Frequently Asked Questions

• At ClaimRev, you won’t be stuck on hold. When you call, a real person answers—often the CTO or Developer.

  “You always get someone on the line, and the help is personalized,” says Dr. Gutierrez. “You spend less time waiting on the phone.”

• Access 5000+ Payers with ClaimRev!

  Switching from another clearinghouse? No problem! If you can’t change all your payer IDs, we can help. We’ll create mappings for the payer IDs you already use, so you can keep using them. Just tell us which payer ID you want to keep and where it should go, and we’ll handle the rest. It’s an easy way to switch smoothly and keep everything running without a hitch.

We support the standard 837 format for claims, so if your PM system creates 837 files, we've got you covered. For custom formats, we build special tools to import those files smoothly. Our system also generates 999 and 277 acknowledgements, which you can easily download from our portal or Windows client.

While we don’t directly support specific PMS/EHR systems, we help with integration and training to make sure everything runs smoothly and any gaps are covered.

Unlike other clearinghouses, we don't just reject incomplete claims—we help you fix them! Our system shows you what's missing and makes sure your claims follow the rules. Our special scrubbing process checks for errors and stops claims from getting rejected. You can even create your own rules and use our special tools to make things easier. We keep you updated every step of the way, so you always know what's happening. Enjoy faster, more accurate claims with our top-notch scrubbing!

Our system keeps all your claims safe and easy to track. You can see status updates, receipt dates, and payer control numbers. Plus, you’ll get real-time alerts when the ERA (835) is ready. We’ve made it simple by turning codes into plain language, so you can fix any issues fast.

Take charge of your claims with our easy-to-use tools. Customize statuses, automate tasks, and manage claim problems with ease. Whether you’re working alone or with a team, our system helps everyone stay on the same page by assigning claims to specific users.

Every PM system is different, but we create files that can be easily imported back into your PMS/EHR system. When a payer sends an 835 (ERA), we return the file exactly as they sent it.

If your PM system can send more details about the claim or ERA status, we’re happy to explore how we can add more integrations and make things even better.

Our claim search screen helps you find all unattended claims, while the ERA reports screen lets you dig into ERA files to spot any issues. You can export ERA reports to Excel as a CSV file or print them as a PDF for easy download. We also create custom reports for your ERAs or claims. Our goal is to make the portal fit your needs and workflow.

We make special reports that show how well your practice is doing. These reports include key performance indicators, or important numbers, to help you understand your success.

If we’re connected to your EMR/PMS system, we can give you even more useful data beyond your claims and ERAs. This means you’ll get deeper insights to make better decisions and improve your practice.