Clearinghouse

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Our fully integrated clearinghouse solution streamlines the entire transaction process, allowing submitters, vendors, and receivers to communicate electronically to process claims.

We let stakeholders across the claims continuum improve efficiency, reduce administrative costs, and effectively manage claims, shifting the focus back to patient care and return-to-work.

Here’s how it works:

As an EDI clearinghouse, we are a single source, all-payer partner for eBilling services for Providers in the P&C market. This allows for flexible routing of bills and attachments via pre-adjudication edits that produce faster processing times and payments.

We deliver clean billing and supporting medical documentation for Payers that adhere to state and regulatory compliance, thus reducing administrative costs and allowing for increased auto-adjudication.

As a gateway for Vendors that serve the P&C market, we match via tech capabilities and offer a path to meet sales goals.

By offering a variety of options to issue and receive Payments and remittance exchanges, we reduce administrative costs with our enhanced cascading payment modality process.

Our digital mailroom solutions support Document Intake Management by automating document-driven claims processing functions and letting enterprises focus on their core business competencies.

Clearinghouse benefits Include:

Expertise in electronic submission, receipt and processing for electronic transactions
Broad connectivity throughout established submitter, receiver, and vendor networks
Online portals, system integrations, and custom EDI solutions built to your specific business needs
Configurable solutions that enable enhanced integration into existing business workflows
Custom software application development (SaaS) with consultative subject matter expertise
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