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Secondary Claims Automation

Stop Chasing Secondary Payments

Submit, track, and reconcile secondary claims automatically with primeCLAIMS - the clearinghouse built for post-acute care.

When primary claims are paid, your revenue cycle shouldn’t stall waiting for manual secondary billing. Yet for many skilled nursing and post-acute providers, secondary claims still require manual processing, delayed submissions, and hours of staff time.

primeCLAIMS eliminates the manual work.

 

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Why Secondary Claims Slow Down Revenue

Secondary billing is one of the most common bottlenecks in the revenue cycle.

Most providers struggle with:

• Manual claim resubmission
• Delayed secondary filing
• Missed payer rules
• Coordination of benefits errors
• Staff time spent reworking claims
• Lost revenue from unsubmitted secondaries

When secondary claims aren’t automated, payments get delayed—and sometimes never arrive.

Key Benefits of primeCLAIMS Secondary Processing 

  • Faster Payments
    Automated secondary submission reduces days in accounts receivable.
  • Less Staff Work
    Eliminate manual claim conversion and resubmission.
  • Higher Clean Claim Rates
    Validation tools catch errors before submission.
  • Complete Claim Visibility
    Track primary and secondary claims in one place.
  • Stronger Cash Flow
    Reduce missed secondary revenue opportunities.

 


How primeCLAIMS Automates Secondary Claims

primeCLAIMS turns secondary billing into an automated workflow.

  • Capture the Primary Response

Once the primary payer processes a claim, primeCLAIMS captures the electronic remittance advice (ERA) and identifies the remaining balance.

  • Generate the Secondary Claim

The platform automatically flags candidates for secondary claims, allowing billers to convert primary claim information into a secondary claim format that meets payer-specific requirements, all in a couple of clicks.

  • Validate Before Submission

Smart claim validation checks ensure the secondary claim complies with payer rules before submission.

  • Submit Electronically

primeCLAIMS sends the claim directly to the secondary payer through our clearinghouse network.

  • Track the Claim Status

Your team can monitor the claim through the same dashboard used for all claims processing.

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