Revenue Cycle Management
Medical Claims Clearinghouse Solutions
Keep your medical claims error-free and your revenue cycle running smoothly. TruBridge HIPAA-compliant clearinghouse solutions accelerate reimbursement, reduce denials, and ensure accurate, consistent claims submission for hospitals, health systems, and healthcare organizations.
Keep your claims in the clear with HIPAA-compliant clearinghouse services.
Our medical billing clearinghouse solution ensures fewer errors, faster reimbursement, and consistent revenue cycle management (RCM) for hospitals, health systems, and healthcare organizations. We electronically transmit your claims data to insurance carriers, prescreen for accuracy, and securely send claims to payers—all while maintaining compliance with industry standards.
Are you experiencing changes to your RCM Clearinghouse solution?
Ensure continuity of service with a fast, seamless implementation plan from TruBridge. We can have you up and running in just 2-3 weeks! Get in touch with our sales team today and streamline your RCM process with minimal disruption.
Product Features
Claims Clearinghouse Services Designed for Healthcare Providers
TruBridge supports all aspects of claims submission and RCM, including:
Transaction Processing
• Automate electronic processing of healthcare transactions, such as:
• Claims submissions
• Remittance advice
• Eligibility verification
• Claim attachments and status transactions
Data Validation & Editing
• Our clearinghouse ensures all healthcare transactions meet industry standards and regulatory requirements, minimizing errors and reducing the risk of denials or audits.
Claims Status Checking
• Track claims in real-time and monitor progress through every step of reimbursement.
Reporting & Analytics
• Gain actionable insights into claim acceptance rates, denials, and key RCM performance metrics to optimize your financial outcomes.
Faster, More Accurate Claims Submission
Managing high volumes of medical claims can be challenging. Simple errors in claim submission can lead to delayed reimbursements, increased denials, and compliance risks. TruBridge clearinghouse solution helps healthcare providers:
• Reduce claim errors before submission
• Accelerate reimbursement cycles
• Maintain compliance with HIPAA and industry regulations
• Improve revenue cycle efficiency
Combine this with our Medical Coding Services for Hospitals to ensure claims are coded and submitted accurately the first time.
The old RCM playbook is broken - quick fixes and automation alone can't keep pace.
HealthLeaders data: a smarter blend of tech & expert partners is mandatory. See how hospital execs are rethinking revenue cycle strategies to improve financial stability.
Streamline Payments and Boost Productivity
Managing claims, patient accounts, and reimbursements is complex. TruBridge’HFMA Peer Reviewed® Revenue Cycle Management (RCM) solutions accelerate payment processing, improve staff productivity, and help hospitals and health systems get reimbursed for every dollar of care provided.
Benefits Include:
• Faster reimbursement cycles
• Reduced claim denials and rework
• Improved cash flow
• Consistent, compliant claims submission
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.
Revenue Cycle Director TruBridge client
Revenue Cycle Director TruBridge client
Frequently Asked Questions About Medical Claims Clearinghouses
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A medical claims clearinghouse is a secure, HIPAA-compliant service that electronically transmits healthcare claims from providers to insurance payers. It checks for errors and ensures claims meet industry standards, helping reduce denials and speed up reimbursements.
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A clearinghouse streamlines the RCM process by validating claim data, automating submissions, tracking claims in real-time, and providing analytics on denials and approvals. This reduces errors, accelerates payments, and increases operational efficiency for hospitals and health systems.
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Yes. By prescreening claims for compliance and accuracy before submission, a clearinghouse minimizes rejections and under- or over-coding issues, helping healthcare organizations improve cash flow and maintain regulatory compliance.
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TruBridge clearinghouse integrates seamlessly with medical coding services, ensuring claims are coded and submitted accurately the first time. This combination improves reimbursement speed, reduces denials, and strengthens overall revenue cycle performance.
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Hospitals, health systems, community healthcare organizations, and multi-specialty clinics benefit from using a clearinghouse. Any organization managing high volumes of claims can reduce errors, improve reimbursement cycles, and streamline RCM processes.
Let's Talk.