Claims Clearinghouse

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Change Healthcare logo
Change Healthcare

Change Healthcare

Company Info
Founded: 2007
Headcount: 5001-10000
Customers
Verified Customers: 4
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
1 Reviews
Security Certifications: HITRUST CSF, SOC 2 Type 2, PCI DSS
Change Healthcare offers a variety of revenue cycle management, clinical and imaging, and patient engagement tools, and are well-known for their insurance clearinghouse.
Waystar logo
Waystar

Waystar

Company Info
Founded: 2017
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
1 Reviews
Security Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA, ISO 27001
Waystar is an end-to-end revenue cycle management company, offering eligibility verification, claims submission, payment posting, denials management, and analytics.
Apex EDI logo
Apex EDI

Apex EDI

Company Info
Founded: 1995
Headcount: 11-50
Customers
Verified Customers: 2
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: HIPAA
Apex EDI provides claims processing, error-checking, and submission to payers, and is integrated with various practice management and EHR systems.
Availity Essentials logo
Availity

Availity Essentials

Company Info
Founded: 2001
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security Certifications: HITRUST CSF, HIPAA
Availity Essentials is a healthcare provider portal designed to streamline various healthcare administrative and management processes. Key features include patient management tools for eligibility and benefits checks, insurance information, and care reminders, along with a comprehensive claims management system for submitting, tracking, and correcting claims. The platform provides electronic remittance advice for easier claim and payment research, and a provider data management system for updating provider information. Additionally, Availity Essentials simplifies prior authorization and referral processes.
Claim.MD logo
Claim.MD

Claim.MD

Company Info
Headcount: 11-50
Customers
Verified Customers: 3
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security Certifications: HITRUST CSF, HIPAA
Claim.md is a clearinghouse for electronic claims management. It offers a user-facing portal for direct entry of both batch claims and single-entry claims. It integrates directly with a number of EHRs.
Office Ally logo
Office Ally

Office Ally

Company Info
Founded: 2000
Headcount: 201-500
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Office Ally enables healthcare providers to submit electronic claims to payers, and has features like claim scrubbing, status tracking, and integration with various practice management systems.
Trizetto logo
TriZetto

Trizetto

Company Info
Founded: 1994
Headcount: 5001-10000
Customers
Verified Customers: 6
Customers Served: Ambulatory Practice
Product Overview
Security Certifications: HIPAA, SOC 2
TriZetto RCM aims to optimize financial outcomes for healthcare providers by handling billing processes and enhancing payment accuracy.