Claim Processing

Accelerate Approvals & Maximize Reimbursements

Submitting clean, accurate claims is the backbone of a healthy revenue cycle.

At Details RCM, our Claim Processing Services are designed to minimize errors, reduce denials, and ensure timely reimbursements from both government and commercial payers. We manage the entire lifecycle of each claim — from charge entry and scrubbing to submission and tracking — with accuracy, compliance, and speed.

Whether you’re a solo provider or a multi-specialty practice, our certified billing experts handle your claims with a commitment to maximizing revenue and reducing administrative burden.

Why Clean Claim Processing Matters

Improper coding, missing data, or payer-specific issues can result in delays, denials, and lost revenue. Efficient claim processing ensures faster payments, fewer rejections, and improved financial stability for your practice.

Key Components of Our Claim Processing Workflow

Our systematic, rules-driven approach to claim processing helps you get paid faster with fewer interruptions.

Accurate Charge Capture

Each procedure and service is thoroughly documented and translated into accurate CPT, ICD-10, and HCPCS codes

Real-Time Claim Scrubbing

Our intelligent claim scrubbing tools detect missing modifiers, incorrect codes, or formatting issues before submission.

Electronic & Paper Claim Submission

We submit claims via secure EDI channels or paper (as needed), following each payer’s specific submission requirements.

Claim Status Tracking

Our system actively monitors claim status and provides real-time updates on approvals, denials, or pending actions.

Secondary Claim Filing

After primary payer reimbursement, we ensure timely and accurate secondary billing to maximize collections.

ERA Posting & Reconciliation

We post payments directly from ERA files and reconcile them against expected payments for complete transparency.

Submit Cleaner Claims, Get Paid Faster

Let Details RCM help streamline your claim processing so you can focus more on care and less on paperwork.

Seamless RCM with Leading Insurance Networks

Details RCM offers comprehensive provider credentialing services, ensuring hassle-free enrollment with major insurance companies. We handle the entire credentialing process, including application submission, primary source verification, CAQH profile management, and contract negotiations, helping healthcare providers gain network participation quickly and efficiently.

How Our Credentialing Process Works

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1 Choose Medical Specialist

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2 Choose Consultation Service

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3 Make an Appointment

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4 Get Diagnosed

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Other RCM Services

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