The medical billing clearinghouse is the link between the doctors and the dentist and the insurance company. This has been made possible by the presence of the medical billing software that will be used by the professionals to generate a claim file which is then sent to the clearinghouses. The function of the medical billing clearinghouses will then be of importance at this point because they will check for errors in this file that have been committed during the filing process and then forward to the insurance companies. The clearinghouses ensure that the electronic claims pass the inspection tests. It is then the job of the insurance company to accept the claim or reject it. The claims that are accepted will have the medical service providers paid by the insurance company while the rejected files will be sent back for additional information. The medical billing clearinghouses have a lot of advantages that they bring. The benefits are discussed below.
One of the benefits that you will realize from the medical billing clearinghouse is that they will provide convenience to both the provider and the payer. When filling there is a lot of information that is required to be filled so that the providers will receive the payment form the insurance company. There are times when you will have little information to offer in the medical billing software for the claim to the insurance company. The function of the medical billing clearinghouses is to ensure that the information is the electronic files for the claims is correct and they will be able to correct the errors so that they will make the job easier for the insurance company to process the claims.
The next importance of the medical billing clearinghouse is that they act the integration between the payers’ software and the medical service provider’s software. There are different programs are used for the medical billing by the doctors and the insurance companies. The compatibility of the files that are generated by the different programs will not be possible. The medical billing clearinghouse is of great importance when it comes to this as it will ensure that the different programs communicate through the Electronic Data Integration (EDI) such as the Apex EDI.
The other advantage of the medical billing clearinghouses if the convenience that they bring to the people. Different people require their medical bills to be settled by the insurance companies. The complications that they receive treatment for might require much money to pay for. Some illnesses may make us have surprise medical bills but with the medical billing clearinghouses, the cases of medical billing corruption have reduced significantly.