Medical Billing Clearinghouse Solution
Clearinghouse Service that Clears Healthcare Billing Hurdles
Our clearinghouse service is a whole shebang for every provider’s healthcare billing needs. We connect providers with hundreds of payers, verify eligibility, check claims status, and submit claims electronically. We also handle credentialing, enrollment, and compliance, so quality patient care takes center stage at every clinic. Our medical billing consulting group provides the strategic guidance and tactical support needed to optimize billing processes, technology, and staff skills. With our consultancy solutions, every practice is positioned to thrive through improved medical billing.
Medical Billing Services
Expert patient billers offer the most complete medical billing services that entail handling check-in/out, claims, payments, and denials for health care providers.
CREDENTIALING
Clinical coding officers translate patient services into ICD-10 and CPT codes and generate a clean “super-bill” for the biller to submit to the insurance payer.
IT
Provider enrollment services by our credentialing specialists help healthcare providers join the network of desirable payors with maximum privileges.
FREE HEALTHCARE CLAIMS CLEARINGHOUSE
Why Our Clearinghouse is the Top Choice for Medical Providers?
A medical clearinghouse checks a provider’s claims for mistakes, translates them into the right codes, and delivers them to the right payers. It also provides real-time updates on how the claims are doing, so the clinician can stay on top of their game.
But not all clearinghouses are created equal. Some are like broken wands that can only cause trouble. They may have outdated software, limited payer networks, or poor customer service.
That’s why you need clearinghouse service from EdgeRCM. Our clearinghouse service can:
- Connect you with over 2,000 payers nationwide, including Medicare, Medicaid, and commercial plans. That’s like having access to a treasure chest of payment opportunities.
- Validate your claims for accuracy and compliance before submission, reducing errors and rejections. That’s like having a guardian angel watching over your claims.
- Convert your claims into HIPAA-compliant formats, ensuring security & interoperability. That’s like having a secret code that only you and your payers can understand.
Direct to Your Favorite Payers Nationwide!
Our Healthcare Clearinghouse empowers providers to submit claims directly to their preferred payers across the country—no middleman required!
HEALTHCARE INSURANCE CLAIMS CLEARINGHOUSE
The Clearinghouse With New Value-Added Features!
EdgeRCM Clearinghouse is a smart choice for medical facilities looking to improve their communication and relationship with the payers and the patients. Our free clearinghouse for medical claims presents a bounty of beneficial features to physicians:
- Coverage Check – Automatically checks the insurance coverage and patient benefits before the provider provides the service.
- Claim Monitor – Tracks claims in real-time & provides information on the payment, rejection, or adjustment of each claim.
- Rejection Assistant – Analyzes the reasons for claim rejections and provides suggestions on how to correct and resubmit them.
- Cloud Access – Lets the medical facility to securely access their claims billing dashboard online from any device and location.
- Print Claim – Prints claims on hard paper that a medical facility can later mail to the insurance payers if they prefer or require.
- Patient Invoice – Let's providers send customized statements to their patients, carrying details like outstanding balances.
- Live Support – Provides reliable customer support who can answer any questions regarding the Clearinghouse software.
- Flat-Fee Billing – Offers a low-cost billing solution that charges a flat fee per claim regardless of the payer or service type.
- Coverage Check – Automatically checks the insurance coverage and patient benefits before the provider provides the service.
- Claim Monitor – Tracks claims in real-time & provides information on the payment, rejection, or adjustment of each claim.
- Rejection Assistant – Analyzes the reasons for claim rejections and provides suggestions on how to correct and resubmit them.
- Cloud Access – Lets the medical facility to securely access their claims billing dashboard online from any device and location.
- Print Claim – Prints claims on hard paper that a medical facility can later mail to the insurance payers if they prefer or require.
- Patient Invoice – Let's providers send customized statements to their patients, carrying details like outstanding balances.
- Live Support – Provides reliable customer support who can answer any questions regarding the Clearinghouse software.
- Flat-Fee Billing – Offers a low-cost billing solution that charges a flat fee per claim regardless of the payer or service type.
Key Statistics
EdgeRCM Medical Clearinghouse By The Numbers
97.89 %
Inpatient Quality Score
97.89 %
Inpatient Quality Score
97.89 %
Inpatient Quality Score
97.89 %
Inpatient Quality Score
SECURE EDI CLEARINGHOUSE
How Does EDI Fit In?
EdgeRCM is a medical coding solutions provider that values the security and confidentiality of your patient data. That is why we adhere to the HIPAA standards and use the latest encryption, firewall, antivirus, and other security technologies to protect patient’s data from any unauthorized access, use, or disclosure. We assist practices large and small in overcoming lost, delayed, or underpaid claims. Engage our 24/7 medical billing and coding consultancy for the medical billing help your practice needs.
KEY STATISTICS
Protecting Patient Privacy
EdgeRCM Medical Coding Solutions follow the HIPAA Privacy Rule and the HIPAA Security Rule for the collection, storage, transmission, and disposal of protected health information (PHI). We comply with all the US government healthcare data regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA), the Merit-based Incentive Payment System (MIPS), the Medicare Shared Savings Program (MSSP), the Comprehensive Primary Care Plus (CPC+), and the Quality Payment Program (QPP). In addition, our staff receives regular training for the latest changes in HIPAA, GDPR, CMS Fraud, Waste and Abuse, and Social Engineering topics.
Key Statistics
Check our Medical Billing Audit Solutions
Sent File Status
EdgeRCM’s clearinghouse provides real-time updates on the status of sent files, ensuring transparency and accountability.
Claim Status Reports
With comprehensive claim status reports, you can track the progress of your claims, identify any issues, and take timely action.
Rejection Analysis
EdgeRCM’s intelligent system analyzes claim rejections, pinpointing common errors or patterns. This helps you fix medical billing errors before they become roadblocks.
Paper Claims
Even in today’s digital age, paper claims are sometimes necessary. EdgeRCM handles paper claims efficiently, ensuring they are processed promptly.
Secondary Claims Processing
When secondary insurance comes into play, EdgeRCM streamlines the process, minimizing delays and maximizing reimbursements.
Patient Statement Services
Clear communication with patients is crucial. EdgeRCM generates clear and concise patient statements, enhancing patient satisfaction.
Payment Processing
Efficient payment processing ensures timely revenue collection. EdgeRCM’s system handles payments securely and accurately.
Transaction Summaries
Get a consolidated view of all your clearinghouse activity. Transaction summaries help you stay organized and make informed decisions.
Error Reports & Control Panel
We don’t sweep issues under the rug; we spotlight them. A user-friendly control provides detailed error reports, allowing you to address issues promptly.
Reduce Your Claim Error Rates & Stop Denial Blockages Right Away!
error rate for paper claims hovers around 28%? But with our Medical Billing Clearinghouse Solution, providers have slashed that error rate up to an impressive 2-3%! 📈
