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.
$0.60 per transaction after 100
One time activation fee: $120
For agencies who expect less than 367 transactions a 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.
$0.20 per transaction over 1500
One time activation fee: $300
For Agencies who expect more than 837 transactions a month.
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:
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.
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
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