Factors to Consider When Picking Up the Health Claims Clearinghouse.
The clearinghouse crosschecks the claims that the medical clinic has sent them such that they find the errors and correct them before they forward the claims electronically to the payer. There is certain software which they use to check and corrects those mistakes. Accepting or rejecting the claim is the results of the payer. Whenever the claim has been approved, then it means that the payment is on the way while being denied means that you have to make changes in order the payer to accept it.
The billing company should have a solid customer support. Correcting and clearing of your claim should be faster. If the clearinghouse acts quickly, then the claim will be sent faster to the payer. If the clearinghouse is slow in its work, then they will tackle your data late which will cause to delay your payment. The clearinghouse should provide an all-time customer service, which means that whenever someone sends a request then they receive the response the soonest time possible. The clearinghouse is not right for you if it takes 24 hours for you to get a response to your query.
The claims you send to the clearinghouse should be handled at a maximum time of one hour. It means that if you send any claim they should respond to create awareness of how many and which claims were sent to the payer. The clearing houses which respond to you they help you to resubmit the file which you have made some changes and wait for the cash to flow.
The clearinghouse should be accountable for sending the 835s and payment forms consistently to the claimer. You can meet your reconciliation timely, when the firm has sent the forms to you at a timely manner. It will help you to clear the reconciliation process for each month timely, such that you don’t have to take your time and track down the month you did not do reconciliation since it is wastage of time. When selecting the clearing houses, you should consider when they send their 835s compared to the time the payment is received since most send it later.
The clearinghouse should provide the efficient claim information. The accessibility of the files by your staff members without duplication of the forms is easy, and they are allowed to make the required changes. When the claim information is efficient, then it saves time when making the changes.
You should select an easy clearinghouse since the complex ones need a deep training to understand how it works and you will be forced to provide that training. Since easy firms you don’t have to offers comprehensive training it will save time and money.