Keeping every claim in the clear.
Our Clearinghouse can guarantee you fewer errors, faster reimbursement and greater regularity in your revenue cycle. This convenient service electronically transmits your medical claims data to insurance carriers, with prescreening to ensure that no errors or inaccuracies are included. Once a claim passes inspection, our clearinghouse securely transmits the data to the specified payer over a secure connection that meets the strict standards outlined by HIPAA.
Have you been impacted by the Change Healthcare cyberattack?
We understand the adverse effects a prolonged outage will have on Change Healthcare customers, and with that, we have made an implementation plan available to those looking to move hospital and physician claim submission away from the Change Healthcare platform to support your short-term revenue cycle needs.
Standardize data and improve accuracy of claims.
Standardizing data is pivotal to ensuring accurate claims and proper reimbursement.
Facilitate the smooth flow of information between healthcare providers and payers.
The speed of reimbursement is greatly influenced by the flow of information between providers and payers.
Streamline Payments and Boost Productivity with HFMA Peer Reviewed Solutions
Managing insurance claims, patient accounts, reimbursement models, and regulations is a constant challenge for providers. To thrive, you need to get paid quickly, efficiently, and for every dollar of care you’ve provided.
Our HFMA Peer Reviewed® Revenue Cycle Management (RCM) solutions offer a full suite of services to accelerate payments, optimize productivity, and support your mission. Our Clearinghouse Service securely submits medical claims data to insurance carriers, with prescreening to ensure accuracy and reduce errors. The result is fewer denials, faster reimbursements, and greater consistency in your revenue cycle.
Keeping your claims in the clear.
With our clearinghouse service, you can expect a more efficient billing process, faster reimbursement and a reduction in errors that may hold back your healthcare transactions.
Product Features
Clearinghouse
This service was built to put your reimbursement process on the fast track, automating and eliminating its most troublesome areas while maintaining security compliance.
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Transaction Processing – electronic processing of various healthcare transactions, such as claims submissions, remittance advice, eligibility verification, claim attachments and claim status transactions.
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Data Validation and Editing – validate and edit the data in healthcare transactions to ensure it meets industry standards and regulatory requirements, reducing errors and ensuring compliance.
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Claims Status Checking – allowing healthcare providers to check the status of their claims, helping in tracking the progress of claims through the reimbursement process.
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Reporting and Analytics – providing reporting tools and analytics features that give healthcare providers insights into their billing and claims processes including metrics on claim acceptance rates, denials, and other key performance indicators.
Carrie Bova
Senior Director - Business Development, Community Memorial Hospital
Carrie Bova
Senior Director - Business Development, Community Memorial Hospital
Let's Talk.