Clean Claims, Submitted Fast, Accepted the First Time

First-pass acceptance is where billing performance is won or lost. Our submission workflow scrubs every claim against payer rules and clearinghouse edits before filing, so claims get paid instead of bounced.

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Is This Costing Your Practice Revenue Right Now?

Most practices carry these problems for years without measuring what they cost. Here’s where the money usually goes.

+3 wks

Rejections restart the clock

Every bounced claim adds weeks between service and payment.

$0

Timely-filing write-offs

A missed deadline turns fully earned revenue into nothing.

Missed

Forgotten secondaries

Crossover balances quietly go uncollected after primary payment.

Errors

Unscrubbed claims

Claims filed without edits carry avoidable coding mistakes payers love to deny.

Everything This Service Covers

Delivered by a dedicated team, inside your systems, with fully HIPAA-compliant data handling.

Pre-Submission Scrubbing

Claims run through payer-specific edits that catch coding, modifier, and demographic errors early.

1

Electronic & Paper Filing

EDI submission to all major payers, with clean paper claims for the few that still require them.

2

Clearinghouse Management

We manage clearinghouse connections, enrollments, and rejection queues on your behalf.

3

Secondary & Tertiary Claims

Crossover and secondary claims filed promptly with correct primary payment details attached.

4

Corrected Claim Handling

Corrections and voids submitted with proper frequency codes to avoid duplicate denials.

5

Timely Filing Protection

Deadline tracking on every claim ensures nothing is ever written off to timely filing.

6

Built to Protect Your Revenue

Every rejected claim restarts the payment clock. By front-loading quality checks, we compress the distance between date of service and date of payment — which is the metric your cash flow actually feels.

Every claim has a clock attached. The day of service starts it; only payment stops it. A rejection doesn’t just create rework — it rewinds the clock by weeks, because the claim goes to the back of the line at both your office and the payer. A practice with a 90% first-pass rate is silently refinancing 10% of its revenue on a multi-week delay, every single cycle.

And one failure mode is permanent: timely filing. Every payer sets a deadline, and a claim that misses it isn’t delayed — it’s gone, converted from earned revenue into a write-off no appeal can recover. Practices rarely notice these losses individually because each one dies quietly in an aging report.

How We Deliver Claim Submission Services, From Day One

Switching sounds disruptive. Our onboarding is designed so it isn’t — with zero revenue interruption during transition.

1 Claim Creation

Charges are compiled into claims with validated codes, modifiers, and patient data.

2 Scrub & Edit

Automated plus manual edits clear errors before the claim leaves our queue.

3 Transmission

Batches go out daily with acceptance reports confirmed from every payer.

4 Rejection Recovery

Any rejection is corrected and resubmitted within one business day.

In-House vs Core Axis The Real Numbers

The question isn’t whether outsourcing costs money — it’s whether your current setup is costing you more.

Metric

Typical In-House Setup

Core Axis Healthcare

Annual cost

$50K–$70K per biller plus benefits, training, and software

One transparent rate — team, tools, and expertise included

Clean claim rate

85–92% industry average

98%+ first-pass acceptance

Denial rate

5–10%, with costly rework

Driven down 15%+ through prevention

Days in A/R

Often 40–55 days

Actively worked toward under 30

Coverage

One person’s knowledge — gone when they leave

A full team with backup, always staffed

Scalability

Hire-and-train cycles lag your volume

Scales instantly with patient volume

Technology

Billing software billed separately

Included in the service

Compliance

Liability sits fully on your practice

HIPAA-compliant processes with a dedicated teama

Reporting

Core Axis Healthcare

Scheduled monthly reports with walkthroughs

Specialty-Specific Expertise for Every Practice Type

Every specialty has its own code sets, modifier rules, and denial triggers. Our specialists are trained in yours — across 50+ specialties.

Cardiology

Echo, stress tests, and modifier billing require payer-specific expertise.

Orthopedics

Surgical packages and fracture care demand precise coding accuracy.

Dermatology

Lesion procedures and biopsies require compliant coding and modifiers.

Neurology

EMG, EEG, and nerve studies require specialty coding expertise.

Gastroenterology

Endoscopy procedures require accurate coding and bundling compliance.

Radiology

Professional and technical billing requires accurate modifier application.

OB/GYN

Maternity care and procedures require precise global billing expertise.

Pediatrics

Vaccines and preventive visits require age-specific coding accuracy.

Physical Therapy

Timed therapy services require accurate documentation and coding.

Pain Management

Injection procedures require authorization and precise coding compliance.

Internal Medicine

Chronic care and E/M coding require complete documentation.

Behavioral Health

Therapy sessions require compliant coding and documentation accuracy.

Your Patient Data, Protected at Every Step

HIPAA Compliant

Every workflow operates under HIPAA Privacy and Security Rule safeguards for PHI.

Encrypted Data

Patient information travels and rests only through encrypted, access-controlled channels.

BAA Provided

A signed Business Associate Agreement is in place before we touch a single record.

Audited Processes

Regular internal audits and staff screening keep our security posture current.

Provider Enrollment & Credentialing: Your Questions Answered

How quickly are claims submitted?

Claims go out in daily batches, typically within 24–48 hours of receiving complete charge information.

What's your first-pass acceptance rate?

We maintain a 98%+ clean claim rate through payer-specific scrubbing before any claim leaves our queue.

Do you handle paper claims?

Yes — while nearly everything files electronically, we submit clean paper claims for the few payers that still require them.

What happens when a claim is rejected?

Rejections are corrected and resubmitted within one business day, and the error pattern is fed back into our scrubbing rules.