When you choose a medical billing clearing house to submit your
medical insurance claims electronically, it is crucial that you pick one that will meet your needs.
Clearing Houses can vary greatly, and the following factors should be considered when choosing:
- price per claim
- set up fees
- insurance companies
able to receive claims
- types of reports
Try to calculate the amount of claims you will
be sending per month. If there is a price per claim fee, multiply it
times the number of claims you will be submitting to give you an idea of
your monthly cost. Another
factor to take into consideration is how long the clearing house
has been operating. A newer clearing house may be still working out
some of the bugs, although just because a clearing house has
been operating for some time doesn't mean they are good.
Do they charge a set up
Does the medical billing clearing
house you are looking at offer electronic submission to the
companies you submit most of your claims to? Make sure your
larger insurance carriers in your area are covered by the clearing
Support is extremely important
because you want to keep your electronics working properly
and know you have someone to call to fix it if you have a
problem. Does someone at support answer the phone or do you have to
leave a message and they will call back? If so, how soon will they
You'll also want to make sure
you can access all the reports you require. What capabilities does
the clearing house have for reports?
are other options available if you don't feel that sending your claims
thru a clearing house is the right method for you. Many of the
larger insurance companies can receive claims directly from you if you
have the appropriate software. For information on the
direct submission software we
use. Here is
more information on submitting your claims
directly to the insurance
For professional providers, the
software has to be capable of taking the claims data from your
medical billing software program and putting it into an ansi
837 HIPAA compliant format. Once in that format you can submit
the file directly to the insurance carrier instead of going thru a
medical billing clearing house.
choosing which method you will use to submit your
claims electronically, just make sure you pick a method that is
appropriate for your needs.
more information on
Medical Billing Clearing House.