Claim.MD + Pabau
US insurance claims, eligibility checks and remittances — inside your practice software.
Claim.MD is Pabau's US clearinghouse partner. Connect your Claim.MD account and Pabau turns invoices into electronic CMS-1500 claims, checks patient eligibility in real time, tracks claim statuses and brings electronic remittance advice (ERA) back into your billing workflow.
- Electronic claims to thousands of US payers
- Real-time eligibility checks (270/271)
- Claim status & ERA remittances tracked in Pabau
Up and running in three steps
Connect your Claim.MD account
Add your Claim.MD account key in Pabau's claims setup and configure your billing profile — practice details, NPI and tax ID.
Verify coverage, then submit
Run a real-time eligibility check on the patient's insurance, then submit the claim electronically as a CMS-1500 — straight from the invoice.
Track statuses and remittances
Claim status updates and electronic remittance advice flow back into Pabau's claims dashboard, so you always know what's paid, pending or denied.
Everything the integration handles
Claims to thousands of payers
Submit electronic CMS-1500 claims to thousands of US insurance payers through the Claim.MD clearinghouse.
Real-time eligibility (270/271)
Check a patient's coverage and benefits in real time before treatment, so billing surprises don't happen after.
Claim status tracking
Follow every claim through submission, acceptance, payment or denial with statuses updated from the payer.
ERA remittances
Electronic remittance advice comes back into Pabau, tying payer payments to the claims they settle.
Payer enrollment
Where a payer requires enrollment for claims, ERA or eligibility, Pabau surfaces Claim.MD's hosted enrollment forms.
Built for clinics, not billers
Claims are generated from the invoices you already raise — no clearinghouse portal, no X12 files, no re-keying.
Know it's covered before you treat
Real-time 271 eligibility responses show coverage and benefits in seconds — before the patient is in the chair, not weeks later on a denial.
- Eligibility checks from the patient's record
- Coverage details returned in real time
- Fewer denials from avoidable coverage errors
- Works with the same payer list you bill through
Close the loop on every dollar
From submission through ERA, the full claim lifecycle is visible in Pabau — so front desk, practitioners and owners see the same truth.
- Claim statuses updated from the payer
- ERAs matched back to submitted claims
- Denied claims flagged for rework
- One dashboard across all your claims
Frequently asked questions
Do I need my own Claim.MD account?
Yes. You sign up with Claim.MD, then connect your account key in Pabau's claims setup. Your claims and remittances stay under your own clearinghouse account.
Which claim types are supported?
Pabau generates professional CMS-1500 claims from your invoices — the standard claim format for outpatient clinics and medical practices.
Can I check a patient's insurance before their appointment?
Yes. The integration supports real-time eligibility checks (270/271), returning the patient's coverage and benefits in seconds.
What about UK or Australian insurance billing?
Claim.MD covers US payers. Pabau also integrates with Healthcode for UK private medical insurance and Tyro Health for Australian Medicare and health funds.
See Claim.MD + Pabau in action
Join thousands of clinics running bookings, records, billing and marketing on Pabau — with Claim.MD connected.
Healthcode
Send private medical insurance claims to UK insurers without leaving Pabau.
View integration →
Tyro Health
Medicare, DVA and private health fund claiming for Australian clinics.
View integration →
Labcorp
Order Labcorp tests and receive results straight into your patient records.
View integration →