A business entity that specializes in consolidating claims received from providers and transmitting them in batches to each respective third-party payer.
A) Clearinghouse
B) Third-party administrator
C) Small provider
D) Fiscal intermediary

Question

Quizplus · Accepted Answer

A clearinghouse is a business entity that specializes in consolidating claims from providers and transmitting them in batches to each respective third-party payer. They help to streamline the claims process and reduce administrative burdens for providers. Third-party administrators (B) are similar but typically handle a broader range of administrative tasks for employers and health plans. Small providers (C) are not necessarily involved in claims consolidation and transmission. Fiscal intermediaries (D) are specifically contracted by Medicare to process claims from institutional providers.

A Business Entity That Specializes in Consolidating Claims Received from Providers