Claim Clearinghouse

Medical claims clearinghouse submits electronic medical claims for medical practices, labs and medical billing services.

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What is a Medical Claims Clearinghouse?

Medical Claims Clearinghouses offer a bridge between medical offices and health insurance carriers to transmit medical claims electronically in a formatted file document. Medical Claim Clearinghouses support the claim transmission in claim formats of CMS - 1500, HCFA 1500, UB-04 and Dental medical claims. Aside from just submitting medical claims electronically many offer a myriad of additional services which make using Medical Claims Clearinghouse's necessary in most medical offices. Some services offered by Medical Claims Clearinghouses are:

Electronic Patient Eligibility Inquiry
Documentation/Medical Attachments like Workers Comp
Prior Auth and Service Auth's
Patient Address Verification
Patient Credit Verification
Patient Credit History
Claim Coding Verification
Claim Submission
Claim Status
Electronic Remittance Advice
Patient Statements

Medical Claims Clearinghouse

Each Medical Claims Clearinghouse offers unique services and pricing structure based on their clients requirements. To find the right one for your medical practice or billing service you will first need to identify what services you need or want from your medical claims clearinghouse.

Integration with your Practice Management Software Vendor
Electronic Eligibility
95% or higher clean claim submission guarantee
Patient Portal services
Ease of Electronic Reports coming back from the health insurance carriers or Medical Claims Clearinghouse
Secondary claim submission electronically
Clearinghouse Support Options

Of course this list of wants can go on but the end result is that you want to select a Medical Claims Clearinghouse that can simplify the process of submitting claims and increase the speed of how fast health insurance carriers pay you back for those services.

Medical Claims Clearinghouses are the life of the Medical Practice. If you can not submit a clean claim you get no money from the health insurance carriers. But once you submit a clean claim you will get your money from the health insurance carriers usually within 7-10 days.

Why you need a Medical Claims Clearinghouse

Click here to review over 30 Medical Claims Clearinghouses from one screen.

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