Use the Services of a Clearinghouse

Clearinghouses: They act as an intermediary between a medical practice and the insurance company, when the doctor sends a medical claim. They are private companies that are associated with a multitude of insurance companies all over the country. They are the ones that verify the accuracy of the claim and then send it straight to the payer’s computer.
The Process: First of all a doctor should enroll with a clearinghouse by simply filling out a form. Once his practice is registered he can now start sending the claims electronically that needs to be processed, but it should be ensured that the insurance company is part of the clearinghouses network.
Once the claim reaches the clearinghouse, it will send an acknowledgement that the claim has been received. Then the clearinghouse edits, sorts and distributes the claims. There is a fixed fee for each claim that is submitted to the clearinghouse, and at the end of the month a bill is sent to the practice. Usually, there is no restriction on the number of claims that are accepted during a month
Benefits of using Clearinghouses:
Choosing a clearinghouse is very cost effective for medical billing, because the services that they provide not only save time but also limit complications that could develop later on. The benefits are: ecessary
Ø They edit the medical claim that you send them, and if it does not meet the required criteria, the claim is sent back to the sender, so that they can make the necessary corrections before the payer sees it.
Ø Major clearing houses are connected to over 500 such companies that may either be private or governmental.
Ø They can convert the information received by a practice and translate it into the format specified by the payer.
Ø The practice can send all their claims regarding a specific payer in one batch, instead of send them separately.