Claims Clearinghouse
Claims Clearinghouses serve as an intermediary between healthcare providers and insurance payers, ensuring that claims are error-free and in the correct format before submission. These entities streamline the claims process by converting non-standard healthcare data into a standardized format, facilitating electronic data interchange (EDI), and ensuring compliance with HIPAA regulations. By performing "claim scrubbing" to minimize errors, clearinghouses help to accelerate the reimbursement cycle, reducing denials and improving the efficiency of the healthcare billing process.
7 Results
Change Healthcare
Change Healthcare
(1 Transcripts)Change Healthcare offers a variety of revenue cycle management, clinical and imaging, and patient engagement tools, and are well-known for their insurance clearinghouse.
Waystar
Waystar
(1 Transcripts)Waystar is an end-to-end revenue cycle management company, offering eligibility verification, claims submission, payment posting, denials management, and analytics.
Apex EDI
Apex EDI
Apex EDI provides claims processing, error-checking, and submission to payers, and is integrated with various practice management and EHR systems.
Availity
Availity Essentials
Availity Essentials is a healthcare provider portal offering functionalities like eligibility and benefits checking , claims processing, remittance advice, provider information management, prior authorization and referral management.
Claim.MD
Claim.MD
Claim.md
is a healthcare clearinghouse with an electronic claims processing portal for providers and payers.
Office Ally
Office Ally
Office Ally enables healthcare providers to submit electronic claims to payers, and has features like claim scrubbing, status tracking, and integration with various practice management systems.
TriZetto
Trizetto
TriZetto RCM aims to optimize financial outcomes for healthcare providers by handling billing processes and enhancing payment accuracy.
