Clearinghouses
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Dec 11, 2024
e-Billing Update: Tristar Changes Clearinghouse
Tristar Risk Management, a Third-Party Administrator (TPA) for workers’ comp claims, has changed the clearinghouse it uses to accept and respond to provi...
Dec 2, 2024
Claims Admin & Clearinghouse Updates December 2024
To treat injured workers, providers nationwide need the most up-to-date billing information.That means providers need to track which claims administrators are r...
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...
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...
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.<...
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 ...
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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...
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...
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...
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 ...
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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...
Feb 5, 2024
Myth Debunked: e-Billing Through One Clearinghouse
Myth: A workers’ comp e-bill can be sent using any clearinghouse.Providers often report calling a claims administrator to ask about a missing paym...