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Check out ClearCare’s Community articles to help you get started. Self-guide your payer setup, creating and downloading claims from ClearCare, troubleshooting and more
ClearCare’s integrated electronic claims allow agencies to manage the round-trip revenue cycle management for claims quickly and efficiently. ClearCare is integrated with Change Healthcare, a leading clearinghouse system providing end-to-end revenue cycle management that helps streamline workflows and simplify collections -- making it easier to get paid by patients and payers. It's essential that your revenue cycle processes are operating at peak performance. Change Healthcare’s integration with ClearCare alongside the Revenue Performance Advisor management portal can help:
About ClearCare Integrated Electronic Claims
ClearCare makes it easy to generate electronic insurance claims (837) in the same way as the automated process. However, the contrast is that agencies must manually download and submit the electronic claims file to the payer or preferred clearinghouse directly. Agencies must manually enter payment information and track claims status outside of ClearCare. If a denial or payment issue arises, agencies can update care logs and invoice details in ClearCare; however, the agency must manually resubmit the claim to the payer. Payment information is not automatically reflected in ClearCare.
Leverage the integration with Change Healthcare to manage your entire claims revenue cycle from within ClearCare or download your claim data in 837i/p format to submit claims manually and manage the revenue cycle directly with the payer or preferred clearinghouse.
Link payment information to invoices in ClearCare. Use existing financial reporting and ClearCare’s QuickBooks integration to track electronic claims activity.
Claims are validated and scrubbed before submission, helping to reduce errors and rejections. Change Healthcare has a first-pass clean claims rate of 99%.
Verify eligibility and benefits coverage. Our nationwide connectivity with thousands of payers helps simplify and automate the entire process.
Simplify rejections and denials management. Perform real-time edits on rejected claims and resubmit within minutes. Streamline denials with pre-populated appeal letters.
Performance Advisor helps streamline workflows, facilitate faster payment, and enhance client satisfaction.
Benefits of using the Change Healthcare Integration