Streamlined Medical Billing
Simplifying Healthcare
Billing Challenges
Nationwide Clearinghouse
Effortlessly connect with payers across the country. Our clearinghouse enables providers to submit claims to any commercial or private payer nationwide, ensuring seamless and efficient billing processes.
Software Compatible
Our clearinghouse integrates effortlessly with your medical billing software, backed by dedicated support to assist you every step of the way.
RCM Insights in Real-Time
Doctors gain instant access to data on claim statuses, denial reasons, rejection rates, and payment trends through our healthcare clearinghouse.
Free Healthcare Claims Clearinghouse Solution
Why Our Clearinghouse is the Preferred Choice for Medical Providers
A medical clearinghouse reviews claims for errors, translates them into the correct codes, and submits them to the appropriate payers. It also provides real-time updates, allowing clinicians to stay informed and in control of their claims.
However, not all clearinghouses are the same. Some offer outdated software, limited payer networks, or subpar customer service, causing more problems than solutions.
That’s why SMBT is the trusted choice. Our clearinghouse service offers:
- Connect with over 2,000 payers nationwide, including Medicare, Medicaid, and commercial plans—unlocking a wealth of payment opportunities.
- Validate your claims for accuracy and compliance before submission, minimizing errors and rejections—like having a safeguard for your claims.
- Convert claims into HIPAA-compliant formats, ensuring security and interoperability—ensuring only you and your payers can access sensitive data.
- Track your claims from submission to payment, offering complete visibility and control—like having full insight into the progress of your claims.
- Provide actionable insights and feedback on claims performance, helping you identify and resolve issues—like having a dedicated expert to boost your revenue.
Submit Directly to Your Preferred Payers Nationwide
Our Healthcare Clearinghouse allows providers
to submit claims straight to their preferred
payers across the country—eliminating the need
for intermediaries.
Healthcare Insurance Claims Processing Clearinghouse
Now with Enhanced Value-Added Features
Our Healthcare Clearinghouse allows providers to submit
claims straight to their preferred payers across the
country—eliminating the need for intermediaries.
- Coverage Check – Automatically verifies insurance coverage and patient benefits before services are provided.
- Claim Monitor – Tracks claims in real-time, offering updates on payments, rejections, or adjustments.
- Rejection Assistant – Analyzes claim rejection reasons and offers guidance on corrections and resubmission.
- Cloud Access – Provides secure, online access to your claims billing dashboard from any device, anywhere.
- Print Claim – Allows printing claims for mailing to insurance payers if preferred or required.
- Patient Invoice – Enables providers to send customized statements to patients with details on outstanding balances.
- Live Support – Offers reliable customer support to assist with any questions about the Clearinghouse software.
EFT & ERA Processing Support
Simplifying Billing and Payments with EFT & ERA Excellence
Electronic Funds Transfer (EFT) allows payments to be transferred directly from the payer’s bank account to the provider’s account via the Automated Clearing House (ACH) network. Electronic Remittance Advice (ERA) is the digital version of the Explanation of Benefits (EOB), detailing payment information, adjustments, deductions, and denial reasons.
By adopting EFT and ERA, providers ensure compliance with HIPAA and PPACA’s Administrative Simplification requirements, which mandate health plans offer these transactions to providers upon request. Our clearinghouse software offers robust EFT and ERA capabilities, including:
- Easy enrollment with various payers directly through the software
- Secure electronic receipt of payments and remittances
- Convenient options to view, print, download, and export ERAs in multiple formats
- Access to EFT/ERA operating rules, Claim Adjustment Reason Codes (CARCs), and Remittance Advice Remark Codes (RARCs) for clearer payment explanations
- Real-time payment status tracking and insightful analytics for better decision-making
Important Metrics
Secure EDI Hub
Role of EDI in Operations
- Electronic Data Interchange (EDI) serves as the backbone of our clearinghouse operations by enabling secure and efficient data transmission.
- EDI simplifies complex healthcare information, converting claims, patient records, and billing details into a standardized, universally understandable format.
- Our EDI processes comply with industry standards such as X12 and HL7, ensuring consistency and reliability across all transactions.
Vital Stats
Patient Privacy Protection
Ensuring the confidentiality of healthcare data is our priority. Our clearinghouse strictly adheres to HIPAA’s privacy and security standards to protect sensitive information.
- Protects data during transmission.
- Limits unauthorized entry to sensitive information.
- Identifies and resolves vulnerabilities regularly.
- Safeguards patient identifiers against theft.
Clearinghouse RCM Roles
Smart Revenue Cycle Management by Our Clearinghouse
At SMBT, we don’t just process claims—we craft comprehensive financial solutions tailored to your medical practice. Our clearinghouse is more than a simple intermediary; it acts as a smart conductor, seamlessly aligning all aspects of your revenue cycle management (RCM). Here are the key features that make our clearinghouse stand out:
Sent File Status Updates
SMBT clearinghouse offers real-time tracking of sent files, providing full transparency and accountability throughout the process.
Claim Status Tracking
Our detailed claim status reports allow you to monitor the progress of your claims, quickly pinpoint any issues, and take swift, corrective action when needed.
Rejection Analysis
SMBT’s intelligent system analyzes claim rejections to identify recurring errors or patterns, enabling you to address billing issues before they cause delays or disruptions.
Paper Claims Processing
While digital claims are the norm, we understand that paper claims are sometimes required. SMBT manages paper claims with efficiency, ensuring they are processed swiftly and accurately.
Secondary Claims Processing
SMBT simplifies the handling of secondary insurance claims, reducing delays and ensuring optimal reimbursement for your practice.
Patient Statement Services
Effective communication with patients is key to satisfaction. SMBT creates clear, concise patient statements that promote transparency and improve overall patient experience.
Payment Processing
Timely revenue collection is essential for your practice’s financial health. SMBT system ensures secure, accurate, and efficient payment processing, keeping your cash flow on track.
Transaction Summaries
Gain a comprehensive overview of all your clearinghouse activities. Transaction summaries keep you organized and provide the insights needed to make informed financial decisions.
Error Reports & Control Panel
We focus on transparency, not avoidance. Our intuitive control panel provides detailed error reports, helping you identify and resolve issues quickly and efficiently.
Minimize Claim Errors & Eliminate Denial Barriers Instantly!
Did you know the average error rate for paper claims
is around 28%? With our Medical Billing Clearinghouse
Solution, providers have reduced this rate to an
impressive 2-3%! 📈