How much does a denial actually cost?
Industry research indicates that reworking a single denied claim costs $15–$30 in staff time and overhead. This ignores the cost of delayed cash flow. Getting it right the first time is the only [...]
What is a good “Clean Claim Rate”?
We set the benchmark at 95% or higher. If your First-Pass Acceptance Rate is below 90%, it is a red flag indicating workflow inefficiencies that are costing you money every single day.
Why do claims get denied?
The top culprits are eligibility issues, coding errors (wrong modifiers), and missing patient information. Our AI-powered scrubbing catches these specific errors before submission, reducing [...]
How long does it take for a claim to be paid?
On average, electronic claims are processed within 7–14 days, whereas paper claims can take 30–45 days. With our clean submission protocols, we aim to cut your Days in A/R significantly.
What is the difference between Paper and Electronic submission?
Electronic claim submission (EDI X12 837) is instant, encrypted, and trackable. Paper claims rely on mail and manual entry, increasing error risk. 95% of practices now use electronic claims to [...]
