What is Clearing house?

A claims clearinghouse is an organization that receives clinical claims and other types of health care information from providers and then submits that information electronically to insurance companies that they are contracted with. It serves as the intermediary between the provider and the insurance company.

Claims can be sent to the clearinghouse electronically, on paper through the mail, or by fax Regardless of the method of transmittal, the clearinghouse will translate the data elements into a format that complies with the format required by the target insurance company.

Types of Reports from clearing house:

 Payer Report
 Denial Report
     o Payer
     o Clearing House

 Scrubber Report
 ERA – Electronic Remittance Advice
 Sent File Status
 Claim Status Reports
 Rejection Analysis
 Drop and Mail Paper Claims If Needed