Compare Claim.MD vs Office Ally: Which clearinghouse should your practice use? Office Ally is free for participating payers until a $44.95 non-par fee lands. C... Alex Koch Last Updated: Sep 22, 2026
Operations & management Insurance eligibility verification: How to check coverage before every visit Insurance eligibility verification is the process of confirming that a patient... Alex Koch Last Updated: Sep 22, 2026
Operations & management Claim.MD clearinghouse review: What it is and how it works Claim.MD is a US medical claims clearinghouse. What it does, how it works, prici... Alex Koch Last Updated: Sep 22, 2026
Operations & management What is revenue cycle management (RCM)? Revenue cycle management is every step between booking a patient and banking the... Alex Koch Last Updated: Sep 22, 2026
Operations & management The prior authorization process: A step-by-step workflow for practices The prior authorization process in five steps, plus the CMS turnaround ceilings,... Alex Koch Last Updated: Sep 22, 2026
Operations & management Timely filing limits by payer: Initial claims, corrected claims and appeals Timely filing limits for Medicare, Medicaid, BCBS, UHC, Cigna, Aetna and TRICARE... Alex Koch Last Updated: Sep 22, 2026
Compliance and security Medical billing compliance: The laws and violations (+ Downloadable checklist) Medical billing compliance means billing within the law: FCA, HIPAA, AKS. The ru... Alex Koch Last Updated: Sep 22, 2026
Operations & management What is an 837 file? An 837 file is the electronic claim (X12 EDI) providers send to payers. 837P vs ... Alex Koch Last Updated: Sep 22, 2026
Operations & management How to get credentialed with insurance companies (step by step) Download your free insurance credentialing document checklist A one-page checkli... Alex Koch Last Updated: Sep 22, 2026
Operations & management What is electronic remittance advice (ERA)? An electronic remittance advice (ERA) is the electronic file a health plan sends... Alex Koch Last Updated: Sep 22, 2026
Operations & management What is a clean claim in medical billing? A clean claim has no errors, so the payer pays it first time. HFMA puts the targ... Alex Koch Last Updated: Sep 22, 2026
Operations & management Denial management in healthcare: Process, causes, and prevention Denial management is how practices find, fix, appeal, and prevent denied claims.... Alex Koch Last Updated: Sep 22, 2026