How Health and Medical Providers Can Choose the Right Medical Claims Clearinghouses


Are you among those health providers that constantly mired in your medical practice’s collections and billing? Do you have trouble in keeping track of the codes for insurance billing, uncollected bills and rejected claims? If your answer is yes, then it is timely that you consider medical claims clearinghouses. If these clearinghouses sound interesting to you and you want to learn more about it, then you are advised to continue reading this article.

What Medical Claims Clearinghouses Are?

Apex EDI Medical claims clearinghouses are companies that function as the intermediaries between health care providers and insurance companies. They are the ones who forward the medical claims information from these healthcare providers to the insurance payers. These facilities serve as the vital link between patients, insurance companies, doctors, and healthcare providers. Without their services, doctors as well as healthcare providers will wait long to obtain their legit dues. It is also true with patients because without these clearinghouses, their medical and insurance claims will not be processed fast.

What Are the Benefits of Using Medical Claims Clearinghouses?

The primary benefit of using clearinghouses is efficiency. They are the ones that scrub the medical claims submitted by patients to make sure that correct data are entered to process claims properly. Devoid of proper and prior checking, there is a huge possibility that incorrect claims will be submitted regularly to the insurance payers, thereby resulting to workplace inefficiency, denied claims and additional work for the staff of healthcare companies and insurance providers. These are the reasons why it is vital that you should carefully and cautiously select medical claims clearinghouses. To give you some hints on how to go about this task, you can follow the tips found below. You can also learn more tips on where to find the best medical claims, visit

How to Choose the Right Medical Claims Clearinghouses?

  1. Prior to inking a deal with any clearinghouse, you are advised to properly research and investigate to determine which among these medical claims clearinghouses are established, accredited, licensed and reputable. Be sure to jot down contact details and other important facts about them.
  2. It is also advised that you choose clearinghouses that have user-friendly interfaces.
  1. Be sure to opt for those with software applications that are integrated with that of the practice management software of healthcare providers, insurance companies, and etc.
  1. Choose those that furnish topnotch quality customer service as well as support.
  1. It is also important that you select medical claims clearinghouses that impose privacy practices as well as comply with the stringent regulations of the government.
  1. It is also suggested that you check out their websites to read the reviews of their previous customers.

These are the guidelines and pointers that you need to follow to find the right Apex EDI medical claims clearinghouses.


Advantages Of Using Medical Claims Clearinghouses


The introduction of medical claims clearinghouses has really reduced the burden of insurance providers and physicians. These clearinghouses are very helpful to the insurance providers since they use electronic billing system to offer claims to the providers, unlike the older days when everything was manual. The reimbursement to the physicians is delivered within the shortest duration unlike the home-based system in the past where medical billers were doing all the work manually. Long duration was taken in the early days by medical billers to submit claims and to make follow-ups which are not the case with the clearinghouses.

In the old days, Apex EDI denial claims formed a very long cue which gave the medical billers a very tough time at the end of every year. A lot of papers were wasted because the claims were mailed, unlike today’s clearinghouses where everything is electronic. Insurance firms also spent a lot of resources while trying to maintain the people employed to handle the emails as well as the postal claims. The introduction of the medical claims clearinghouses has greatly improved the billing process and also helping in reducing paper wastage which has been the cause of deforestation. Nowadays, billers in the clearinghouses fill the CMC 1500 form on the electronic mail system and then send a mail the claim to the insurance providers. Most physicians today have a plenty of time to treat the patients since clearinghouses have really helped to reduce time wastage. In fact, the process in the medical claims clearinghouses is quite simple.

So many insurance firms are associated with a single clearinghouse which is Apex EDI making claims submission for different patients very easy to administer since different patients are insured to different insurance providers. Clearinghouses are also helping individual patients whose their insurance providers are not in contract with the clearinghouses by just sending a mail to the insurance firm at a small affordable fee which many patients have seen to be the best way to get a quick response from their insurance providers.

 Errors in the bills are always checked before the claim is submitted to the insurance provider which is making clearinghouses to be unique. There are a lot of clearinghouses in the market and you have to make the right choice when you want to choose one. The services that are provided by the medical claims clearinghouses are so important and helping in any health sector. To read more about the benefits of medical claims, go to

Adjudication of Medical Claims Made Simple

Doctor fees

It feels good to be treated at a hospital using an insurance card. But did you know once you are gone, and you have regained your health, the hospital has an uphill of claiming the money you spent? It may sound like an easy task, but it is not. Many hospital get frustrated in the process and actually it hurts to make endless calls in a day to request for payment of those patients who got treated.

So, when that is the case, what is the way forward? Does it mean as a hospital you stop treating those using medical cards issued by insurance companies or any other third party? Well, that can’t be the case since a significant number of patients have medical covers.

That said, what is the best solution to this situation? Let have a look?

Are you aware of Apex EDI medical claims companies? These are the best companies that can give you a lasting solution when as a hospital you find it challenging to claims what is rightful yours. Such companies have their full effort centered on ensuring all medical claims processing is done at the right time and in the right way.

Among the top medical claims company that you can approach, Apex EDI top the list. When you use the services of this company rest assured all your claims will be collected at the right time and in the right manner. Remember as much you need all the outstanding claims to be collected, you also need a clean sheet of what is pending and what is complete, and that why you need a reputable claim professional like Apex EDI who will ensure everything is done in the right manner.

Is it expensive to use the services of a medical claim processing firm?

The cost of hiring a medical claim company is not something to worry about. Often these guys are cheap and when you compare to the kind of work to do when you opt to perform the task all by yourself, it worth hiring. For further details regarding medical claims, visit

Besides, the skills possessed by best firms such as Apex EDI makes it worth investing, especially when it comes to claims adjudication.

Now that you know the path to take when you need help in medical billing adjudication, it is time to make the right move and hire a skilled expert such as Apex EDI. For more information on what to consider when hiring such professionals, click here.