Change Cyberattack: The Dangers of Using A Single Clearinghouse

Change Cyberattack: The Dangers of Using A Single Clearinghouse

Change Healthcare, perhaps the largest electronic billing clearinghouse for private insurers in the nation, is reeling from the historic cyberattack that has crippled billing and payment for vast swaths of the U.S. healthcare system.

With practices facing potential closure for lack of payment, this attack is yet another reason workers’ comp providers should not use:

  • Software designed for private insurance and/or Medicare billing
  • A single clearinghouse

Given the vast percentage of medical transactions nationwide that involve Change (a part of Optum, itself a subsidiary of UnitedHealth Group), some providers are hemorrhaging enough revenue to raise questions regarding whether smaller practices will survive this attack — even if those practices are ultimately paid weeks or months from now.

As New York Magazine points out, this predicament is a consequence of over-consolidating healthcare services, including clearinghouse services.

Fortunately, daisyBill does not rely on Change or any single clearinghouse to deliver workers’ comp e-bills. 

Instead, daisyBill sends each workers’ comp e-bill via the specific clearinghouse designated by the payer, a much more effective and — given the Change cyberattack — arguably more secure delivery method.

Secure, Reliable e-Billing for Workers’ Comp

The abject chaos created by the ransomware attack on Change includes, among other catastrophic consequences, a halting of providers’ ability to submit bills and receive payment for transactions that involve Change clearinghouse services.

As we assured readers previously, daisyBill does not submit e-bills through Change (though a negligible percentage of our e-bills are delivered through Optum-affiliated clearinghouse P2P; none of our bills have been affected by the attack). Instead, daisyBill submits e-bills only to the specific clearinghouse vendor hired by the insurer, self-insured employer, or Third-Party Administrator (TPA) responsible for payment.

daisyBill e-billing technology not only removes the security vulnerability inherent in relying on any one clearinghouse; it ensures successful e-bill delivery at a rate (92%) unparalleled in our industry.

Only daisyBill has the vast back-end network of e-billing delivery routes that incorporate direct connections with each separate clearinghouse and the correct Payer ID number for each claims administrator. Furthermore, for most payers, daisyBill maintains multiple alternative modes of bill delivery, including fax and email (daisyBill mails less than 1% of bills).

If your practice bills for workers’ comp treatment using a group health RCM or by submitting all bills to a single clearinghouse, the unprecedented situation at Change should make it clear that another kind of “change” is necessary—and the sooner, the better.

If you’re ready to make the transition to dedicated workers’ comp-specific billing technology, our experts can have your practice up and running in approximately one week. Schedule a call and demo here.

For more information on our multi-clearinghouse e-bill delivery system, see the brief video below:


daisyBill makes treating injured workers easier, faster, and less costly. Request a free demonstration below.

REQUEST DEMO

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