What is initiated by the claim run in the claims processing workflow?

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The creation of a batch of claims is a crucial step in the claims processing workflow. When a claim run is initiated, it signifies the beginning of the process where multiple claims are collected and grouped together for submission to insurance payers. This batching is essential for efficient processing because it allows the billing office to submit a large volume of claims at once rather than handling them individually, which can significantly streamline the workflow.

During the claim run, the system generates a batch file containing all claims that are ready for submission based on predetermined criteria, like the date of service or status of the accounts. By efficiently creating this batch, the practice can improve its revenue cycle management and ensure timely billing.

This focus on batching claims also helps in automating many tasks, making the claims process more efficient and reducing the chance for manual errors. Thus, understanding that the claim run leads to the creation of a batch of claims is fundamental in the claims processing workflow and helps in managing billing operations effectively.

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