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EZClaim Electronic Billing Service FAQ

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What does my office need to be able to send electronic claims to a clearinghouse?

Your office will need internet access, an email address, and our EZClaim Clearinghouse package.

Do I need additional software for submitting electronic claims?

No, your claims are sent directly from your EZClaim program with a simple click of your mouse. Reports received back from the clearinghouse will also be available in EZClaim.

Who do I call if I have a problem with sending my electronic claims?

When using EZClaim Clearinghouse service, you will contact EZClaim for both your EZClaim and Clearinghouse questions.

How do I know if a specific insurance company is on the Payer List?

A Payer List is available on the EZClaim web site at ezclaim.com > Electronic Billing > Clearinghouse Support.

How long does it take to enroll?

The enrollment period can vary depending upon the time your office has available to complete the steps required.

After our office is enrolled with the clearinghouse when could we begin sending claims electronically?

Once you are enrolled with the clearinghouse you may begin sending your commercial claims. Some insurance companies, such as Blue Cross/Blue Shield, Medicare, or Medicaid require carrier agreements which may take longer depending on the Payer.

May I include secondary insurance information on claims submitted electronically?

Secondary insurance may be submitted to those payers who accept secondary claims such as Medicare, Blue Cross and Medicaid. EZClaim is also able to submit MSP claims.

Some insurance companies do not have a Payer ID number listed on the Payer ID List. Can I still submit those claims electronically?

Contact EZClaim regarding those payers. If the Payer does not have a Capario payer ID, those claims may still be submitted electronically and will be mailed to the insurance carrier by the clearinghouse. Paper claims are $.49 per. (Flat Fee EDI pricing includes paper claims)

What happens after I send my claims to the clearinghouse?

Audit reports are available within 24 hours. Payer reports are available within 2-7 days depending on the Payer.

Will I be able to resubmit claims that have been rejected by the Clearinghouse or Payer?

Yes, you will correct them in EZClaim and resubmit the claims to the clearinghouse. Claims rejecting at the Clearinghouse level will not be charged.

How long does program support last after we purchase the EZClaim Clearinghouse Service?

Program support is available as long as you are using the EZClaim clearinghouse service.


Fill in our contact request form to have a member of our staff contact you.