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Electronic Claims (eClaims)

Select Your eClaims Plan

For Change Healthcare Plans: To help determine which plan to choose, look at the average monthly claims volume for your agency, and select the plan that best matches your current usage. Check the number of transactions that meet the break-even cost before choosing a higher tier.

 

If you aren’t sure which plan to select, speak with a ClearCare representative to discuss your options.

Integrated eClaims with Change Healthcare

Manual Process

Plan 200

$120 month

200 transactions per month

$0.60 per transaction after 100
One time activation fee: $120

For agencies who expect less than 367 transactions a month.

Plan 500

$180 month

500 transactions per month

$0.36 per transaction over 500
One time activation fee: $180

For agencies who expect more than 367 transactions and less than 837 transactions a month.

Plan 1500

$300 month

1500 transactions per month

$0.20 per transaction over 1500
One time activation fee: $300

For Agencies who expect more than 837 transactions a month.

Self-Service

No cost

I would like Clearcare concierge support for a flat fee of $500.

You can sign up for this later.

For Agencies who do not want to manage claims through ClearCare's electronic claims process.

Eligibility and Claim Status Inquiry/Response:

  • $20 for up to 100 Transactions
  • Additional $20 for each additional 100 Transactions
  • Unused Transactions expire at the end of each month

A transaction is defined as a single action taken in the revenue lifecycle, such as submission or payment. For example, a claim submission = 1 transaction.

A Remittance Advice = 1 transaction. Each round-trip claim from submission through payment = 2 transactions.

Available Claims Submission Formats

ClearCare Automated Electronic Claims

Self-Serve Electronic Claims

Electronically send ANSI X12 custom data through Change Healthcare

837i

837p

835

Download Custom Excel files

Download Custom Excel files

Download ANSI X12 custom data

837i

837p

835

Download ANSI X12 custom data

837i

837p

835

Printed forms

CMS1500

UB-04

Printed forms

CMS1500

UB-04