Claims & denials · Definition
Clearinghouse: Definition
The intermediary that validates, formats and routes electronic claims between practice and payers.
This is a short definition only. The full explanation lives on EHR and practice management billing, which is the page to read if you are dealing with this on live claims.
Definition
Rejections at the clearinghouse never reach the payer, which means they never appear on a remittance.
They have to be worked from the clearinghouse's own report.
For worked examples, payer rules and documentation requirements, read EHR and practice management billing. Return to the dermatology billing glossary.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report.