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Electronic Claims (eClaims)

Select Your eClaims Plan

In order to maximize the value of ClearCare’s integrated electronic claims, select the plan that works best for your agency. 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

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.

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.