OK, let me back up a half step.

First, I will make an assumption that you are using the Availity package. I put it that way because I believe Availity has a clearinghouse itself, but also has a PM.

The Clearinghouse simply takes the claims electronically and sends them to the payors. In essence it is the "internet connection." The Practice Management software (PM) is what converts the information from AC into how it needs to be translated for the payors, keeps track of what is paid, what is outstanding patient and insurance balances, ect.

Your issue is really with Availity. You pay for service. If they cannot walk you through successfully connecting up, move upline to a more senior person or let them know you will find someone else. Since you are using their package, they should be able to make it work.


Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them