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Why Timely Claim Submission Is a Profitability Issue
29 Aug, 25

The gap between service and claim submission is one of the most underestimated threats to a medical practice’s financial health. Whether you're running a high-volume urgent care or a specialty clinic with complex coding needs, delayed submissions choke your cash flow, increase your denial rates, and expose you to missed filing deadlines.

In our work with practices across the U.S., we've seen this pattern repeatedly: strong clinical care, decent documentation, but revenue held hostage by internal billing delays. If your practice is waiting more than a few days to submit claims after a patient visit, your revenue is at risk.  The truth is, your claim should be out the door within 24 to 48 hours of the encounter; anything beyond that is revenue risk.

At MedQuik, it’s our standard. We guarantee claim submission within 24–48 hours, using a process built on speed, accuracy, and payer-specific precision. That speed translates into faster payments, fewer denials, and a tighter grip on your financial outcomes.

In this article, we’ll break down exactly how late submissions hurt your practice financially and show how tightening this single part of your billing process can unlock thousands in recovered revenue each month.

 

Standard claim lifecycle

  1. Patient Encounter – Service is provided.

  2. Documentation – Provider completes the visit note.

  3. Coding – Medical coder assigns ICD-10, CPT, and HCPCS codes based on documentation.

  4. Claim Creation – Claim is built, scrubbed for errors, and queued for submission.

  5. Claim Submission – Sent to the appropriate payer.

  6. Adjudication – Payer processes the claim and either pays, denies, or requests more information.

  7. Payment Posting – Practice receives EOB and payment (or denial).

  8. Patient Billing – Balance is billed to the patient, if applicable.

Each of these stages plays a role in determining how quickly and efficiently a claim moves through the system.

The “Claim Lag” Problem

The time between the date of service and the date of claim submission is known as claim lag. While the ideal industry standard is 1–2 days, many practices operate with lag times of 7–14 days or more, and most don’t even realize it. This lag is often caused by:


Incomplete provider documentation

Backlogged coding queues

Inefficient billing handoffs

Manual claim preparation

Internal staffing shortages


These timelines aren’t flexible. A delay in submission, even if the service was coded correctly, can push you past the deadline and result in automatic denial with no appeal. At MedQuik, we eliminate this risk by ensuring claims are submitted within 24 to 48 hours—keeping your revenue moving and your AR aging low.

Denials Cost More

Every delayed claim increases the odds of a denial. The longer it takes to submit, the more likely one of the following is to occur:

·         The patient’s coverage has changed

·         Authorization expires

·         Documentation gaps are harder to resolve

·         Timely filing limits are missed

Denied claims don’t just cost you the reimbursement; they cost you time and labor.

·         Average cost to rework a denied claim: $25–$118 (AMA & HFMA)

·         Average denial rate in U.S. practices: 5–10% (AAPC)

·         Best-in-class practices: Under 2%

And if your billing team is already overworked, denied claims may never be followed up on, which turns potential revenue into bad debt.

 

Cash Flow Disruption

According to the Medical Group Management Association (MGMA), the benchmark for accounts receivable (A/R) over 90 days should be no more than 15% of your total A/R. Yet, many practices exceed 25% often due to delays in claim submission, rather than payer response.

For example, if your monthly billing volume is $300,000 and 25% of that is in A/R over 90 days, you’re potentially leaving $75,000 per month in delayed revenue. Multiply that over a year, and the picture gets worse.

Our clients routinely reduce A/R over 90 days by 30–50% after switching to our 24–48 hour submission process. Late submissions can push claims outside the payer’s timely filing window, resulting in 100% write-offs. These are preventable losses, and the worst part is, they usually aren't discovered until it's too late.

 

Industry Denial Benchmarks vs. Reality

Metric

Industry Average

MedQuik Clients

Overall Denial Rate

5–10%

<2%

Filing Deadline Denials

Up to 3%

0% (within 3 months)

First-Pass Clean Claim Rate

85–90%

95–98%

Many practices don’t know their actual denial rate—until it becomes a cash flow crisis. With every 1% increase in denials, practices risk tens of thousands of dollars per year in delayed or lost revenue. At MedQuik, our internal quality checks and strict 24–48 hour submission window dramatically reduce avoidable denials—especially those caused by timing issues.

 

Timely Filing Limits

Each insurance payer sets its own filing deadline—typically counted from the date of service (DOS). Some give you a year. Others, just three months.

Here’s a reference table of common payers and their timely filing limits:

Payer

Timely Filing Limit

Medicare

12 months (365 days)

Medicaid (varies by state)

90–365 days

UnitedHealthcare

90 days

Aetna

90–120 days

Blue Cross Blue Shield

120–180 days

Cigna

90 days

Humana

180 days

Tricare

12 months

Workers’ Compensation

Varies (often 30–90 days)

 

How MedQuik Ensures 24–48 Hour Claim Submission

At MedQuik, we’ve built a proven, accountable process that ensures every clean claim is submitted within 24 to 48 hours of receiving complete encounter data. It begins with real-time intake: whether through EHR integration, secure file transfer, or direct data feeds, our team receives and reviews encounters the same day they're generated. From there, our certified medical coders—experienced in specialties ranging from primary care to orthopedics—code charts with precision, following the latest payer-specific rules and regulatory guidelines. Every claim then undergoes a robust scrubbing process using advanced clearinghouse tools and internal QA protocols, flagging issues before they reach the payer. Once verified, claims are submitted immediately—no batching, no backlog. Our clients benefit from a 95–98% clean claim rate, minimal denials, and consistent cash flow. Transparent reporting keeps you informed with daily submission logs and denial trend insights.

Conclusion

Timely claim submission isn’t just about sending claims faster; it’s about protecting your revenue, reducing denials, improving cash flow, and maintaining a healthier, more responsive revenue cycle. As the numbers indicate, even minor delays can result in substantial financial losses.

At MedQuik, we don't just process claims; we optimize your entire billing system. With our guaranteed 24–48-hour submission process, certified coding teams, and proactive QA checks, we help practices like yours move from reactive billing to strategic, high-performance revenue management.

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