Medical Claims Clearinghouse with Integrated Eligibility Checks
Personalized Claims, Streamlined Processes: Healthcare Reimbursement Made Easy
About
We are the only Native Woman Owned medical claims clearinghouse. We value you're time, which is why we provide a single point of contact to eliminate long hold times and impersonal call center experiences.
- Sharp Claim Processing
- The claim is scrubbed and sent to the payer.Â
- ERA's returned with multiple human readable reports to fully understand the ERA
- Complies with all HIPPA standards
- Customized Reports, Analytics and dashboards to help your practice with any reporting requirements
- API Access
- Workflows - separate claims out into workflows for easier handling of rejections.
- Rules Engine
- Customized claim edits to make sure your claims are paid properly every single time.
- Sharp Revenue Tools
- Real-Time Eligibility check report integrated into Healthie appointments with over 2000 payers
- Real-time and batch eligibility checks with over 2000 payers on our portal
- Coverage Discovery - find unknown insurance on self-pay patients
Media
Features
ERA Posting
Once an ERA has come back for your claim, ClaimRev's processing system will update your claim in Healthie with how much the payer paid along with updating the status of the claim so you're always kept in the loop!
Integrated Claim Processing
When creating HCFA claims in Healthie, they are pulled into our processing system by a push of a button. Our system then scrubs the claim for errors, sending the clean claim to the payer. During this entire process, we update the claim in Healthie so that you know it's been received and sent to the payer!
Eligibility
You can run a report for upcoming appointments and check that the patient has active coverage and the correct benefits.Â
Customer Service
We have easy to contact customer service. With just a quick phone call or email you're questions are answered quickly and issues promptly fixed. We're always here to help with your claims.
Pricing
Low Volume
16.50Per Rendering Provider
A low cost option for providers that have very few patients that have insurance.
- Up to 20 claims and 20 ERA's per month.
Standard Pricing
50Per Rendering Provider
Processing of 200 claims and 200 Era's per month
Workers comp. claims not included
* The pricing here is for display purposes only. You should contact the partner for the most up to date and correct pricing information. We do not take any responsibility for this pricing information, which is provided by our partners. Pricing last updated: June 08, 2024
Next Steps
Fill out the activate a partner form
Let both teams you're ready to activate the integration by using this form link.
Complete the enrollment form
Fill out the enrollment form, this will help us create the customer service agreement.
Sign Customer Service Agreement
Sign the completed customer service agreement along with the agreed-upon fee schedule
- Once signed, you will be granted access to the portal.
Testimonials
Resources
FAQ
Yes! we can save the eligibility information back to Healthie. However, there are caveats; every payer and plan can give us the eligibility data differently. This requires us to work with you to figure out what benefits you need saved, what payers return those benefits and how to convert the data into what is needed and wanted.Â
When payer rejections or clearinghouse rejections happen, we mark the claim in Healthie with the appropriate status so that you know that something is wrong. By going to our portal, you can search for the claims and see exactly what is wrong. At this point, you can from our portal using the editor or you can create a new claim in Healthie and resubmit the claim with the fixes.