Medical claims clearinghouse refers to companies whose main role is to act as an intermediary by forwarding claims information from the healthcare providers to the health insurance policy sellers. Verification of the accuracy of the medical claims is done by the medial claims clearinghouse through a process known as claims scrubbing which ensures that the information sent to the payer’s software is correct. Medical clearinghouse is obliged to ensure that all the medical procedures and diagnosis codes for the patient are appropriate and that which prevents time wastage trying to rectify the errors. Medical claims clearinghouse plays a significant role in medical billing which is a common activity in the society.
Medical claims clearinghouse is required to edit the claims information into the required format as per the requirements of the insurance company that they are contracted with. Advanced information technology has enabled medical claims clearing company to serve various providers regardless of the insurance companies they are affiliated to. Medical claims clearinghouse work closely with experienced web designers who create software of high quality The clearinghouse also uses web-based medical billing software which increases the convenience and can offer integrated services to its clients.
In situations where the medical claims clearinghouse service provider’s software does not correspond to that of the payer of the claim, the clearinghouse has to send the claims through another clearing house. Compatibility of software is key hence enrollment of the payer and the provider to the same medical claims clearinghouse is an added advantage. It is therefore important to choose a clearinghouse that is contracted with a high number of insurance companies that doctors uses quite often. Medical claims clearinghouse can minimize the incidences where the provider incurs extra cost by submitting the claims information electronically and not via mails.
It is always advisable for the provider to go for the medical claims company that charges the least and offers the best services. An acknowledgement report is provided by the medical claims clearinghouse to the provider which clearly indicates the medical claims status from the claims’ payer. Transparecy, commitment, reliability and quick means of communications are some of the basic services that a medical claims clearinghouse should provide to the provider at no extra costs. Remittance advice which is an electronic form of explanation of benefit is always given to the provider from the insurance company by the medical claims clearinghouse. Medical claims can be quite overwhelming and one can end up spending a lot of time unnecessarily a problem that can be easily solved through medical claims clearinghouse service. In the recent past, medical claims clearinghouse has become more known which is probably due to the availability of better technology and also the modern way of living. The best health services can be achieved through acquisition of a healthy insurance policy with a company contracted to a medical claims insurance clearinghouse.