Clearinghouse: Questions You Should Be Asking


Jessica Wagner Foglesong
December 15th, 2017

When considering switching medical billing software for your medical billing company or practice it is critical not only to evaluate if the medical billing software meets your needs but also to determine how the relationship between the software solution and the clearinghouse will impact your workflow and costs. Make sure to ask your software company the following questions about their clearinghouse of choice.

Question 1 – Do you work with a clearinghouse?

RxNT works with Change Healthcare to provide our clients access to one of the largest payer networks in the country.

Question 2 – What clearinghouse fees do I need to include in my budget?

RxNT’s pricing model is all-inclusive. There are no clearinghouse fees, which means your team has access to unlimited claims, unlimited eligibility verification, and unlimited electronic remittance advice.

Question 3 – How does the clearinghouse handle payer enrollment?

Payer enrollment is handled by the clearinghouse directly for RxNT clients, ensuring that claims, eligibility, and electronic remittance advice flow properly between payers, the clearinghouse, and your account.

Question 4 – How do I access information on claim status?

Simply log in to RxNT to find real-time updates on your claims. Claim updates are made available within three (3) hours of claim submission. Our alerting system makes it easy to determine exactly which claims have rejected (including a detailed reason for rejection), errored, and even when you have ERAs ready for review.

If you are interested in learning more about RxNT|PM software solution and our relationship with Change Healthcare, please contact a Product Specialist at 1-800-943-7968 Option 3, email us at Sales@RxNT.com, or click on the “Learn More” button below. 

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