Clean claims are a registration problem

The denial is late news

A missing subscriber ID, a coverage that was never checked, or a charge that should have waited on authorization shows up weeks later as a code on an 835. By then the visit is a memory and the patient has a statement.

Advance EMR will not build the claim until registration QA passes. Prior auth can hold the charge. Eligibility feeds the estimate the patient sees, so the balance is not a surprise invented at month end.

Posting is part of the claim

Submit without a path home for the 277CA and the 835 is half a system. Acknowledgements, remits, patient responsibility, and denials need one queue. Secondary claims should wait until the primary remit says what it paid.