The PGM Medical Billing Process
Claim Submission
Once the claims are reviewed and audited, they are transmitted to the various payers for reimbursement. PGM has the ability to electronically transmit claims to thousands of payers nationwide. For those payers that do not have the ability to receive electronic claims, PGM will generate and mail paper claims.
After submission, claims receive an additional level of “scrubbing’ by our clearinghouse. Edits and errors are relayed back to PGM for correction.