What Is The Electronic Claims Submission Process? The reason many physicians don’t outsource their medical billing is that they are unsure of how the Electronic Claims Submission process works. Understanding exactly what happens when the medical billing is sent from your office to the time you are re-reimbursed for your claims will show you how smart making the decision to outsource a lot easier. Your claims are transmitted to the medical billing company via electronic submission or plain old paper medical billing forms. At the medical billing firm, your electronic submissions are received and your paper claims are entered and double checked for errors and then transmitted in batch orders …