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Healthcare organizations run compliance checklists before signing with any vendor. They ask about HIPAA. They ask about BAAs. They ask whether your data is safe, who owns it, and whether the company will still be around in two years.

Those are the right questions. Here are the answers.

HIPAA Compliance

ClaimRev is a HIPAA-covered entity operating as a business associate for every provider we serve. HIPAA compliance isn’t a checkbox for us—it’s a legal requirement we’ve built our operations around from day one.

What that means in practice:

  • Business Associate Agreements (BAAs): We sign a BAA with every client before a single transaction is processed. This is non-negotiable and standard in every engagement.
  • HIPAA-compliant EDI transactions: All claim submissions, eligibility inquiries, and remittance processing follow HIPAA-mandated electronic data interchange (EDI) standards.
  • Minimum necessary access: We access only the PHI required to process your transactions—nothing more.
  • Workforce training: Our team is trained on HIPAA requirements for handling protected health information.

If you’re evaluating us for a tribal health program, IHS facility, or government-contracted clinic with heightened compliance obligations, we’re experienced in those environments specifically.

X12 Licensed Clearinghouse

ClaimRev is licensed through X12, the standards body responsible for the EDI transaction sets required under HIPAA. This isn’t a nice-to-have credential—it’s a prerequisite for operating as a compliant clearinghouse.

We support the full set of required HIPAA EDI transactions:

  • 837P & 837I: Professional and institutional claim submission
  • 835: Electronic Remittance Advice
  • 270 / 271: Eligibility inquiry and response
  • 276 / 277: Claim status inquiry and response

These are the building blocks of compliant electronic claims processing. Every transaction we handle follows the X12 implementation guides required under HIPAA 5010.

Your Data Is Yours

We have a straightforward policy: your claims data, your patient information, and your revenue data belong to you. Not us.

  • We don’t sell your data. Full stop.
  • We don’t aggregate your patient data for third-party use or analytics that benefit anyone but you.
  • You can export your data at any time in standard formats.
  • Leaving ClaimRev doesn’t mean losing access to your history. We work with departing clients to ensure clean data transitions.

This matters because many large clearinghouses operate on models that monetize aggregated claims data. We don’t. Our business model is straightforward: you pay us to process your claims, and that’s the relationship.

Built by Healthcare Technology Veterans

Vendor risk often comes down to one question: Who built this, and do they know what they’re doing?

ClaimRev was founded by Brad Sharp, a healthcare software engineer with 21 years of experience building revenue cycle and claims management systems. Brad has spent his career specifically in healthcare technology—not pivoting from another industry. His background is in API-first architecture and revenue optimization systems, which is exactly the engineering foundation a clearinghouse needs.

Amber Sharp, our CEO and a registered nurse, brings 14+ years of clinical and healthcare operations experience. She understands the connection between accurate claims processing and patient care outcomes—because she’s seen both sides.

Together, they built ClaimRev to solve the specific problems they watched healthcare providers struggle with. This isn’t a generic payments platform repurposed for healthcare. It’s a purpose-built system by people who’ve worked in this industry for decades.

Organizational Stability

“Limited adoption” gets mentioned when people evaluate newer vendors. Here’s the honest context:

ClaimRev is a focused, founder-led company. We’re not backed by venture capital, which means we’re not chasing a liquidity event or pivot. We serve tribal health programs, independent practices, government-contracted clinics, and behavioral health providers—and we’re deeply committed to that mission.

Our organizational structure is stable by design:

  • Founder-owned and operated: No outside investors whose interests might conflict with yours
  • Mission-driven focus: Serving underserved healthcare providers, not maximizing short-term growth metrics
  • No long-term contracts for clients: Month-to-month billing means we earn your business every month. You’re not locked in, which means we have to deliver.
  • Small team, direct access: When you need help, you reach people who actually know your account

We’re the company that treats a 3-provider tribal health clinic the same as a 300-provider health system—because we built ClaimRev for exactly that clinic.

Certifications & Business Credentials

ClaimRev holds certifications that matter for providers evaluating minority-owned and tribally-affiliated vendors:

  • Native Woman-Owned Business: Certified through federal and tribal business programs
  • SBA HUBZone Certified: Small Business Administration HUBZone designation
  • WOSB Certified: Women-Owned Small Business federal certification
  • ISBEE Certified: Indian Small Business Economic Enterprise certification
  • Cherokee Nation Preferred Vendor: Recognized vendor for tribal health procurement
  • Cherokee Nation TERO Listed: Listed in the Cherokee Nation Tribal Employment Rights Office business directory
  • X12 Licensed: Licensed clearinghouse for HIPAA EDI transactions

For tribal health programs, government-contracted clinics, and federally-qualified health centers with procurement requirements, these credentials matter for vendor selection and reporting.

Common Vendor Risk Questions

Do you sign BAAs?
Yes, with every client, before any transaction is processed.

Are you compliant with 42 CFR Part 2?
If you treat patients subject to Part 2 substance use disorder protections, talk to us directly. These situations require specific handling and we work with clients to ensure appropriate restrictions are in place.

What happens to my data if I leave ClaimRev?
You retain access to your historical data and we facilitate clean transitions. We don’t hold your data hostage.

Are you HITRUST certified or SOC 2 audited?
We are a HIPAA-compliant clearinghouse operating under standard clearinghouse security requirements. If your organization has specific third-party audit requirements beyond HIPAA, contact us to discuss your compliance checklist.

Who do I call when something goes wrong?
A person who knows your account. Not a chatbot. Not a tier-1 support queue. ClaimRev provides direct access to team members—no runaround.

Can we do a security review before signing?
Yes. We welcome compliance reviews and can provide documentation for your due diligence process.

Talk to Us Directly

If your compliance team has a specific checklist or your IT department needs to review our security practices before you can proceed, that’s exactly the kind of conversation we’re set up for.

We’d rather answer the hard questions upfront than have you discover something unexpected six months into the relationship.

Book a call with our team to walk through your specific compliance requirements.