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.
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 They may have outdated software, limited payer networks, or poor customer service.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 QueueLogix. 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.
- Track your claims from submission to payment, giving you full visibility and control. That’s like having a crystal ball that shows you the future of your claims.
- Provide you with actionable insights and feedback on your claims performance, helping you identify and resolve issues. That’s like having an expert that helps you improve your medical revenue.
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!
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.
EFT & ERA SUPPORT
Billing and Payments Made Easy with EFT + ERA Excellence
Electronic Funds Transfer (EFT) is the process of sending payments from the payer’s bank account to the provider’s bank account using the Automated Clearing House (ACH) network. Electronic Remittance Advice (ERA) is the electronic version of an Explanation of Benefits (EOB) that provides information about the payment, such as adjustments, deductions, and reasons for denial.
By using EFT and ERA, providers can also comply with the Administrative Simplification rules under the HIPAA and PPACA, which require health plans to offer these transactions to providers upon request. Our clearinghouse software has EFT and ERA features, like:
- Providers can enroll with various payers through our software
- Receive payments and remittances electronically
- View, print, download, and export ERAs in different formats
- Access the operating rules for EFT and ERA, as well as the Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) that explain the payment decisions
- Track the status of payments in real-time and generate analytics
KEY STATISTICS
QueueLogix Billing by the Numbers
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SECURE EDI CLEARINGHOUSE
How Does EDI Fit In?
- Electronic Data Interchange (EDI) is the backbone of our clearinghouse operations. It allows us to transmit standardized data securely and swiftly.
- Through EDI, we convert complex healthcare information (such as claims, patient records, and billing details) into a common format that all parties can understand.
- Our EDI processes adhere to industry standards (such as X12 or HL7), ensuring consistency across transactions.
KEY STATISTICS
Protecting Patient Privacy
The Health Insurance Portability and Accountability Act (HIPAA) mandates strict privacy and security standards for healthcare data. Our clearinghouse ensures HIPAA compliance by:
- Encrypting sensitive data during transmission.
- Implementing access controls to restrict unauthorized access.
- Regularly auditing our systems to identify vulnerabilities.
- Safeguarding patient identifiers (like Social Security numbers) to prevent identity theft.
CLEARINGHOUSE RCM FUNCTIONS
Our Clearinghouse Intelligently Manages Your Revenue Cycle
At QueueLogix, we don’t just process claims; we weave financial tapestries for your medical practice. Our clearinghouse is more than a bridge—it’s a smart conductor that harmonizes your financial operations. Let’s dive into the special RCM features of our clearinghouse that sets it apart:
Reduce Your Claim Error Rates & Stop Denial Blockages Right Away!
Did you know that the average 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%! 📈