What is “claim submission” in medical billing?

Claim Submission in Medical Billing

Claim submission is the process of sending a completed medical claim to an insurance payer for reimbursement.

Claim Submission in Medical Billing Explained

Claim submission is one of the most important steps in the medical billing process. It involves preparing the claim with accurate patient information, procedure codes, and charges, and submitting it electronically or by paper to the insurance company. Once submitted, the claim is reviewed, processed, and adjudicated for payment.

For example, after a patient’s surgery, the provider’s billing team prepares and submits a claim to the patient’s insurance company for reimbursement.

Find common acronyms and abbreviations in Medical billing glossary.

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