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Clearinghouses 

In order to bill MCOs, you need to be connected to a clearinghouse, but what is a clearinghouse and how do we set them up?

Between BCBS, Medicare, state payers and hundreds of other insurers, there are too many payers for Billiyo to directly connect with. So, in order to make your billing quick and easy, Billiyo integrates with both Availity and Waystar, two popular clearinghouses.

Clearinghouses are third party vendors and Billiyo is not affiliated with them.

Your agency is responsible for the fees and prices of the clearinghouse you choose. 

Jump To:
What is a clearinghouse
Choose clearinghouse
Set up clearinghouse

 

 

What is a clearinghouse

Clearinghouses are the intermediary that send sends claims from Billiyo to your payer. Billiyo sends claims to the clearinghouse and then the clearinghouse forwards the claim to the payer.

 

How to set up a clearinghouse

Choose clearinghouse

When selecting a clearinghouse in Billiyo, we can choose to either use Waystar or Availity.

If you have a different clearinghouse, please contact your Customer Success Manager.

After choosing the clearinghouse that is best for your agency, please purchase a subscription with them.

After subscribing to a clearinghouse,  contact their support team an ask for your "sFTP credentials".

 

Set up clearinghouse

Once you have your sFTP credentials, please contact your customer success manager or email our general inbox at hello@billiyo.com.

When speaking with Billiyo, please provide the following:

  • Payers you will bill
  • Clearinghouse you are using
  • sFTP credentials

Once we have this information, we will set up start sending claims for your MCO pwyers.