Clearinghouse Services
ClaimRemedi provides a full range of traditional, as well as proprietary, clearinghouse services that complement our other value added services.
- Connectivity to all commercial and government payers that accept professional, institutional and dental electronic claims.
- Conversion of non-837 X12 claim files — NSF professional and institutional formats, professional and institutional paper print images, EMC, and a variety of other non-standard formats. All of our outbound claims to payers are 837 X12 compliant.
- Customized claim and payer specific solutions to meet your specific needs. Is We know payer requirements vary and we will work with you to implement customized solutions to fix those problems.
- Print-to-paper services for professional, institutional and dental claims for payers who do not accept electronic claims.
- Standardized payer response reports.
- Electronic Remittance Advice (ERA) processing for downloading ERAs into practice management/billing systems to facilitate auto-posting — as well as providing human readable ERA reporting tools for manual posting and other analyses.
- Eligibility verification that provides fast and easy access to payer eligibility and benefit information for establishing patient coverage, co-payment and co-insurance amounts, and deductibles.
- A responsive, experienced and knowledgeable support staff that will work with both you and payers to resolve any problems.
We also support both batch and real time processing. All of the above services are seamlessly integrated with our other products and services. They can also be integrated with your existing practice management/billing system.
The home page gives you a quick overview of your claims processing — and can be configured to meet your specific needs