Clean Claims & Claims Submission
A clean claim is one that passes payer edits and is accepted on the first submission, without rejection or rework. Novusmedix scrubs claims against payer rules before they go out, so more are accepted the first time and fewer come back.
What we do
- Pre-submission claim scrubbing against payer edits
- Validation of codes, modifiers, and required fields
- Electronic submission through your clearinghouse
- Rejection triage and rapid resubmission
- First-pass acceptance tracking
- Payer-specific rule maintenance
What is a clean claim?
A clean claim contains all the correct information a payer needs and passes its edits on the first pass — no missing fields, no code mismatches, no eligibility gaps.
The higher your clean-claim (first-pass acceptance) rate, the faster you are paid and the less staff time is spent on rework.
What problems does it solve?
Rejected and returned claims delay payment and pile up administrative work. Scrubbing catches the errors that cause those returns before the claim ever reaches the payer.
It turns rework — one of the most expensive parts of billing — into a smaller, more predictable exception process.
How submission works
Each claim is validated against current payer rules for codes, modifiers, and required fields, then submitted electronically. Rejections are triaged quickly and corrected for resubmission.
We track first-pass acceptance so you can see the rate improve and spot payers that need attention.
FAQs
Clean Claims & Submission questions
Related services
Ready to get paid faster with cleaner claims?
Tell us about your practice and where revenue is leaking. We’ll show you how Novusmedix can help.