Clearinghouse Services That Clear Every Billing Hurdle
Our clearinghouse is the connective layer behind every clean claim — linking your practice to hundreds of payers, verifying eligibility, checking claim status, and submitting electronically, with credentialing and compliance handled quietly in the background so patient care stays center stage.
Why Our Clearinghouse Is the Top Choice for Medical Providers
A clearinghouse is the electronic middleman between your practice and every insurance payer you bill. Ours connects you to over 2,000 payers nationwide — commercial, Medicare, and Medicaid — validating each claim for accuracy and compliance, converting it to a HIPAA-compliant format, and tracking it from the moment it leaves your office until the moment it's paid.
- Connects you with 2,000+ payers nationwide, including Medicare, Medicaid, and commercial plans
- Validates every claim for accuracy and compliance before it's ever submitted
- Converts claims into HIPAA-compliant formats for secure, interoperable transmission
- Tracks every claim from submission through payment, with full visibility
Medical Practices Who Can Use Our Clearinghouse Services
Whether you're a solo provider just getting started or a multi-location group, our team scales to fit how your practice actually operates.
- Solo Physicians
- Independent Practice Groups
- Medical Clinics
- Physician Groups
- Hospital-Owned Practices
- Urgent Care Centers
- In-Home Health Providers
- Laboratories
- Freestanding ER Centers
- Hospitals
- Non-Emergency Medical Transport
- New & Growing Practices
A Clearinghouse Built Around How You Already Bill
Nationwide Payer Connectivity
Submit claims to commercial, private, Medicare, and Medicaid payers across all 50 states through a single connection — no separate logins, no separate portals.
Works With All Billing Software
Integrates seamlessly with all major medical billing and EHR systems, backed by dedicated technical support during setup and beyond.
Claim-Error Prevention
Automated validation and compliance checks catch errors before submission, cutting rejections and denials before they ever reach a payer.
Everything Behind a Clean, Trackable Claim
Four disciplines work together every time you submit through our clearinghouse — payments, data exchange, compliance, and visibility.
EFT & ERA Processing
- Enroll with payers directly through our platform
- Receive payments & remittances electronically
- View, print, download & export ERAs in any format
- Access CARC & RARC operating rules and codes
EDI – The Backbone
- Electronic Data Interchange drives every transaction that runs through the clearinghouse
- Converts healthcare data into a common format every payer system can read
- Follows X12 and HL7 industry standards for consistency across every submission
HIPAA Compliance
- Encrypting sensitive data during transmission
- Access controls that restrict unauthorized entry
- Regular system audits to identify vulnerabilities
- Safeguarding identifiers like SSNs against identity theft
Revenue Cycle Visibility
- Sent-file status & claim-status reports
- Rejection analysis with secondary claims processing
- Patient statement services & payment processing
- Transaction summaries with an error-reports control panel
Paper Claims Average a 28% Error Rate. Ours Don't.
The average error rate for paper claims hovers around 28% — but with CoreStone's clearinghouse, providers have slashed that error rate down to an impressive 2–3%. Every claim is validated, scrubbed, and converted to a HIPAA-compliant electronic format before it ever reaches a payer, so fewer claims bounce back and more of them get paid the first time.
- Real-Time Eligibility
- Claim Scrubbing
- HIPAA-Compliant EDI
- Rejection Analysis
- ERA/EFT Enrollment
- Live Claim Tracking
Our Medical Billing Process
A clear, repeatable process from intake to payment. The steps below outline how this service runs day to day — other CoreStone services follow their own version of this same process.
Practice Audit & Assessment
We start with a free trial-base audit of recent claims and reports to pinpoint exactly where your practice is losing revenue.
Enrollment & Credentialing
We confirm payer enrollment status and handle any outstanding credentialing before your first claim goes out.
Data Entry & Charge Capture
Patient encounters and superbills are entered into our system quickly and accurately, saving your staff hours of manual work.
Certified Coding & Billing
Certified coders and billers scrub, code, and submit every claim — compliant, accurate, and up to date with current payer policy.
We Work Within The Software You Already Use
No need to switch systems — our billing team plugs directly into the EHR and practice management platform you're already running.
~28%
Average Paper-Claim Error Rate2–3%
Our Clients' Error Rate After Switching2,000+
Connected Payers NationwideFrequently Asked Questions
A clearinghouse is the electronic middleman between your practice and insurance payers — it validates, formats, and routes your claims so they reach the right payer in a HIPAA-compliant format.
Over 2,000 payers nationwide, including Medicare, Medicaid, and every major commercial insurer.
Yes. Our clearinghouse integrates with all major EHR and billing platforms, with dedicated technical support during setup.
Electronic Data Interchange (EDI) converts complex healthcare information into a standardized format (X12/HL7) that every payer system can read — it's the backbone of fast, error-free claim delivery.
All data is encrypted in transit, access is restricted through strict controls, and our systems are regularly audited to identify and close vulnerabilities.
Claims are validated and transmitted electronically within minutes of scrubbing, versus days for mailed paper claims.
Request Your Free Billing Quote
Tell us about your practice and one of our billing specialists will follow up within one business day.
CoreStone Medical Billing Services
Serving healthcare providers across all 50 states with accurate, compliant, and technology-enabled medical billing.