim Validation
Claims are reviewed for accuracy, completeness, and payer-specific requirements.
03.
Claim Scrubbing
Automated edits identify missing information, coding conflicts, and billing errors.
04.
Electronic Submission
Validated claims are transmitted securely through clearinghouses to the payer.
05.
Submission Monitoring
We track claim acceptance, acknowledgments, and payer processing status.
06.
Resolution & Reporting
Any issues are addressed promptly while submission performance is documented and reported.
What You Can Expect With VMC Medone
When you partner with VMC Medone for eligibility verification — here is exactly what changes in your practice.
Why Choose VMC Medone for
Claims Submission?
We don't just file claims — we make sure every one of them gets paid the first time.
✅ 98%+ clean claim rate through automated scrubbing before submission.
✅ Claims filed within 24–48 hours to protect every timely filing deadline.
✅ Duplicate and error checks across electronic and manual submissions.
Frequently Asked Questions
Everything you need to know about our eligibility and benefits verification services.
Q1: What is claims submission in medical billing?
Q3: How quickly do you submit claims?
Q5: Do you handle secondary claim submission?
Q2: What is a clean claim?
Q4: What happens if a claim is rejected?
Q6: How do you prevent timely filing denials?
What You Can Expect
A consistent 98% clean claim rate from the very first billing cycle. Significantly faster payer approvals, dramatically reduced rejection volume, and a systematic submission process that protects every timely filing window — directly improving your practice's monthly cash flow and reducing your team's administrative workload.
Ready to Get Started?
Schedule your free RCM assessment today. No obligation, no contracts.
RELATED SERVICES
Explore our full suite of end-to-end Revenue Cycle Management services designed to protect and grow your practice revenue.
Denial Management, AR & Rejection Handling
We recover every rejected and denied claim through systematic AR follow-up, root-cause analysis, and direct payer communication.
Medical Coding Services
Our AAPC/AHIMA-certified coders assign precise CPT, ICD-10, and HCPCS codes across all specialties — maximizing reimbursement and minimizing audit risk.
Payment Posting & Reconciliation
We post all payments accurately, reconcile every deposit, and flag every underpayment — ensuring complete financial transparency after every approved claim.
