What clearinghouses does BMC HealthNet Plan work with?
A clearinghouse is a company that takes claims information from any doctor, hospital, etc., and sends claims on their behalf to “payers” (e.g., insurance companies like Blue Cross Blue Shield) on paper or as electronic files. Large clearinghouses have many subsidiaries, usually billing or claims companies that they have bought. For instance, Emdeon (formerly known as WebMD) bought Envoy, which used to be the biggest clearinghouse. Emdeon also bought Medical Manager, a company that produces software many doctors use to send electronic claims. We now have active relationships with four of the largest clearinghouses in America: Emdeon (also known as WebMD, NEIC, Envoy, HealthWire, Medical Manager, and by other names), The SSI Group, Capario (formerly known as MedAvant, ProxyMed, MedUnite and NDC), and RelayHealth (comprising McKesson and Per-Se). CLEARINGHOUSE BMC HEALTHNET PLAN’S PAYER ID Emdeon 13337 Capario 13337 RelayHealth Professional claims: 3818 Institutional claims: 2921 The SSI
