Medical Claims Submission Automation: Get Charges Posted and Claims Submitted

Medical claims submission automation helps billing teams turn approved charge information into submitted claims, check submission responses, and correct rejected claims. Champ completes those steps across your existing EHR, billing software, clearinghouse, and payer portals, following your team's billing instructions.

The result is less manual work between a completed visit and a claim ready for payer processing: charges entered, missing details collected, claims submitted, and the latest acknowledgment saved in the billing record.

Tell Champ how your billing process works

Start with a plain-English description of the outcome you need. You can automate charge posting, claim submission, rejection correction, or a workflow that connects all three. For example:

For the visits ready for billing, enter the approved charges in our billing system. Check for missing information and follow up with the provider when needed. Submit claims through our existing process, review the acknowledgments, correct administrative rejections using our instructions, and update each claim record.

Champ can be configured around your source records, system access, billing rules, and required reviews. You do not need to replace your EHR or commission a custom API integration for steps that Champ can complete through the browser.

Get approved charges posted

Charge posting automation enters approved service and billing information into the appropriate patient account or encounter. That can include the service date, provider, procedure and diagnosis codes, modifiers, units, and charges supplied by your team.

Champ can collect that information from the records your process uses, match it to the right encounter, and populate the billing fields. It can also check the existing record before adding charges so the workflow can identify work that has already been entered.

When a required detail is absent or inconsistent, Champ can gather the missing information from the appropriate staff member or provider. Coding decisions and changes follow your approved process; the workflow can request review when the available information does not support the next step.

Resolve missing information before submission

A claim may be ready in one system while still missing something needed in another. Champ can check the fields and documents required by your workflow, compare them with the source records, and act on the billing system's validation messages.

Examples include a missing member identifier, an incomplete provider field, or an authorization reference that needs to be retrieved. The useful outcome is a completed record: Champ finds the information, enters the supported correction, or gets a specific question to the person who can answer it.

If resolving the issue requires an external conversation, Champ can make a phone call to clarify an administrative requirement or obtain missing information. The answer can then be added to the claim record and used in the next step.

Eligibility checks can also connect to this process. See our guide to insurance eligibility verification automation for how Champ retrieves coverage information and updates the systems your billing team uses.

Submit claims and capture the response

Champ can submit prepared claims through the billing software, clearinghouse interface, or payer portal used by your organization. Your existing submission route and required review remain part of the workflow.

After submission, Champ can retrieve the available confirmation, claim identifier, and acknowledgment. It can record whether the response came from the clearinghouse or the payer and what that response actually says, rather than treating every confirmation as the same milestone.

Reviewing the response is an important part of submission. First Coast's Medicare guidance on acknowledgment reports explains that submitters should retrieve and review the reports to identify errors requiring correction.

A transmission receipt, acceptance for processing, and a payment decision are different events. Champ can save the reported status and supporting reference in your billing system so your team can see how far the claim has progressed.

Correct rejected claims and resubmit

A rejected claim needs a clear next action. Champ can retrieve the rejection message, locate the affected information, and make an administrative correction when your instructions and source records support it. If the issue requires a provider response or coding review, Champ can collect that input before proceeding.

For example, a claim might be rejected because a required identifier is incomplete. Champ can compare the submitted value with the approved source, update the field, resubmit through the applicable process, and check the new acknowledgment.

Medicare contractor First Coast explains that claims returned or rejected as unprocessable must be corrected and resubmitted. Simply sending a claim once does not ensure it has met the applicable filing requirements.

Champ can track the submission and resubmission requirements your team provides, keep the prior response available, and check the result of the new submission. This gives staff a record of what changed and what happened next.

When the payer has issued a denial requiring a different response, the workflow can follow your denial process. Our denial management automation guide covers evidence gathering, appeals, and payer follow-up.

Keep your billing system up to date

The final step is to put the result where your team works. Champ can update the claim record with the submission date, reference number, acknowledgment, rejection reason, correction, and next action.

Your team can see which charges were entered, which claims were submitted, which responses have arrived, and which claims still need information. That reduces the need to reconstruct a claim's history from separate portal sessions and messages.

Once a claim is accepted for processing, claims follow-up automation can continue checking status, requesting updates, and recording payer responses.

Use the systems you already have

Champ uses browser automation to complete work across EHRs, practice management software, clearinghouse interfaces, and payer portals. Browser-accessible steps are not limited to a catalog of prebuilt connectors.

For example, workflows can include athenaOne or eClinicalWorks, alongside the other systems involved in your billing process. Champ can work with existing billing automation and complete the surrounding tasks that still require manual action.

You can start with one repeatable workflow, such as posting approved charges or resolving a common administrative rejection. Once the process is validated, extend it to additional steps, payers, or locations.

Frequently asked questions

What is medical claims submission automation?

It is software that helps prepare and submit medical claims, retrieve acknowledgments, and handle submission errors. Champ can connect these tasks with charge posting, missing-information outreach, rejection correction, and updates to your billing system.

Can Champ automate charge posting?

Yes. Champ can enter approved charge information into your EHR or billing platform, match it to the appropriate encounter, and check for missing details. It uses your team's coding and billing instructions, with review where required.

Can Champ fix and resubmit rejected claims?

Yes. Champ can read the rejection response, make supported administrative corrections, and resubmit using the applicable process. When a correction needs additional information or an authorized decision, the workflow can obtain that input first.

Does Champ replace our clearinghouse?

No. Champ can work through your existing clearinghouse interface and billing software, carrying out submission steps and retrieving the resulting reports. The workflow is configured around the submission route your organization uses.

Does claim acceptance mean the payer will pay?

No. Acceptance for processing is a stage in the claim lifecycle, not a payment decision. Champ can record the acknowledgment and continue with the follow-up steps needed to obtain the payer's response.

How do we get started?

Choose the billing work you want completed, identify the source records and systems, and share your instructions for submission and exceptions. Start with a defined workflow, validate its results, and expand from there.

Get charges posted and claims submitted

Bring Champ the billing steps your team repeats every day. Describe the outcome, and build a workflow that enters approved charges, fills information gaps, submits claims, checks responses, and updates your existing system.

Book a Champ demo to walk through your claims submission workflow.