Why Healthcare Providers Need Medical Claim Clearinghouses

Medical claim clearinghouses enhance the efficiency of claim submissions for healthcare providers, thereby reducing costs and improving payment accuracy. Each year, healthcare payers and providers exchange billions of claims to finalize patient encounters, a number that continues to rise.

As claim volumes increase annually (except for a dip in 2021 due to the COVID-19 pandemic), payers and providers face the challenge of managing these higher volumes with fewer resources, more complex reimbursement models, and rising costs.

Clearinghouses help alleviate some of this pressure by serving as intermediaries. They facilitate the submission of claims from providers to payers, streamlining the reimbursement process through advanced technology, efficient workflows, and specialized expertise.