Create and Submit Claims Overview

The most crucial step of the revenue cycle is submitting the claims to the payer. The RCM is designed to simplify this process, regardless of the type of claim. Let's review the different types of claims that can be created and submitted in the RCM! 

Create New (Insurance) Claims

Creating new insurance claims in the RCM is a three-step process that begins in the Attendance Calendar and ends in the Record Center once the claim has been submitted. For more information on creating new insurance claims, click here.

Create Secondary/Tertiary Claims

Kipu RCM also supports claim submission for patients with secondary and/or tertiary insurance.  For more information on creating secondary and tertiary claims, click here.

Create Paper Claims

While most payers allow for electronic claim submission, some payers will only accept claims sent by paper. For more information on creating paper claims, click here.

Create Legacy Claims

Organizations newer to the RCM may receive ERAs (Remits) for claims submitted outside of the RCM. For organizations that wish to record those payments, a legacy claim can be created to apply for the payment. For more information on creating legacy claims, click here.

Print Claims

For organizations that prefer to process paper claims in-house, the print feature enables users to print claims directly from the Submit Claims section of the Work Center. For more information on printing claims, click here. 

Submit Claims

Once claims have been created, the final step is to submit them. For more information on submitting claims, click here. 

Common Errors and Resolutions

Occasionally, users may encounter errors when creating a new claim. For more information on resolving claim submission errors, click here.