Fast Claims. Fewer Denials. Faster Payments.
Your revenue depends on timely and accurate claims submission—followed by persistent, intelligent follow-up. Even the best healthcare services can result in lost income if claims aren’t submitted properly or if follow-up is delayed.
At Pristinesolutions , we specialize in managing the full claims submission and follow-up cycle. We ensure your claims are submitted clean, processed quickly, and followed up on consistently—so you get paid faster and more reliably.
Why Claims Submission & Follow-Up Matter
Even a minor error or delay in claims processing can result in:
- Payment denials or rejections
- Re-submissions and delayed reimbursements
- Increased days in accounts receivable (A/R)
- Lost revenue and cash flow disruption
Our End-to-End Claims Management Includes:
Accurate
Claims Preparation
We ensure each claim contains correct demographic, coding, insurance, and provider information based on chart notes and payer rules.
Electronic
Submission (EDI)
We transmit claims electronically through trusted clearinghouses for rapid, trackable delivery and real-time acknowledgment.
Payer Scrubbing
& Edits
Claims are scrubbed for errors and payer-specific edits before submission, reducing rejections and improving first-pass acceptance rates.
Real-Time
Claim Tracking
We monitor each claim after submission to identify delays, missing responses, or required corrections—before they affect your revenue.
Proactive A/R
Follow-Up
Our billing specialists follow up on unpaid or underpaid claims within payer timelines. We don’t wait—we pursue every dollar owed.
Denial Resolution
& Appeals
If a claim is denied, we analyze the reason, correct issues, and resubmit or appeal with supporting documentation to recover lost revenue.
Who Benefits from Our Services?
We serve a wide range of healthcare providers, including:
- Independent and Group Medical Practices
- Behavioral Health Providers
- Physical Therapy & Rehab Clinics
- Imaging & Diagnostic Centers
- Ambulatory Surgery Centers
- Home Health and Hospice Providers
- Dental and Specialty Practices
- Telehealth and Virtual Care Platforms
Why Choose Pristonsolutions
Accelerated
Cash Flow
Our clean claim rate and prompt follow-up reduce payment delays.
Lower
Denial Rates
Expert scrubbing and compliance reduce errors that lead to rejections.
Full
Transparency
You receive detailed reports showing claim status, A/R aging, and resolution timelines.
Scalable
Support
Whether you submit 100 or 10,000 claims a month, we scale to meet your needs
Trusted Partners
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