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How to Choose a Medical Clearinghouse

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Diana with ACES Medical
Diana with ACES Medical

This presentation takes a look at the considerations of selecting a clearinghouse for a medical practice.

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HOW TO CHOOSE A CLEARINGHOUSE Payer List • One of the most important factors is whether the clearinghouse’s payer list contains the insurances that you bill. A clearinghouse that operates nationally will most likely include all large insurance payers but may not include your regional payers. Claims Software • Talk to any potential vendors about the claims software that your medical practice is using. It is crucial that the two software platforms are compatible. Another important factor is the usability of the clearinghouse’s software. 888-239-7941 WWW.ACESMEDICAL.COM
HOW TO CHOOSE A CLEARINGHOUSE Customer Support Scrubbing 888-239-7941 • Waiting for a response from customer support can delay your claims submittal which then delays revenue. If possible, select a clearinghouse that has 24/7 support and guarantees a response time of 24 hours. • Not all clearinghouses scrub claims for CPT and diagnosis code errors, modifiers, policy numbers, patient information… express the desire for this service up front to eliminate any clearinghouses that do not offer these services. WWW.ACESMEDICAL.COM
ACES MEDICAL FOR MORE VIDEOS BY ACES MEDICAL, PLEASE VISIT: WWW.YOUTUBE.COM/ACESMEDICAL 888-239-7941 WWW.ACESMEDICAL.COM

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How to Choose a Medical Clearinghouse

  • 1.
  • 2. HOW TO CHOOSE A CLEARINGHOUSE Payer List • One of the most important factors is whether the clearinghouse’s payer list contains the insurances that you bill. A clearinghouse that operates nationally will most likely include all large insurance payers but may not include your regional payers. Claims Software • Talk to any potential vendors about the claims software that your medical practice is using. It is crucial that the two software platforms are compatible. Another important factor is the usability of the clearinghouse’s software. 888-239-7941 WWW.ACESMEDICAL.COM
  • 3. HOW TO CHOOSE A CLEARINGHOUSE Customer Support Scrubbing 888-239-7941 • Waiting for a response from customer support can delay your claims submittal which then delays revenue. If possible, select a clearinghouse that has 24/7 support and guarantees a response time of 24 hours. • Not all clearinghouses scrub claims for CPT and diagnosis code errors, modifiers, policy numbers, patient information… express the desire for this service up front to eliminate any clearinghouses that do not offer these services. WWW.ACESMEDICAL.COM
  • 4. ACES MEDICAL FOR MORE VIDEOS BY ACES MEDICAL, PLEASE VISIT: WWW.YOUTUBE.COM/ACESMEDICAL 888-239-7941 WWW.ACESMEDICAL.COM