Eligibility & Benefits Verification
Help establish accurate coverage information before billing.
Medical Claim Submission With AI‑Powered Scrubbing
Identify potential claim issues before submission, reduce preventable rejections and keep your billing workflow moving. Dastify Solutions combines AI-assisted claim scrubbing with experienced medical billing specialists to identify potential claim issues before submission and electronically submit eligible claims within 24 hours.
Common Claim Submission Challenges
When Claim Issues Become Revenue Problems
A claim that is delayed, rejected or left unresolved can create additional administrative work and delay reimbursement.
Preventable Claim Rejections
Insurance & Patient Information Issues
Coding & Billing Discrepancies
Payer-Specific Requirements
Too Much Time Spent on Claims
Claims Left Unresolved
One Structured Process From Preparation to Resolution
- Prepare
- Scrub
- Review
- Submit
- Monitor
- Resolve
Our RCM Services
A Strategic Way to Submit Claims
- We organize the required information and prepare the claim for submission.
1 Prepare the Claim
- Our AI-supported system identifies potential issues before submission, giving our billing team a chance to address problems before they cause rework or delays.
2 AI Claim Scrubbing
- Our billing specialists review flagged issues and apply their expertise to determine what needs attention.
3 Expert Human Review
- We address identified issues and perform a final quality review to ensure the claim is ready for electronic submission.
4 Correct & Validate
- Once the claim has cleared applicable review requirements and all required information is complete, eligible claims are submitted electronically within 24 hours through the appropriate EDI or clearinghouse channel.
5 Submit Within 24 Hours
- We track electronic responses to identify accepted claims and those requiring attention.
6 Monitor Payer Responses
- When a claim is rejected, we investigate the reason, take the appropriate corrective action and resubmit when applicable.
7 Manage Rejections
- We continue monitoring outstanding claims and follow up on issues that could delay resolution.
8 Track & Follow Up
How AI-Assisted Technology Helps With Claim Submission
Three Layers of Claim Accuracy Protection
AI-Powered Scrubbing
Identify potential issues before submission.
Expert Human Review
Apply billing expertise and judgment to flagged claims.
EDI Submission
Transmit eligible claims electronically through the appropriate channel.
Need Full RCM Support Across Your Revenue Cycle?
Claim submission is only one part of the revenue cycle. If your practice needs support beyond claim submission, Dastify Solutions can help with the connected billing functions that keep your revenue cycle moving.
Why Practices Choose Us
Built Around Your Practice. Backed by Technology and Expertise.
100+ Providers Served
Medicare & Medicaid Updates
Faster onboarding
Multi-Specialty Experience
Proactive Claim Management
Expertise in 50+ EHR, EMR and PMS Platforms
Frequently Asked Questions
What happens if a claim is rejected?
Our team reviews the rejection reason, determines the appropriate corrective action and resubmits the claim when applicable. We also continue monitoring outstanding claim activity.
Can you handle claims for different specialties?
Yes. We provide multi-specialty billing support and adapt workflows to the requirements of different specialties and practice environments.
Can you submit claims to Medicare, Medicaid and commercial payers?
Yes. Our team supports electronic claim submission across applicable payer types and works with payer-specific requirements as part of the submission process.
What information do you need from our practice to submit claims?
We need the required information and documentation necessary to prepare and submit your claims. During onboarding, our team establishes the workflow and identifies what information is needed from your practice.
How do you protect patient data and PHI?
We follow HIPAA-focused processes and use secure workflows designed to protect patient information. Business Associate Agreements (BAAs) are established as required for handling protected health information (PHI).
Will outsourcing cause our practice to lose control?
No. Your practice receives reporting, communication, defined responsibilities and visibility into billing activity. Escalation procedures and review schedules are established during onboarding.
Can we cancel the service if our needs change?
Yes. Service transitions and cancellation processes are handled according to the terms of your agreement to ensure a smooth handoff.
Ready to Improve Your Claim Submission Process?
We'll discuss your current claim process, common billing challenges and where Dastify Solutions may be able to reduce administrative burden and improve workflow efficiency.