Claim management is a foundational part of medical billing. It includes capturing charges, coding accurately, submitting claims, tracking progress, and resolving denials or payment delays. When not handled correctly, even small billing errors can lead to missed income and administrative overload.
Reenix Excellence provides expert-level claim management support designed to streamline your billing process and optimize financial results—without overwhelming your internal team.
Medical claim management refers to the complete cycle of handling insurance claims—from patient service documentation through to payment posting. This includes:
Our specialists are trained to manage these processes with precision, helping healthcare providers improve revenue and reduce administrative stress.
We collect service data from EHRs or encounter forms and assign accurate codes to build clean claims.
Every claim goes through a detailed validation process to detect errors and compliance risks before submission.
We transmit electronic or paper claims to commercial insurers, Medicare, or Medicaid in strict accordance with payer protocols.
Our billing team monitors claims at every step and follows up quickly when delays, denials, or status changes occur.
We review and analyze denials, identify the root cause, and take corrective action—including appeals—where appropriate.
We pursue unpaid claims with structured follow-ups, helping your practice recover outstanding balances more efficiently.
Our billing professionals post EOBs/ERAs accurately and match them to expected reimbursements for transparent financial reporting.
Our claim scrubbing and charge entry process delivers cleaner claims and minimizes errors from the outset.
We incorporate payer-specific edits and historical denial patterns to catch and prevent mistakes early.
All patient information is handled with full respect to HIPAA privacy standards and security regulations.
We submit claims within 24–48 hours of receiving finalized encounter information, expediting revenue inflow.
Whether you’re a private practice or a large medical group, our claim management model scales with your needs and adapts to your operational structure.
| Step | Description |
|---|---|
|
Charge Capture |
Gather patient service data from EHR or encounter records |
|
Coding & Claim Creation |
Apply accurate codes and build claims with complete documentation |
|
Claim Submission |
Transmit claims to insurers electronically or by mail |
|
Status Tracking |
Monitor claim movement and flag slow responses or rejections |
|
Denial Resolution |
Review rejections, make corrections, and refile with needed support |
|
Payment Posting |
Post payments, reconcile discrepancies, and update ledgers |
|
Reporting |
Provide detailed claim performance and A/R reports |
It’s the process of preparing, submitting, tracking, and following up on insurance claims to collect payments for medical services.
We use advanced claim scrubbing, expert coding, and payer-specific rules to minimize errors before claims are submitted.
Yes. Our billing team is trained to operate inside most EHRs and billing systems used in modern healthcare practices.
Claims are typically filed within 24–48 hours after charge entry and final documentation review.
Yes. All data is managed under strict HIPAA compliance policies to protect patient privacy and security.
Don’t let billing delays or denials drain your revenue potential. With Reenix Excellence managing your claims, you can reduce friction in your revenue cycle and achieve predictable, timely reimbursements.
