11 — Technology category · TR-150.50
Healthcare Claims Clearinghouses & Billing Systems
Clearinghouse networks and provider billing software that check eligibility, code and scrub claims, transmit them to payers and post remittances and denials back, using standard electronic transactions.
- Healthcare Clearinghouse
- Claims Clearinghouse
- Revenue Cycle Management
- RCM Platform
- Encoder
- Computer-Assisted Coding
In scope
- Eligibility and benefit inquiries
- Prior authorization submission
- Coding encoders and computer-assisted coding
- Claim scrubbing transmission and status
- Remittance posting and denial work queues
- ASC X12 transaction exchange
Out of scope
Example technologies · 5
Well-known technologies in this category, named as facts. Not a shortlist or an endorsement.
- Availity
- Waystar
- Experian Health
- Solventum 360 Encompass
- ASC X12