The medical billing clearinghouse is the link between the doctors and the dentist and the insurance company. The professionals have a medical billing program that will be used to generate a claim file that they then forward to the clearing houses. 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 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. There are a lot of benefits that are associated with the medical billing clearinghouses. 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. The information that is required to be in the claim file is much and requires concentration so that one can fill all the required info. At times, the information that is in the files that are generated by the medical billing software may not be enough or may be irrelevant. 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.
It is also the function of the medical billing clearinghouse to act as the integration between the different programs used by the doctors and the insurance companies. There are programs that have differences that are used by both 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 clearinghouses will act as the integration between the two software and they are able to communicate through the Electronic Data Integration (EDI) such as the Apex EDI.
The medical billing clearinghouses bring convenience to the people. Many people have medical bills that require being settled by their insurance companies. Most of this would not be possible for most of them because some complications can be so expensive to the patients. Some illnesses may make us have surprise medical bills but with the medical billing clearinghouses, the cases of medical billing corruption have reduced significantly.