Claims Processing

Boost payments while reducing AR days, headaches, and time spent on claims.

Clean claims are the key to a healthy revenue cycle. The more efficient your medical claims processing, the faster you get paid. ZirMed delivers an industry-leading 98%+ first-pass clean claims rate.

That’s why you need ZirMed’s Medical Claims Processing application.

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Add ZirMed Coding Tools to streamline your ICD-10 transition and workflow. Learn More


Medical Claims Processing

Ideal when you’re facing:

  • Coding challenges
  • Avoidable claims rejections
  • Medical claims processing and tracking issues
  • Inability to submit electronic attachments for Worker’s Comp

Discover the power of ZirMed Claims Processing:

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Streamline your claims submissions process and see every step of the process on a single easy-to-use online dashboard.
Spot trends and pain points–ZirMed’s reporting and analytics tools uncover systematic reasons for claims denials and underpayments.
Eliminate lost claims and uncertainty regarding claims status.
Submit professional and institutional claims–ZirMed supports both, and offers you electronic connections to thousands of payers.
Boost productivity–gain insight into why claims are rejected and receive clear, plain-English instructions on what to correct.

And much more!

  • Handle both primary and secondary claims through a single online solution.
  • Submit claims individually or in batches–all claims are scrubbed and executed in real time.
  • Submit claims in any format, from ANSI X12 837 and all versions of the National Standard Format to proprietary data protocols and even print files.
  • Access ancillary claims services, including attachments, remits, and denial management & decision support.
  • Easily edit Medicare Part A Claims by accessing the Medicare FISS Direct Data Entry system
  • Boost productivity by setting up workgroups to keep your staff focused on the claims you assign to them.

Ready to see what ZirMed Claims Processing can do for you?

Request Demo

Using ZirMed is the most efficient use of my time for processing any or all of my claims.”

Teresa Copeland, Director Managed Care/Contracting
OrthoTN/Knoxville Orthopaedic Surgery Center

“The ZirMed dashboard enables our staff to address and work rejections the same day so we can handle issues immediately.”

Case StudyPaula Bates, Manager, Revenue Billing Operations Manager


ZirMed Coding Tools

Accurate coding is critical to getting paid quickly and fully. With ZirMed’s Coding Tools, you can equip your team with the powerful coding-assistance and search solutions they need to streamline their workflow–before, during, and after the ICD-10 transition.

  • Easily search for and find the codes you need–all within the ZirMed portal.
  • Search within specific subsets so that only the codes relevant to your organization appear in the results.
  • Quickly check for invalid code combinations, search for and confirm the appropriate ICD-10 codes, and find the correct modifiers.
  • No more flipping through lengthy codebooks or toggling between different programs.
  • Regular updates help ensure your organization’s compliance with the latest LCD and NCD regulations.

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To make Claims Processing even more powerful:

Improve your revenue cycle results by enhancing cash collections.

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Use Eligibility Verification to streamline the patient check-in process.

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Use EOB Conversion with Payer Lockbox to process all paper checks and remittance information from payers.

Learn More >

More Information

Maximizing Medicare Reimbursement White Paper

Included in this whitepaper are implications of increasing patient responsibility, collections best practices, and collections and internal control solutions.

Download now!

Case Study: Lucile Packard Children's Hospital Stanford

How Lucille Packard Children’s Hospital Stanford increased payments received within 45 days by 20% and reduced paper submission claims by 70% by using ZirMed solutions.

Download now!