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Clearing Houses 

In order to bill MCOs, you need to be connected to a clearing house, but what is a clearing house 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 clearing houses.

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

Your agency is responsible to the fees and prices of the clearing house you choose. 

Jump To:
What is a clearing house
Choose clearing house
Set up clearing house

 

 

What is a clearing house

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 clearing house

Choose clearing house

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

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

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

After subscribing to a clearing house,  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
  • Clearing house you are using
  • sFTP credentials

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