DualPoint’s Clearinghouse is a complete solution for all your healthcare billing needs. We connect providers with hundreds of payers, streamline eligibility verification, track claim status, and submit claims electronically. Beyond billing, we also manage credentialing, enrollment, and compliance—so your clinic can focus on what matters most: delivering quality patient care.
Medical Billing Clearinghouse Solution
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Clearinghouse Service that Clears Healthcare Billing Hurdles
HEALTHCARE INSURANCE CLAIMS CLEARINGHOUSE
The Clearinghouse With New Value-Added Features!
DualPoint’s Clearinghouse is the smart choice for medical facilities seeking better communication and stronger relationships with both payers and patients. Our free medical claims clearinghouse includes powerful features designed to simplify your workflow and maximize reimbursements:
• Coverage Check · Automatically verifies insurance coverage and patient benefits before services are provided.
• Claim Monitor · Tracks claims in real-time and updates payment, rejection, or adjustment status instantly.
• Rejection Assistant · Analyzes claim denials and provides actionable suggestions for corrections and resubmission.
• Cloud Access · Securely access your claims dashboard anytime, anywhere, from any device.
• Print Claim · Print claims on paper when payers require or prefer hard copies.
• Patient Invoice · Send customized patient statements with outstanding balance details.
• Live Support · Get expert assistance from our dedicated support team whenever you need it.
• Flat-Fee Billing · Enjoy a cost-effective solution with a flat fee per claim, regardless of payer or service type.
EFT & ERA SUPPORT
Billing and Payments Made Simple with EFT + ERA Excellence
DualPoint makes billing and payments faster, easier, and compliant with HIPAA and PPACA Administrative Simplification rules. With integrated Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA), providers can streamline revenue cycle operations and eliminate unnecessary delays.
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Our EFT & ERA features include:
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• Provider enrollment with multiple payers directly through our platform
• Electronic receipt of payments and remittances
• Ability to view, print, download, and export ERAs in multiple
formats
• Access to operating rules, Claim Adjustment Reason Codes (CARCs), and Remittance Advice Remark Codes (RARCs)
• Real-time tracking of payment statuses with powerful analytics
KEY STATISTICS
DualPoint Medical Clearinghouse By The Numbers
97.42%
Clean Claim Rate
99.21%
Real-time Claim Processing
98.77%
Payer Connectivity
99.99%
Data Security Compliance
Secure EDI Clearinghouse
How Does EDI Fit In?
• Streamlined Data Exchange · Complex healthcare information—claims, patient records, and billing details—is converted into a universal format.
• Industry Standards · Our EDI processes comply with X12, HL7, and other healthcare data standards for accuracy and consistency.
• Faster Transactions · Standardized EDI reduces errors, accelerates claims, and improves communication across the revenue cycle.
• Secure Transmission · Every data exchange is encrypted and safeguarded to maintain full HIPAA compliance.
Key Statistics
Protecting Patient Privacy
DualPoint’s Clearinghouse is built with security at its core. In compliance with the Health Insurance Portability and Accountability Act (HIPAA), we enforce strict privacy and protection standards to keep patient data safe:
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• Encrypted Data · All sensitive information is encrypted during transmission.
• Access Controls · Only authorized personnel can access protected health data.
• System Audits · Regular security audits identify and eliminate vulnerabilities.
• Patient Safeguards · Critical identifiers, such as Social Security numbers, are secured to prevent identity theft.
Clearinghouse RCM Functions
Our Clearinghouse Intelligently Manages Your Revenue Cycle
At DualPoint, we don’t just process claims—we orchestrate a smarter, more efficient revenue cycle for your practice. Our clearinghouse acts as more than just a bridge; it’s the central conductor harmonizing your financial operations with precision and transparency.
Sent File Status
Get real-time updates on the status of submitted files, ensuring full visibility and accountability.
Claim Status Reports
Track claim progress at every step, identify bottlenecks, and resolve issues before they escalate.
Rejection Analysis
Our system identifies patterns in claim denials, helping you fix errors at the source and reduce repeat issues.
Paper Claims
For payers that still require paper, DualPoint handles claims quickly and accurately to prevent delays.
Secondary Claims Processing
Simplify complex billing scenarios with seamless secondary insurance claims management.
Patient Statement Services
Deliver clear, concise patient statements that improve transparency and patient satisfaction.
Payment Processing
Secure, efficient payment handling ensures faster collections and accurate reconciliation.
Transaction Summaries
Access a consolidated view of clearinghouse activity to stay organized and make smarter financial decisions.
Error Reports & Control Panel
A user-friendly dashboard provides detailed error reports, empowering you to resolve issues quickly and efficiently.
Reduce Claim Errors & Eliminate Denial Roadblocks—Fast!
Did you know the average error rate for paper claims is nearly 28%? With DualPoint’s Medical Billing Clearinghouse Solution, providers have cut that rate down to as little as 2–3%.
That means fewer denials, faster reimbursements, and more revenue flowing directly to your practice.
