medical offices submitting claims electronically are called

Medical offices submitting claims electronically are called electronic claim submission. In today’s technologically advanced world, electronic claim submission has become the preferred method for healthcare providers to streamline their billing processes. With the ability to submit claims electronically, medical offices can save time, reduce errors, and improve cash flow.

Electronic claims, also known as electronic claim submission, refer to the process of submitting medical claims electronically rather than through traditional paper-based methods. In this digital age, healthcare providers are increasingly transitioning to electronic claim submission to streamline their billing processes and improve efficiency.

By utilizing electronic claims, medical offices can submit insurance claims and receive reimbursement from insurance companies through electronic channels. This eliminates the need for manual paperwork, reducing administrative burden and the risk of errors.

Benefits of Electronic Claims

There are several key benefits of electronic claims for both healthcare providers and patients:

  1. Time-saving: Electronic claim submission significantly reduces the time required for claim processing. By eliminating the need to manually fill out and mail paper claims, medical offices can save valuable time and allocate resources more efficiently.
  2. Reduced errors: Traditional paper claims are more prone to errors, such as missing information or illegible handwriting. With electronic claims, healthcare providers can reduce the risk of errors by submitting accurate and complete information electronically.
  3. Faster reimbursement: With electronic claims, healthcare providers can receive reimbursement from insurance companies much faster compared to paper-based claims. This helps improve cash flow and ensures timely payment for services rendered.
  4. Increased accuracy: Electronic claims systems have built-in validation checks that alert healthcare providers of any inconsistencies or missing information. This helps ensure that claims are submitted accurately, minimizing the chance of claim denials or delays in reimbursement.
  5. Improved tracking and transparency: Electronic claims systems enable healthcare providers to track the status of their claims in real-time. This provides greater visibility into the claims process, allowing for proactive follow-up and minimizing the risk of lost or delayed claims.

The Process of Submitting Claims Electronically

When it comes to submitting claims electronically, the first step is to collect all the necessary patient information. This includes basic details like the patient’s name, address, date of birth, and insurance information. It’s essential to ensure that this information is accurate and up-to-date to avoid any potential issues or delays in reimbursement.

Preparing the claim

Once all the patient information is collected, the next step is to prepare the claim. This involves creating a structured document that includes all the relevant medical codes, procedures, and diagnoses associated with the patient’s visit. The claim should also include any supporting documents, such as medical records or test results, to provide the necessary evidence for the services rendered.

To ensure accuracy and efficiency, medical offices often use specialized software or electronic health record (EHR) systems to prepare the claim electronically. These systems have built-in features that help streamline the process and reduce the risk of errors. They also allow for easy integration with billing systems and insurance providers.

Submitting the claim

Once the claim is prepared, it’s time to submit it electronically. This can be done through various methods, including direct submission to insurance companies or through a clearinghouse. A clearinghouse acts as an intermediary between the medical office and the insurance provider, processing and forwarding the claims on behalf of the healthcare provider.

When submitting the claim, it’s important to ensure that all the required fields are completed accurately and legibly. Any missing or incorrect information can lead to claim denials or delays in reimbursement. Electronic submission not only speeds up the process but also increases the accuracy and efficiency of claim processing.


Submitting claims electronically is a crucial process for medical offices to ensure timely reimbursement and efficient workflow. By collecting accurate and up-to-date patient information, healthcare providers can minimize delays and errors in the claim preparation process. Utilizing specialized software or electronic health record (EHR) systems can further streamline this process, reducing the risk of mistakes and improving overall efficiency.

The ability to submit claims electronically offers numerous benefits to medical offices. It not only saves time and resources but also improves accuracy and reduces the risk of errors. By embracing electronic claim submission, healthcare providers can enhance their practice’s efficiency and provide better care to their patients.