Medical Claims Processing | Fast & Reliable Service

Native Woman Owned Medical Claims Clearinghouse

Your Claims, Your Data, Your Revenue.

Customized Solutions to Expediate Claims Approvals and Boost Revenue

ClaimRev specializes in supporting healthcare providers of all sizes, from small private practices to Indian Health Service (IHS) facilities

What We Do

We’re reclaiming revenue cycle support for providers who serve our communities. ClaimRev is API first and purpose built for clinics and health systems that need more than a vendor. They need a partner.

Finally, a clearinghouse that works for you, not the Payers!

Why Us?

Your Data, Your Control
We champion data ownership, ensuring your organization maintains full control of your health and claims information—no gatekeeping, ever.
Built to Scale With You
Our platform is designed to grow as you do—no expensive upgrades, no downtime, just reliable, scalable technology that adapts to your needs.
Support That Actually Supports You
Experience responsive, real-world guidance from our team of experts. Whether you’re just starting or scaling up, we’re here when you need us with a human answering the call everytime.

Services

Integrated Revenue Tools
Help Make Your Job Easier

API First. Results Driven. Built to Integrate.

Whether you plug into our API or use our tools right out of the box, ClaimRev helps providers capture more revenue with less manual work. Get real-time claim status, instant eligibility checks, and more all built to streamline your RCM.

Eligibility Checks

Eligibility checks ensure patients are covered before services are rendered, reducing the risk of claim denials and unpaid bills.

MBI Look Up

MBI Lookup makes finding Medicare Beneficiary Identifiers quick and easy. Ensure claims are processed without delays by verifying accurate MBI details instantly, keeping your revenue cycle running smoothly

Real-Time Claim Status Checks

Real-Keeps you updated every step of the way. Quickly see where your claims stand, address issues faster, and speed up reimbursements

Coverage Discovery

Coverage discovery finds hidden insurance for patients who don’t know they’re covered. This means less money lost and more bills paid.

Retro Medicaid

Our Retro Medicaid service scans for coverage every 11th of the month until coverage is found or the timely filing deadline passes.

Feedback

Relationships are at the heart of what we do!

As a pediatric therapy company, finding ClaimRev has been the best tool of 2024. It has allowed us to streamline our billing/claims process and get paid faster and submit claims more adequately. We had used other tools in the past, that caused more stress and less success.

We have had a very pleasant on-boarding and customer service experience from day 1. I have demoed many products in the industry and no one gave me more confidence than Brad and his team. Their willingness for customization to fit our business needs is out of this world. I don't feel like just another "number"/customer with this software. He has completed all of our requests quickly and exceeds our expectations regularly. Amber is also responsive and open to feedback. I highly suggest Claim Revolution for your eligibility and claims needs.

Everyone at Claimrev is very supportive and is interested in building and improving their product. We have had a great experience with onboarding and continued support of our account as different needs have come up.

Our Team at Native Insurance Alliance (NIA) is a proud partner of Claim Rev and enjoys working closely with Amber, Brad, and their team at Claim Rev. Claim Rev's software solutions are very customizable and helpful for our Tribal government and Native business clients. Claim Rev has been able to quickly help us and our clients with all our claims processing, reporting, and information technology support needs. We look forward to growing our joint solutions and product offerings. We recommend Claim Rev for Tribal clinics and health insurance companies like NIA. We are glad to have found the Claim Rev team because they understand Indian Country needs and offer high-quality solutions and services.

ClaimRev makes my life easier. For example, if there is an issue with claim that I submit directly to MO Medicaid (emomed.com), it just says "To Be Denied" and I have to call the support line and have them read the error code text to me over the phone. ClaimRev simply reports the error code text next to the claim so I don't need to call anyone to get my issue resolved.