πŸ₯ RCM Service 02

Claim Filing & Submission Built for First-Pass Acceptance

A claim that goes out clean the first time gets paid the first time. DigiHibe's claim filing and submission service turns your encounters into accurate, correctly coded claims and gets them to the payer on time, every day.

We scrub claims before they leave, handle clearinghouse rejections the same day, and keep a record of every claim so nothing sits unnoticed.

All RCM Services
ACTIVE
🧾
Claim Filing & Submission
Claim submission, primary and secondary
Daily
Focus metricClean claim rate
RejectionsWorked same day
πŸ‘“ OptometryπŸ‘οΈ Ophthalmology🩺 PhysicianπŸ₯ Hospital
What You Get

What We Handle: Claim Filing & Submission

⌨️

Charge entry

Accurate capture of services, diagnosis and modifiers from encounter forms or EHR charge queues.

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Pre-submission scrubbing

Claims checked for coding, demographic and payer-rule errors before they reach the clearinghouse.

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Electronic submission

Daily primary and secondary claim submission through your clearinghouse or payer portals.

♻️

Rejection handling

Front-end rejections are corrected and resubmitted quickly so timely filing limits are never at risk.

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Attachments and documentation

Supporting records are attached where payers require them, which avoids avoidable denials.

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Claim status visibility

Weekly and monthly reporting shows submitted, accepted, rejected and pending claims by payer.

How It Works

Our Process, Step by Step

01

Capture charges

Encounters are reviewed and charges are entered with the right codes and modifiers.

02

Scrub the claim

Edits catch missing data, mismatched codes and payer-specific issues before submission.

03

Submit on time

Claims are filed daily through your clearinghouse, with secondary claims following the primary payment.

04

Work rejections

Rejected claims are corrected and resubmitted the same working day.

05

Track and report

Clean claim rate and first-pass acceptance are reported to you on a fixed cadence.

The Big Picture

Where Claim Filing & Submission Fits in the Revenue Cycle

Every DigiHibe RCM service connects, from verification to final payment, so problems found in one step are fixed at the source.

RCM KPI dashboard showing clean claim rate and collections
Clean claim rate
KPI we report
Days in A/R
KPI we report
Denial rate
KPI we report
Net collections
KPI we report
FAQs

Claim Filing & Submission: Frequently Asked Questions

What is a clean claim?

A clean claim is one that is complete, accurate and accepted by the payer on the first submission, with no manual correction needed.

How fast are claims submitted?

We submit claims daily, so a completed encounter does not wait in a queue.

Do you handle secondary claims?

Yes. Secondary and tertiary claims are filed after the primary payment is posted.

Can you work inside our clearinghouse?

Yes. We follow your SOPs and use the clearinghouse and payer portals you already have.

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Get Started

Share a Sample. We Will Show You What We Can Recover.

Free RCM audit and pilot batch available. Talk to our team about your claims, AR and EHR.

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πŸ₯ Free Consultation

Schedule Your RCM Consultation

Ready to discover how DigiHibe's Revenue Cycle Management solution can take your practice to the next level? Get started with a free RCM consultation.