ACES Medical - How to choose a clearinghouse

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HOW TO CHOOSE A CLEARINGHOUSE BROUGHT TO YOU BY ACES MEDICAL WWW.ACESMEDICAL.COM 888-239-7941

Transcript of ACES Medical - How to choose a clearinghouse

Page 1: ACES Medical - How to choose a clearinghouse

888-239-7941

HOW TO CHOOSE A

CLEARINGHOUSEBROUGHT TO YOU BY ACES MEDICAL

WWW.ACESMEDICAL.COM

Page 2: ACES Medical - How to choose a clearinghouse

888-239-7941

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.

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HOW TO CHOOSE A CLEARINGHOUSE

Customer Support

• 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.

Scrubbing

• 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.

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