How much does claims submission cost if I don't need full RCM?

Standalone claims submission is scoped and priced based on claim volume and specialty. For practices running full-service RCM with MedSole, it is included at no separate charge inside the 2.99% of collections rate.

What happens to a claim that gets no response from the payer?

The Atomic AR Workflow flags a claim once it passes a defined window of payer silence, assigns it to a specific team member, and escalates through direct payer contact instead of a second silent resubmission.

Is this HIPAA compliant?

Yes. MedSole RCM signs a Business Associate Agreement before any data access, transmits claims through HIPAA-compliant channels, and applies role-based access controls to every account.

How do I switch from my current claims vendor without a gap?

MedSole RCM connects to your existing system before your current vendor stops, so there is no window where claims are not moving. Most practices transition within five business days.

99% Clean Claims Submission Services

Name: MedSole RCM
Rating: 4.9

Claims Submission Services Built Around One Number: 99% Clean

Every claim scrubbed against payer-specific rules before it leaves our system. Our Atomic AR Workflow chases down a claim the moment a payer goes quiet, instead of letting it sit in a queue.

MedSole RCM built this service for practices that don't have time to chase down every payer that goes silent. You get a dedicated team, a real clean claim rate, and a clear answer the moment a claim stops moving, not a guess.

Payer-Specific Claim Scrubbing

Every claim runs through edit logic built for that specific payer, not a generic rule set. Coding conventions, documentation requirements, and rejection triggers vary by payer, and a rule set built for one payer can miss what another one flags on the same claim.

Modifier and Place-of-Service Accuracy

Modifier errors and place-of-service mismatches are two of the most common reasons a clean-looking claim still gets kicked back. We check both before submission, every time, since a single wrong modifier can turn an otherwise correct claim into a denial you have to work later.

EDI Transmission and Clearinghouse Routing

Claims move through the correct clearinghouse in the standard EDI 837 format, tracked from the moment they leave our system, not fired and forgotten. Routing errors at this stage are invisible until a claim goes unpaid for weeks with no explanation.

Real-Time Submission Tracking

You see claim status without calling to ask. Every submission is tracked from transmission through acknowledgment, so nothing sits in an unknown state where you're guessing whether a payer even received it.

Charges Matched to Documentation

Every charge is checked against the clinical documentation behind it before the claim goes out. Catching a mismatch here costs nothing. Catching the same mismatch after a payer denial costs staff time, a resubmission, and weeks of delay.

Daily Submission, Not Weekly Batches

Claims go out daily, not batched once a week. A weekly batch means a single formatting error can repeat across dozens of claims before anyone notices the pattern and fixes it.

The Atomic AR Workflow: What Happens When a Payer Goes Silent

A denial is a decision. A payer reviewed the claim and rejected it, which means there is something to appeal, correct, and resubmit. Silence is different. No decision, no denial code, no clear next step, a claim that stops moving.

Most billing teams have no defined process for that. The claim sits in a queue until someone happens to notice it, often past the point where anything can still be done.

The Atomic AR Workflow treats non-response as its own category, not a subset of denial management. A silent claim moves through four defined steps:

Claims Go Out Through the System You Already Run

Claims submission runs inside the EHR or practice management system your practice already uses. No new platform to learn, no data migration, and no change to how your front desk works day to day. If your practice uses a separate clearinghouse, we work inside that too.

Claims Submission Services Built Around One Number: 99% Clean

See What's Slipping Through Your Claims Queue

The Work Your Claim Does Before It Ever Reaches a Payer

Payer-Specific Claim Scrubbing

Modifier and Place-of-Service Accuracy

EDI Transmission and Clearinghouse Routing

Real-Time Submission Tracking

Charges Matched to Documentation

Daily Submission, Not Weekly Batches

The Atomic AR Workflow: What Happens When a Payer Goes Silent

Step 1: Flagged

Step 2: Assigned

Step 3: Escalated

Step 4: Resolved

Step 1: Flagged

Step 2: Assigned

Step 3: Escalated

Step 4: Resolved

Claims Go Out Through the System You Already Run

Two Ways to Buy Claims Submission

Pay-Per-Volume

Full-Service RCM

See What Your Claims Submission Process Is Missing

Which of These Are Slowing Down Your Claims?

See What Your Claims Process Is Missing

Thank You!

Questions Practices Ask Before Switching Claims Submission Vendors

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