Automated bank posting and medical payment reconciliation
Automate Your Claims Processing
Eliminate the use of paper and make the switch to cleaner, quicker electronic claims. With electronic processing, a medical clearinghouse can rapidly identify errors and submit batches of claims at once.
Reduce Errors and Denial Rates
Manual paper claims can have error rates as high as 28 percent. A clearinghouse can cut the error rate to 2-3 percent through electronic submission by proactively correcting errors in claims, ensuring a high first-pass accuracy rate, and helping eliminate lost transactions.
Decrease administrative costs, reduce bad debt, and accelerate payments with claims automation, all while gaining more visibility into your organization’s financial performance. Identify gaps and reduce your A/R cycle.
Check Patient Insurance Eligibility
Process 270/271 real-time eligibility requests and/or 270/271 batch eligibility requests. Identify patient coverage before time-of-service and collect payment faster.
Features of a Medical Clearinghouse
View your clean claim ratio and stats around claims status and denials
Integrates seamlessly into your existing revenue cycle management platforms, including ImagineBilling™
Prevent and reduce denials via in-depth scrubbing before claims submittal and analysis of rejected claims to reconcile known errors in the future
HIPPA compliant, PHI protected and cloud-based platform
How do Medical Billing Clearinghouses Work?
- Submit claims electronically to clearinghouse via the browser-accessible solution
- Clearinghouse scrubs claims for errors and denial triggers
- Clearinghouse sends claims electronically to the insurance carrier(s)
- Claims are accepted, and your organization is reimbursed
"It’s a product that I really believe will be here as long as we are and continue to evolve with us."