NextGen® Clearinghouse
Our fully integrated, in-house claims management and medical billing solution provides one-click access to a complete claims management platform within NextGen® Enterprise PM. Gain access to all of the tools and resources you need to tackle your toughest administrative and financial challenges.
fact
$6
is how much more it costs to send a manual claim attachment compared to an electronic claim attachment
fact
30%
of claims are not paid the first time—they are either denied, lost, or ignored
fact
8–30 minutes
is the average additional time practices spend on processing manual transactions compared to electronic ones
Features that let you focus on what matters most
Professional, institutional, and dental claims billing
Easily access expert billing capabilities for ambulatory surgery centers, behavioral health clinics, federally qualified health centers, community health centers, billing companies, and inpatient care and dental practices.
Comprehensive claims and remittance management
Achieve full integration within your NextGen Enterprise PM workflow, enabling you to save staff time, reduce A/R days, increase cash flow, and reduce claims resubmissions.
Read case study
Denial prevention planning
Get a real-time view into your revenue cycle, build a denial prevention strategy, and improve financial results using our data analysis.
View data sheetBenefit highlights
Instant claims scrubbing
Using our C.A.C.H.E.® Rejection Management Tool, you can immediately separate valid claims from claims with errors.
Upfront eligibility clarification
By confirming your patients' insurance coverage upfront, you can clear financial responsibilities preservice.
Supercharged revenue cycle
Our ERA manager improves the efficiency of your revenue cycle, speeds cash flow, enhances revenue, and enables you to support electronic remittance and 835s.
HIPAA compliance
Our HIPAA Analyzer Tool tests and evaluates both 4010 and 5010 versions of 837 professional, institutional, and dental claims.
Practice insight
Our sophisticated business analysis tools and customized reports help you pinpoint your most common claims rejections.
Tailored, real-time dashboard
A complete, up-to-minute overview of your accounts' health helps give you better visibility and control.
Easy claim and ERA management
Our dashboards, which support mobile platforms, deliver an easy-to-read, encounter-level overview of all submitted claims, payments, and denials.
Automated, clinical data extraction
Using our clinical data exchange capabilities, you can expedite claims processing and make medical record requests for quality reporting purposes.
Fast support
Our on-demand, proactive account management services include a chat feature, ongoing training, full-service enrollment, client report cards, and denial prevention planning—all with a first response time of two hours or less.
Read our "Stake your claim to better reimbursement" brochure
Understand how NextGen Clearinghouse integrates solutions to tie together all of the components of the electronic claims management lifecycle for your best financial outcomes.
How We Help
We provide tailored solutions to fit the precise needs of ambulatory practices, as they strive to reach the quadruple aim while navigating the journey of value-based care.