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Electronic Claims Submission & Clearinghouse EDI

Mid-Cycle Billing Operations

Accelerating Your Revenue Through Clean Electronic Claims

Submitting clean claims the first time is the single most important factor in maintaining healthy practice cash flow. At ACL Healthcare Services, we combine advanced clearinghouse rule scrubbers with manual oversight to ensure claims are transmitted cleanly and paid promptly.

Our team formats claims into ANSI 837P (professional) and 837I (institutional) transactions, verifying every payer rule and NPI combination before clearinghouse gateway dispatch.

99.2%
Clean Claim Rate
Daily
EDI 837 Filing
Real-Time
277 Status Reports
0
Clearinghouse Lag

Claims Submission Process

1

Claim Generation & Scrubbing

Every claim is scrubbed against 120+ payer-specific rules, CCI bundling edits, valid ICD-10/CPT pairings, and active authorization numbers.

2

Electronic EDI 837 Transmission

Clean claims are transmitted securely to top national clearinghouses (Change Healthcare, Availity, Waystar, etc.) in encrypted batch files.

3

Real-Time 277 Acknowledgement Review

We review clearinghouse acceptance acknowledgements daily. Any claim flagged with front-end format errors is resolved and retransmitted within hours.

4

Payer Adjudication Tracking

We monitor electronic remittance pathways to confirm claims enter active adjudication status with commercial and government payers.

Frequently Asked Questions

We work with all leading clearinghouses including Change Healthcare, Availity, Waystar, Trizetto, Office Ally, and RelayHealth.
Clearinghouse 277 rejection reports are monitored multiple times daily. Rejections are corrected and resubmitted within 24 hours before timely filing limits approach.
Yes, when payers require paper submission with medical attachments or operative notes, we generate CMS-1500 or UB-04 forms with certified mail tracking.