Clearinghouse

Claims straight to every major US payer. Instant rejections. Real-time eligibility.

Direct electronic connections to commercial payers, Medicare, Medicaid, and BCBS plans. Claims clear in minutes, not days. Pre-submission scrubbing kills the rejections that slow everyone else down.

99.7% claim acceptance at the payer gateway

Direct payer connections

2,500+ payers connected. Real-time response from the big ones — Aetna, BCBS, Cigna, United, Humana. No middleman delays.

Real-time eligibility

Check coverage, copay, deductible, and prior auth requirements at intake. Stop billing patients who lost coverage three weeks ago.

Pre-submission scrubbing

Every claim checked against 5,000+ payer-specific rules before it ships. Catch the issues that cause rejections.

How it works

Five steps from your system to the payer gateway.

Every claim scrubbed, transmitted, and tracked. You see the status in real time.

01

Claim received

Your billing system or EHR submits the claim to our clearinghouse via API or batch file.

02

Scrubbing

5,000+ edits applied: payer rules, code combinations, modifier logic, demographic checks.

03

Transmission

Clean claim sent directly to payer in the right format — X12 837, NUCC, all standards.

04

Acknowledgment

Real-time 277 acknowledgment from payer. You know within minutes if it cleared the gateway.

05

Status tracking

276/277 inquiries keep you updated until the claim adjudicates. Denials flagged the day they happen.

Why our clearinghouse

Built for the way modern billing actually works.

Legacy clearinghouses move claims in batches overnight. We move them in real time. The difference: a denial you find on Tuesday morning instead of Friday afternoon — with three more days inside timely filing.

2,500+ payer connections including all major commercial and government plans
Real-time eligibility verification (270/271) at the payer level
5,000+ scrubbing edits, updated weekly with payer rule changes
ERA (835) automated posting back to your billing system
Claim status inquiry (276/277) on demand
Secondary claim filing with primary EOB automatically attached
Worker comp and auto medical billing supported
HIPAA-compliant transmission, SOC 2 Type II certified
Direct API or SFTP batch integration

What we connect to

Every payer that matters to your practice.

Commercial Payers

Government & Special

Provider Workflow

2,500+

Payer connections

99.7%

Gateway acceptance rate

5,000+

Scrubbing edits applied

<2min

Average ack response time

Built into every account

Capabilities you do not pay extra for.

Real-time API

Programmatic access for EHRs and billing systems. RESTful, well-documented, fast.

Custom edits

Add your own payer-specific edits. We learn your denial patterns and prevent them at the gateway.

Compliance built in

HIPAA. SOC 2 Type II. ANSI X12 5010 compliant. BAA before any data moves.

Free connection test

See how fast your claims could clear.

Send us 10 sample claims (anonymized). We will run them through our scrubber and show you which would be rejected, fixed, or accepted at the payer. 24-hour turnaround.