OpenEMR Clearinghouse Integration

Submit claims, check eligibility, and receive ERA reports directly from OpenEMR — no separate portals, no manual file juggling.

The Clearinghouse That Works Inside OpenEMR

If you’re using OpenEMR, you already have a powerful EHR. What you need is a clearinghouse that fits into your existing workflow instead of adding steps to it.

ClaimRev’s native OpenEMR module connects your practice directly to our clearinghouse through a REST API. Claims go out the moment you’re ready to submit. ERA reports come back to OpenEMR once processed. Eligibility checks happen before the patient walks in. No file exports. No manual uploads. No switching between systems.

Everything Your Billing Team Needs, Right Inside OpenEMR

Direct Claim Submission

Submit claims to 800+ payers from OpenEMR via REST API. No SFTP required, though it is available if you prefer it.

ERA Downloads

ERA reports are delivered back into OpenEMR once processed, reducing manual file handling and speeding up payment posting.

Real-Time Eligibility Checks

Verify patient coverage before appointments from OpenEMR. Catch coverage issues before they become denied claims.

Real-Time Claim Status

Check where any claim stands at any point in the billing cycle without leaving your workflow.

ERA Enrollment Included

ERA enrollment with payers is handled by ClaimRev and included in your plan. We manage the setup so you do not have to.

800+ Payer Connections

Access commercial payers, Medicare, Medicaid, and specialty payers through one connection. Payer-specific routing handled automatically.

Up and Running in Days, Not Weeks

1
Install the module
Download and install the ClaimRev module directly within your OpenEMR installation.
2
Configure your credentials
Enter your ClaimRev API credentials in the module settings panel.
3
Activate your payers
We work with you to activate connections to the payers your practice bills most frequently.
4
ERA enrollment handled for you
ClaimRev manages ERA enrollment with your payers, included in your plan at no extra cost.
5
Start submitting
Begin sending claims and receiving ERAs through OpenEMR. Most practices are live within a few business days.

A Clearinghouse That Understands Your Practice

ClaimRev was founded by a Cherokee Registered Nurse and a Healthcare Software Engineer — people who understand what billing looks like inside a real practice, not just on a spreadsheet.

We work with independent clinics, pediatric therapy practices, behavioral health providers, and community health organizations who rely on OpenEMR. Pricing is per transaction or in packages, designed to scale with your claim volume. When something goes wrong with a claim, you reach a real person.

See How the OpenEMR Module Works

Common Questions About OpenEMR Clearinghouse Integration

What clearinghouse works best with OpenEMR?

A clearinghouse with a native REST API integration works best with OpenEMR. This allows claims to submit directly from OpenEMR without manual file exports. ClaimRev offers a purpose-built OpenEMR module that connects via REST API for claim submission and eligibility verification.

Does OpenEMR have a built-in clearinghouse?

No. OpenEMR is an open-source EHR and does not include a clearinghouse. You need to connect OpenEMR to a third-party clearinghouse to submit claims electronically. The advantage of open-source is that you can choose the clearinghouse that fits your practice best, rather than being locked into one bundled with your EHR.

How long does it take to connect OpenEMR to ClaimRev?

Most practices are live within a few business days. Setup involves installing the ClaimRev module in OpenEMR, entering your API credentials, and activating payer connections. ClaimRev's onboarding team works with you through each step.

Can I check patient eligibility from inside OpenEMR?

Yes. With the ClaimRev OpenEMR module, you can run real-time eligibility checks (270/271) directly from your OpenEMR workflow. Coverage responses come back into OpenEMR so your front desk or billing team can act on them before the appointment.

What is ERA enrollment and do I have to do it myself?

ERA enrollment is the process of registering with each payer to receive Electronic Remittance Advice electronically instead of paper EOBs. Most clearinghouses require you to handle this yourself, which can take weeks of follow-up with payer EDI departments. ClaimRev manages ERA enrollment with your payers and includes it in your plan at no extra cost.

Does ClaimRev work with OpenEMR on SFTP or API?

ClaimRev connects to OpenEMR via REST API. This means claims submit in real time when you are ready, without manual file exports or scheduled batch transfers. SFTP is also available for practices that prefer it.

How much does a clearinghouse for OpenEMR cost?

ClaimRev pricing is per rendering provider per month, with no long-term contracts and no setup fees. Contact us for a quote based on your practice size and payer mix.

Ready to Connect OpenEMR to ClaimRev?

Schedule a demo and we will walk you through the module, show you ERA processing in your workflow, and answer questions about payer coverage.