Skip to content
CRG

Clean Claims

Clinical Revenue Group · United States

Claims prepared carefully and sent out on a steady schedule.

We review charges, check claims against common payer rules and submit them electronically, so avoidable errors get caught before a claim reaches the payer.

Request a Revenue Cycle AssessmentAll services

The Problem

Small claim errors cause big delays

A missing modifier, a mismatched diagnosis, an outdated payer ID. Each one looks minor, but any of them can turn into a rejection, a rework cycle and weeks of waiting for payment.

When claims go out in inconsistent batches, or without a review step, those errors accumulate and clog the rest of the cycle.

How we help

A review step before every submission

We prepare claims from your charges, check them against common payer requirements and known edits, and submit them electronically through the clearinghouse.

The goal is simple: claims that are complete and correct the first time, sent on a schedule you can predict.

The Process

How claims submission works with us

  1. Charge review

    We review captured charges for completeness and obvious mismatches before a claim is built.

  2. Claim scrubbing

    Claims are checked against common payer edits and formatting rules to catch avoidable errors.

  3. Electronic submission

    Clean claims are submitted electronically through the clearinghouse on a steady schedule.

  4. Acknowledgement tracking

    We monitor clearinghouse and payer acknowledgements and correct rejections quickly.

Benefits

What you can expect

Fewer rejections

A review step catches common errors before they become payer rejections.

Predictable submission

Claims go out on a steady schedule you can count on.

Faster rework

Rejections are identified and corrected quickly instead of sitting unnoticed.

Cleaner downstream

Well-formed claims reduce denials and posting problems later in the cycle.

Scope

What we handle for you

A clear scope for claims submission. We confirm the exact boundaries with your team during onboarding.

Claim Preparation & Submission Payer Processing
  • Charge review and claim creation
  • Claim scrubbing against common payer edits
  • Primary, secondary and tertiary claim submission
  • Electronic clearinghouse submission
  • Rejection identification and correction
  • Acknowledgement and status monitoring

FAQs

Claims Submission questions

Claims are submitted electronically wherever the payer supports it. Payers that still require paper are handled as exceptions.

We identify the rejection reason, correct the claim and resubmit, and track it through to acceptance.

Yes. We can build claims from charges your team captures, or coordinate charge entry as part of a broader engagement.

Keep Exploring

Other services