Top Clearinghouse & Claims software.

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Eligibility verification and claims processing.

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Medical billing and claims management.

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Claims processing and clearinghouse.

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Claims management and denial prevention.

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Revenue cycle management and clearinghouse.

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Charge capture and claims processing.

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Billing and clearinghouse for small practices.

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Office Ally combines a claims clearinghouse, EHR, and practice management tools under a single vendor. Many small ABA billers use it as their primary clearinghouse thanks to its low-cost per-claim pricing and broad payer connectivity.

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Waystar combines clearinghouse services with denial management, patient payments, and authorization automation. Mid-to-large ABA organizations use it to reduce days in A/R and surface the root causes of denied claims.

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Claim.MD offers affordable per-provider clearinghouse access for practices and billing companies. It supports electronic claims, ERAs, eligibility checks, and direct payer enrollments and is a common alternative to the larger national clearinghouses.

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Change Healthcare, part of Optum, routes a large share of U.S. medical claims and provides revenue cycle and clinical connectivity tools. Providers use it as a clearinghouse, for eligibility checks, and for payer-agnostic analytics.

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Trizetto Provider Solutions delivers clearinghouse, credentialing, and RCM services to practices, billing companies, and health systems. Its payer connectivity and denial analytics make it common in multi-state ABA organizations.

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Availity connects providers to hundreds of payers for eligibility verification, prior authorizations, claims submission, and remittance posting. Many ABA billers check eligibility in Availity before a learner's first session to confirm ABA coverage and units.

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CollaborateMD, an EverHealth company, emphasizes claims management and reporting for practices and billing services. It handles electronic claims, ERAs, patient statements, and clearinghouse submission in one workflow.