Clearinghouse vs Direct Payer Submission
A clearinghouse scrubs and routes your claims to every payer through one connection; direct submission sends them straight to each payer's own portal or line. The path you default to shows up in your rejection rate and your team's manual workload.
Clearinghouse
Claims routed through an intermediary that scrubs, formats, and forwards to hundreds of payers through one connection — with a single rejection report to work instead of dozens of portals.
Direct Payer Submission
Claims sent straight to a specific payer's own connection or portal, which can mean faster payer-specific edits and lower per-claim clearinghouse fees, at the cost of managing many connections separately.
Which fits you
Most multi-payer practices are better served by a clearinghouse for the consolidated rejection reporting alone; direct submission earns its keep for a small number of very high-volume payer relationships.
Frequently Asked Questions
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A revenue assessment is a working session, not a sales call \u2014 we review your numbers and hand you the findings either way.