Electronic Claims
Electronic claims processing can eliminate the paper and streamline the process of submitting your insurance claims and receiving payments. With NikoHealth, you'll save time and get paid faster from insurance companies so that you can avoid costly delays and disruptions to cash flow.
Clearinghouse Enrollment
DME Clearinghouses are intermediaries in the healthcare billing process that specialize in handling claims.The clearinghouse acts a gateway to facilitate the transmission of electronic claims between insurance carriers and providers.
Different payers support different types of electronic claims functionality. This may include:
Electronic claim submission
Electronic remittance advice (ERA)
Insurance eligibility verification
To start, you must enroll with each individual insurance carrier (payer) you plan on conducting transactions with. Don't worry, our payer enrollment team works on any required enrollments on your behalf.
For more information on setting up a Clearinghouse integration in NikoHealth, visit our help article on Clearinghouse Integrations.
Creating a Payer
Once you add the Payers, please notify our team to begin the enrollment process by sending an email to payerenrollment@nikohealth.com.
Please note some payer enrollments may require authorized signatures, online portal registration, or approval follow-up directly by the provider. In the event any steps need to be taken, a NikoHealth payer enrollment team member will be in contact via email.
Note: if your company is currently using a Clearinghouse for electronic transactions:
Electronic Claim Submissions, Insurance Eligibility Verification | Electronic remittance advice (ERA) |
Can be run simultaneously out of multiple software systems. | Can only be remitted to a single software system. This means that once approved by the payer, all ERAs— regardless of which system the initial claims were submitted from— will come into NIkoHealth |