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The Importance of Medical Clearinghouses

The other day, a friend was agitated because when went to hospital to be treated flu that had attacked him for days, he was charged an amount he could really imagine. He didn't take it lightly with the hospital. When he came to me for a piece of advice on what to do, I advised him to sit down and relax. His work was to provide the necessary documents I will help him out. I called my friend who works in a clearinghouse. He came in handy. From this experience I learnt that the medical clearinghouses essentially act as the middleman in between the medical provider and the insurance companies. Check out www.apexedi.com to get started.

Their main job is to check the medical billing services and match them to the information provided by the healthcare providers. They ensure that the procedures and the diagnosis indicated by the medical providers is what the insurance company is paying for. This is a way of installing credibility as well as avoid reckless errors that may cost either of the two parties losses.

The clearing house that my friend contacted to do scrubbing and verify that indeed he was being charged rightfully really helped him. They found out that the medical provider had put wrong codes and submitted it to the insurance company and he ended up paying for much more than anticipated. The money was refunded and the hospital apologized.

The company did not overcharge us they were reasonable in their charges for the services they offered us. They also used up to date technology that was compatible with the payer software. This was really impressing because we didn't wait for long. With a day the claim was processed, submitted and the necessary changes were effected. Visit www.apexedi.com for more info.

As medical insurance holder, it is good to know about clearance houses. They will save you a lot and educated you more when it comes to medical billing. However you need to be careful with the company you decide to do business with. Some patients also collide with the medical providers to swindle off the insurance company their money. They do his by giving wrong diagnosis that is usually expensive .therefore, it is advisable that even the insurance companies have a clearing house to examine every medical claim brought to them.

They will have to check the compatibility test between their software's and this may take up to four weeks. Nevertheless once the software's of the two companies are tested and found to be compatible the results of their work are tremendous.

Check out http://www.ehow.com/how_7216585_become-medical-claims-processor-home.html for more info.

 

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