Which method do physicians use to electronically submit claims?

Which method do physicians use to electronically submit claims?

• A. Clearinghouse
• B. EDI portal
• C. Patient portal
• D. Fax machine

Answer: (A)

Submitting claims electronically is typically done through a clearinghouse. The clearinghouse serves as the intermediary between the practice management system and the payer’s system. It receives claims in standard formats (like 837), runs edits to catch data errors, ensures all required information is present, and then forwards the clean claims to the appropriate payer. It also handles transmission, and returns acknowledgments and status updates so you can track whether a claim was accepted or rejected. Some payers offer direct submission through their own EDI portals, but the most common and widely used method across many payers is via a clearinghouse. A patient portal is for patient access and communications, and a fax machine is not an electronic submission method.

Submitting claims electronically is typically done through a clearinghouse. The clearinghouse serves as the intermediary between the practice management system and the payer’s system. It receives claims in standard formats (like 837), runs edits to catch data errors, ensures all required information is present, and then forwards the clean claims to the appropriate payer. It also handles transmission, and returns acknowledgments and status updates so you can track whether a claim was accepted or rejected. Some payers offer direct submission through their own EDI portals, but the most common and widely used method across many payers is via a clearinghouse. A patient portal is for patient access and communications, and a fax machine is not an electronic submission method.