The per-transaction rate your clearinghouse quotes is misleading. Here is why cost per patient is the only pricing comparison that matters, with the math worked out.
August 6, 2026
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The per-transaction rate your clearinghouse quotes is misleading. Here is why cost per patient is the only pricing comparison that matters, with the math worked out.
Portal-based claim submission works for a handful of payers. It breaks around payer 15 to 20. Here is what real multi-payer submission requires, and when platforms outgrow the portal approach.
Every PM and EHR platform eventually faces the build vs buy decision on payer connectivity. Here is a framework for evaluating both paths, including the hidden costs vendors rarely price in.
CMS rolled back some payer transparency requirements in 2025. With less public payer data available, the institutional knowledge your clearinghouse holds got more valuable, not less.
The CMS Claims Attachments Final Rule took effect May 26, 2026. Compliance is due in 2028. If you are still faxing documentation, here is what 18 months actually looks like.
Clearinghouse problems rarely announce themselves. They quietly show up as denial rate creep, slower payments, and increased staff time. Here are the three signs to watch for.
Enterprise clearinghouses solve enterprise problems. Mid-market practices need a different fit. Here is how to evaluate whether your current vendor matches your operation.
Change Healthcare and TriZetto proved single-rail clearinghouse strategy is a single point of failure. Here is the business case for a second rail, and what it actually protects.
It has been two years since the Change Healthcare cyberattack. Lawsuits are still being filed. Here is what the industry actually learned about single-rail clearinghouse strategy.
Claims Correct from Harris Secure Connect catches the errors that cause denials before claims leave your building. Here is what it does and how early clients are seeing up to 50% denial reductions.