Electronic Claims
Clean claims, submitted right the first time.
Every claim passes a rules-based scrub for payer-specific edits before it is transmitted, then is tracked from acknowledgment to adjudication.
The challenge
Every rejected claim is a payment delayed.
- Payer-specific edits that generic scrubbers miss
- Clearinghouse rejections that sit unworked for days
- No clear view of where each claim stands
How Zsquare solves it
A rules-based scrub tuned to your payers
Before submission, each claim runs through edits for missing data, eligibility, authorization and payer-specific rules. Rejections are worked the same day, and every claim is tracked until it's paid or resolved.
Our process
How it works, step by step.
- 01
Pre-submission scrub
Claims are checked against payer rules and our own denial-prevention rules.
- 02
EDI transmission
Clean claims are sent electronically through your clearinghouse.
- 03
Rejection handling
Clearinghouse and payer rejections are corrected and resubmitted promptly.
- 04
Status tracking
Claims are monitored through acknowledgment and adjudication.
- 05
Reporting
Submission volume, first-pass rate and rejections are reported continuously.
Benefits
What changes for your practice.
Higher first-pass rate
Problems are fixed before payers see them.
Shorter payment cycles
Fewer touches per claim means money arrives sooner.
Full visibility
See claim status at any time in your dashboard.
Rules that improve
Every denial teaches the scrubber something new.
Specialties
Electronic Claims for every specialty we serve.
FAQ
Electronic Claims: common questions.
Straight answers about how we work. Don't see your question? We're happy to talk it through.
Book a demo
See how much revenue you're leaving on the table.
Book a demo with a revenue cycle specialist. We'll walk through your numbers and show you exactly where Zsquare can help.
- 30 minutes, at a time that suits you
- Live walkthrough of reporting and workflow
- A tailored estimate for your practice
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