When your clearinghouse partner has an outage, your customers do not blame the clearinghouse. They blame your software. Here is what platform vendors need to know about partner brand risk.
August 13, 2026
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When your clearinghouse partner has an outage, your customers do not blame the clearinghouse. They blame your software. Here is what platform vendors need to know about partner brand risk.
HHS opened rulemaking on the next EDI standards migration in 2025. There is no deadline yet, but the last transition (4010 to 5010) touched every PM system in the market. Here is what to plan for.
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.
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.
After Change Healthcare and TriZetto, a secondary clearinghouse rail is a risk management requirement. Here is how to add one without disrupting your primary workflow.
Switching Clearinghouses: A Practical Guide to Making the Move Without the Pain The biggest reason practices stay with a clearinghouse that is not working is