Revenue Cycle Management

Medical Clearing House Claims

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.

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.

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, boost productivity, ensure compliance.

Staying on top of insurance claims, patient accounts, reimbursement models and government regulations is a constant challenge for providers. You need to get paid if you want to survive, preferably 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 products and services to help accelerate payments, optimize productivity and support you in your mission. Our Clearinghouse Service is a part of that. We can conveniently and securely submit your medical claims data to insurance carriers, with prescreening to ensure no errors or inaccuracies are included. The result is fewer denials, faster reimbursement and greater regularity in your revenue cycle.

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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.

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claim clearinghouse

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.

  • Transaction Processing – electronic processing of various healthcare transactions, such as claims submissions, remittance advice, eligibility verification, claim attachments and claim status transactions.
  • 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.
  • Claims Status Checking – allowing healthcare providers to check the status of their claims, helping in tracking the progress of claims through the reimbursement process.
  • 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.

"TruBridge's response to our critical situation following the cyber attack on Change Healthcare was nothing short of remarkable. Within hours of signing the contract, their team had us up and running with their RCM solution through a Fast Track implementation plan. Thanks to their efficiency and expertise, we quickly regained our footing, submitting close to $3M in claims within one week with an additional $2M pending Medicare/Medicaid enrollments. TruBridge has proven to be an invaluable partner in our journey towards financial recovery."
Senior Director - Business Development, Community Memorial Hospital

Carrie Bova

Senior Director - Business Development, Community Memorial Hospital

"TruBridge's response to our critical situation following the cyber attack on Change Healthcare was nothing short of remarkable. Within hours of signing the contract, their team had us up and running with their RCM solution through a Fast Track implementation plan. Thanks to their efficiency and expertise, we quickly regained our footing, submitting close to $3M in claims within one week with an additional $2M pending Medicare/Medicaid enrollments. TruBridge has proven to be an invaluable partner in our journey towards financial recovery."
Senior Director - Business Development, Community Memorial Hospital

Carrie Bova

Senior Director - Business Development, Community Memorial Hospital

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Let's Talk.

Is your claims process a constant struggle? Then let TruBridge simplify things.