Claims & Benefits Management

There are over 2,000 insurance providers in the U.S. today, some of which operate nationally while others are limited to a single state. Not all insurance providers allow access to their client base, and those who do have various interfaces that can make it difficult to quickly check the validity of a patient’s insurance plan. It is not surprising that between thirty and forty percent of all claims are returned to hospitals unpaid. Clearing houses help reduce these risks, as they offer a uniform interface and regularly updated information that makes it easier to determine whether the patient has an insurance plan, the level of benefits and the responsible payee.