A medical billing clearinghouse acts as the middleman between the medical service provider such as the doctor, dentist or the chiropractor and the insurance company who are the payers. This is done through the use of a software which then the professionals use to create a file which is then uploaded to your medical billing clearinghouse. With this file, the clearinghouses will then check for errors from this file which is the claim that you need to be presented to the insurance company. The clearinghouses ensure that the electronic claims pass the inspection tests. The insurance company then approves or rejects the claim. The approved claim will ensure that the doctor or the dentist is paid while the rejected can be sent back for more info to be added. The medical billing clearinghouses have a lot of advantages that they bring. You will get the advantages in the section below.
One benefit associated with the medical billing clearinghouse is that they will bring convenience to both the payer and the provider of the medical services. To be paid by the insurance companies, the medical service providers will need to give all relevant information in the files that are generated by the medical billing software. Such information will be of importance and at times it will be hard to acquire all the info that requires being ion the files. 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 other benefits of the medical billing clearinghouses is that they act as the integration between the software that is used by the doctors and the dentists and the programs that the insurance companies use. There are different programs are used for the medical billing by the doctors and the insurance companies. These are not compatible with each other and the files that they give as the claims may not be accepted by the other programs. The importance of the medical billing clearinghouse comes in this where they will provide the integration between the different software used and they will then will be able to communicate through the Electronic Data Integration (EDI) like the accepted 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 health problems that the patients have may be expensive to cater for as individuals. The medical billing clearinghouses have brought the advantage of preventing medical billing corruption by the insurance companies and this has prevented the presence of surprise medical bills.