Overview

Keep your claims in the clear.

The healthcare claims Clearinghouse solution guarantees fewer errors, faster reimbursement, and greater consistency in your revenue cycle management (RCM) process. This comprehensive service electronically transmits your medical claims data to insurance carriers, with prescreening to ensure accuracy and reduce errors before submission. Once a claim passes inspection, our clearinghouse securely transmits the data to the specified payer using a HIPAA-compliant connection.

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.

Features

TruBridge Clearinghouse service accurately submits billing and claims data to insurance carriers, minimizing errors and reducing denials. This leads to faster reimbursements, improved claim approval rates, and greater consistency in revenue cycle management.

• Transaction Processing – automate the electronic processing of healthcare transactions, such as claims submissions, remittance advice, eligibility verification, claim attachments, and claim status transactions.
• Data Validation and Editing – ensure all healthcare transactions meet industry standards and regulatory requirements, minimizing errors and ensuring compliance with all regulations, including HIPAA and other healthcare mandates.
• Claims Status Checking – track the status of claims in real-time, allowing you to monitor their progress throughout the reimbursement process.
• Reporting and Analytics – utilize our reporting tools and analytics features to gain insights into your RCM performance, such as claim acceptance rates, denials, and other key performance indicators.