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Workers' Comp Unwrapped 107: How Clearinghouses and TPAs Simplify Medical Billing
Manage episode 452286555 series 3610420
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In this episode, we explore the often-overlooked roles of clearinghouses and third-party administrators (TPAs) in healthcare billing and administration. We break down how clearinghouses streamline claims processing by verifying and "scrubbing" claims to reduce errors and ensure faster reimbursements. Listeners will also hear about the functions of TPAs, who manage claims, eligibility, and compliance for providers, easing administrative burdens and enhancing financial stability for self-insured plans. Whether you're in healthcare or just curious about the hidden gears of the billing cycle, tune in to discover how these entities keep the revenue flowing smoothly.
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