Health Insurance Specialist Question: Download Questions PDF
Please explain do you know how to submit claims to a clearinghouse? Have you ever set up a provider with a clearinghouse or resolved claim submittal problems with them?
Answer:
Sometimes there are format or compatibility problems when sending claims to a clearinghouse - especially when setting them up. There’s also a lot of paperwork and forms to fill out when you sign up a provider or practice. Most clearinghouses also provide valuable reporting features to help scrub and catch claim errors so they can be corrected before being sent to the insurance company. Being able to use these features and tools and understand them is valuable experience.
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