What is “a clearinghouse” in medical billing?

Clearinghouse in Medical Billing

A clearinghouse in medical billing is an intermediary that processes and transmits electronic claims from healthcare providers to insurance payers.

Clearinghouse in Medical Billing Explained

In medical billing, a clearinghouse helps ensure that claims submitted by healthcare providers are accurate and properly formatted before they are sent to insurance companies. Clearinghouses verify claims for errors, convert them into standardized formats, and forward them to payers, reducing claim rejections and speeding up payment processes.

For example, a medical practice uses a clearinghouse to submit electronic claims to multiple insurance companies, ensuring that each claim meets the payer’s submission requirements.

Check acronyms and abbreviations in Medical billing glossary.

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