Which statement best describes the claims submission step in the revenue cycle?

• A. It is the process of sending claims to payers for reimbursement.
• B. It occurs after payment posting.
• C. It determines patient eligibility.
• D. It occurs during denial management.

Answer: (A)

Claims submission is the act of transmitting the service bill to the payer to request reimbursement. After coding and capturing charges, the claim contains patient, service, and pricing details and is sent (often electronically) so the payer can adjudicate and determine whether payment is due. This step happens before any payment is posted and is distinct from eligibility verification (typically done earlier) and denial management (which occurs after the claim has been adjudicated).