Clearinghouse and Claims Management
Every claim scrubbed against NCCI and payer rules before it goes out, with enrollment tied to the workflow so nothing bills under a blocked provider.
Why Choose Us?
No Hidden Fees
No Surprise Pricing
Real Support from People Who Know Medical Billing
At Scale, a Rejection Caught Early Is Money You Keep
A claim stopped before the payer sees it is a fix at the desk. The same claim caught after submission is a denial you chase for weeks, and across dozens of clients those weeks compound into real dollars sitting in aging buckets. The difference between the two is whether your platform scrubs before it submits.
Enrollment is the other quiet leak. A provider billed before payer approval gets denied, and if nobody is tracking enrollment status by payer, those claims pile up as unbillable revenue landing on you and your client’s trust in you.
What the Platform Does
Scrubbing Against NCCI Edits and Payer Rules
Every claim runs through automated scrubbing before submission, checked against National Correct Coding Initiative edits and payer specific rules. Most format and coding errors get caught and fixed at the desk rather than coming back as a rejection or a denial.
Rejections Caught Before Adjudication
A clearinghouse rejection happens before the payer ever reviews the claim. The platform surfaces it at once with the reason, so a data or format error becomes a same day resubmission rather than a claim quietly stuck in limbo.
Enrollment Tied to the Billing Workflow
Credentialing and payer enrollment status connect directly to billing, so a provider who is not yet approved never slips into a batch. Enrollment becomes part of onboarding rather than a surprise denial three weeks later.
Connected to Leading Clearinghouses
HARRIS CareTracker connects with leading clearinghouses as part of the workflow. Confirm whether clearinghouse fees are bundled or billed separately when you compare platforms, because the line changes your true cost to collect.
The Path a Clean Claim Takes
Batch 270/271 checks confirm coverage so a claim does not fail on a benefits error later.
NCCI and payer rule checks catch coding and format errors at the desk.
Rejections surface at once with a reason, turning them into a same day fix.
The claim arrives ready to adjudicate, which is what a high clean claim rate comes down to.
The Numbers It Moves
Clean claim rate climbs toward the mid to high 90s a high performing operation runs, because errors are caught before submission rather than after. Days in A/R falls as clean claims pay on the first pass. Rejections and denials, and the staff hours they consume, drop across every client at once.
How to Evaluate a Clearinghouse
The clearinghouse decision affects your clean claim rate and your cost to collect. Weigh each of these before you commit.
- Payer coverage for the specialties and states your clients bill
- Quality and speed of rejection reporting
- Enrollment support and how long payer setup takes
- Price per claim, and whether it is bundled with your software or billed separately
- Real time eligibility and claim status
- Integration with your billing workflow rather than a separate login
Why HARRIS CareTracker
Scrubbing, eligibility, and enrollment sit inside the same platform your team already works in, across every client account, rather than in a separate tool you reconcile by hand. HARRIS CareTracker is part of HARRIS Healthcare.
AI powered capabilities flag high risk submissions using historical claims data, so the claims most likely to fail get a second look before they leave. This is prevention built into the workflow, not a report you read after the denials land.
Who it is for. This fits a billing company submitting claims across dozens of payers and clients, looking for prevention built into the workflow rather than a denial report after the fact.
See Clean Claims Move at Scale
Book a walkthrough of the scrubbing engine, eligibility verification, and enrollment tracking in HARRIS CareTracker, and see how prevention lives inside the workflow.
FAQs
What clearinghouse should a medical billing company use?
Is the clearinghouse included in the billing software or separate?
What is the difference between a clearinghouse rejection and a payer denial?
How do I handle payer enrollment across all my clients?
What is claim scrubbing?
What is a good clean claim rate?
How long does clearinghouse enrollment take?
What causes clearinghouse rejections?
Does a billing company use more than one clearinghouse?
What Our Customers Say About Us
We chose HARRIS CareTracker for our office because of its cost-effectiveness and since changing to them, we have seen a significant increase in our monthly savings. The standout feature has been the excellent customer support and training!
It’s really easy to use HARRIS CareTracker Practice Management. Very easy to learn.
We have used HARRIS CareTracker in our practice for 5 years, and it has been a wonderful experience. The trainers and on-going support teams are knowledgeable, accessible, and quick to respond to queries. They provided easy-to-follow step-by-step guidance for using the software. They never failed me. I highly recommend CareTracker for practices of any size.
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