Clearinghouses

Walmart to Change Clearinghouse & Bill Review
Oct 30, 2024
Walmart to Change Clearinghouse & Bill Review
Currently, Walmart conducts its bill review internally and directs providers to send electronic bills (e-bills) to clearinghouse vendor Data Dimensions. However, starting...
Claims Admin and Clearinghouse Updates October 2024
Oct 7, 2024
Claims Admin and Clearinghouse Updates October 2024
Providers nationwide can only sustainably treat injured workers with reliable, up-to-date billing information on insurers and self-insured employers.Keeping track of w...
TPA and Clearinghouse Updates - July 2024
Aug 19, 2024
TPA and Clearinghouse Updates - July 2024
Providers throughout the United States cannot sustainably treat injured workers without reliable, up-to-date billing information for insurers and self-insured employers.<...
Sedgwick <> Data Dimensions - Married or Divorced?
Jul 9, 2024
Sedgwick <> Data Dimensions - Married or Divorced?
Sedgwick Claims Management Services, a Third-Party Administrator (TPA), and Data Dimensions, a clearinghouse vendor, may have gotten hitched.Imagine our surprise when ...
P2P Clearinghouse Erroneously Shares Patient Info
Mar 27, 2024
P2P Clearinghouse Erroneously Shares Patient Info
P2P, a workers’ comp clearinghouse, erroneously sent daisyBill ‘277 Acknowledgements’ confirming receipt of a practice’s e-bills — however, the practice is not a daisyBill cl...
Clearinghouse: Data Dimensions Clients' e-EOR Problem
Mar 25, 2024
Clearinghouse: Data Dimensions Clients' e-EOR Problem
With the receipt of electronic Explanations of Review (e-EORs), providers realize the full benefits of workers’ comp e-billing. e-EORs furnish payment data that automatically...
Change Cyberattack: Availity to Return Providers' Bills
Mar 15, 2024
Change Cyberattack: Availity to Return Providers' Bills
Following the recent cyberattack on Change Healthcare, Availity, a national Revenue Cycle Management (RCM) and Electronic Data Interchange (EDI) clearinghouse vendor, has “te...
Change Cyberattack: The Dangers of Using A Single Clearinghouse
Mar 8, 2024
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 ...
e-Billing: Unstoppable Delivery of Workers' Comp Bills
Mar 6, 2024
e-Billing: Unstoppable Delivery of Workers' Comp Bills
The days of hoping a workers’ comp e-bill will make it to the payer are over. Too often, providers receive notification that their e-bills were rejected by the payer o...
Myth Debunked: e-Billing Through One Clearinghouse
Feb 5, 2024
Myth Debunked: e-Billing Through One Clearinghouse
When non-client providers contact us about workers’ comp e-billing, they inevitably share frustrations based on certain myths. In this series, we address the most common e-bi...
Myth Debunked: Payer "Doesn't Accept" e-Bills
Jan 19, 2024
Myth Debunked: Payer "Doesn't Accept" e-Bills
When non-client providers contact us about workers’ comp e-billing, they inevitably share frustrations based on certain e-billing myths. In this series, we address the most c...
Why Your e-Bill Didn't Make It to the Claims Admin
Oct 25, 2023
Why Your e-Bill Didn't Make It to the Claims Admin
If you’ve tried e-billing for workers’ comp patients — and it didn’t go well — you probably noticed many e-bills getting lost, dropped to paper and mailed, or reported “not o...