Insurance Claims
Claims That Move Faster
We manage the entire insurance claims process, from submission to resolution, ensuring accuracy, consistent follow-ups, and fewer rejections. The result? Faster reimbursements and a smoother process for your practice.
INSURANCE CLAIMS MANAGEMENT
Claims Filed Right. Paid Fast.
Most practices silently lose 15-30% of revenue to claims errors, missed submissions, and payer rejections. CoreMedX Health closes that gap with a dedicated claims team and AI-assisted scrubbing, catching every error before it reaches the payer.
Our certified coders review every claim for accuracy, compliance, and completeness before submitting electronically across 1,200+ payers. You get real-time status tracking from charge capture to final payment, zero chasing required.
The result: a 98.4% clean claim rate on first submission, a 24-hour turnaround after charge capture, and a live dashboard showing exactly where every claim stands at any moment.
INTELLIGENT CLAIM SCRUBBING
Stop Rejections Before They Start.
A single rejected claim costs your practice time, revenue, and cash flow momentum. CoreMedX Health runs every claim through a multi-layer scrubbing engine that cross-checks 3,000+ payer-specific edits, catching coding mismatches, missing modifiers, NPI errors, and duplicates before submission.
Every claim passes through medical necessity validation, LCD/NCD policy checks, and full ICD-10, CPT, and HCPCS compatibility verification. Payer-specific rules apply automatically, zero manual lookup, zero preventable rework for your team.
New clients average a 67% reduction in denial rates within the first 90 days, and a direct increase in net collections per encounter from day one.
PAYER FOLLOW-UP & RESOLUTION
Every Claim Tracked. Every Dollar Recovered.
Every Claim Tracked. Every Dollar Recovered.
Filing a claim is only the beginning. Payers delay, underpay, and pend claims without notice. CoreMedX Health tracks every open claim from submission day one, with automated follow-up triggered at 7, 14, and 30-day intervals and direct payer escalation when needed.
We identify underpayments against your contracted rates, file corrected claims within 24 hours of rejection, and submit fully documented appeals. Every action is timestamped and visible in your live dashboard with zero lag.
