Claim MD is a Web-based medical claims clearinghouse that manages every aspect of the revenue cycle including claims management, eligibility, and electronic remittance advice (ERAs).

This web based system is compatible with almost all billing systems, and makes older billing software 5010 compliant.

– Claim Management Tool

“We’ve never seen an easier claim management system; the unique claim management tools in this clearinghouse identify claims that need corrections, allow you to fix them online in real-time, and even identify the most likely causes of payer rejections”.


Electronic Remittance Advice tools let you easily download ERA in spreadsheet form and PDF. Remits are archived for several years so you’ll always have access to them.

– Eligibility

Real-time eligibility is available for hundreds of payers.

– Easy Appeal tool

From any claim you can download, a PDF appeal packet is created with everything you need for an appeal. Includes CMS-1500, UB form, complete claim history, remittance advice, and appeal request form.

– 5010 Compliance

This system can also make older systems sending 4010, NSF or even ‘print image’ claim formats 5010 compliant.

– ICD-10

Automatic up-conversion to ICD-10 codes is built in, and the claim correction tools prompt you when you need to choose between multiple ICD-10 codes.

– Excellent support

Support is requested online with a single click from any claim, but phone support is also available. (This team has been in the business for over 30 years and providers love the support they receive.)

– Fastest Claim Transmits

Many clearinghouses actually don’t send your claims to the payer until that evening or the next day. But with Claim.MD we often see payers acknowledge receiving claims in just a few minutes. This is the closest to true real time claims in the industry.

– Pricing

Remarkably all these services cover an entire practice for $99.95/mo. There are no per-provider fee’s. There are some additional fee’s to have multiple billers in the system, but they’re still easily one of the best priced clearinghouses available.

[More Information] [Request a Demo] works with a large number of medical claim clearinghouses and we receive feedback from medical billers, office and billing managers, and physicians on a continual basis. What medical billers say about Claim.MD is highly recommended. gives Claim.MD a rating of 4 stars, or ****Highly Recommended.

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On 2014-07-31 14:36:51.261390
by John F. Garvish M D

We have had a very successful medical practice in West Texas for many years. A large part of that success had been as a result of making Claim MD a part of our practice. In all that time I have never had a problem that Claim MD could not solve for us. I have yet to find a payor that

we could not use with Claim MD.

We have very OLD software and instead of trying to sell me new software Claim MD was able to adjust their program and accept our software and file our claims. When the HIC 1500 claim

format was changed Claim MD did all the work and we didn’t have to do anything. On a previous format change on the 1500s (prior to Claim MD) I had to pay a lot to have my program changed. I was worried to death about the ICD10 changes but Claim MD has made changes in their program and set up our HIC 1500s for the ICD10 without any work on our part or without any additional charge. The response time on “Get Help” is very fast and usually you can talk directly with the programmer so there is no confusion about your problems. We have used Claim MD for 10+ years and through all of that time they have been more than fair with their charges, always offered more than we were expecting, and on the ICD10 problems they really came through for us. I can’t begin to calculate the amount of money they saved us on the ICD10 programming alone. With the climate in medicine today we need all the help we can

get to deal with the insurance companies who have one goal, not to pay claims. I recommend you give Claim MD a chance. You won’t be sorry.

On 2014-07-31 12:56:01.729040
by Forrester Eye Associates

We love Claim MD! Our office has used two of the big clearinghouses and had issues with both. We are now getting paid twice as fast with Claim MD. In addition, the cost and service being fabulous!

On 2014-03-27 16:52:31.009580
by Wendy Buckels

During my years in private practice, I have used a number of different clearing houses. None of them come close to the ease of use and prompt, friendly, personal assistance that I get from Claim.MD! So glad I found them!

On 2014-03-06 19:28:53.461390
by Kathy Johnson

Our office has been using Claim MD for quite a while now. I, personally, have just started being involved with the whole process. Everyone at Claim MD has been most helpful. They have always resolved my issues and their explanations have been very helpful. Thanks so much for being a great clearinghouse and I look forward to continuing our relationship.

On 2014-03-05 10:07:30.181650
by Claim.MD

@Mary Murray,

Thanks for your reply and request for more information, Mary. We will contact you and answer any questions you have.

On 2014-02-23 14:51:22.440770
by Mary Murray

In reference to the comment below, you can also email me at

On 2014-02-22 15:25:53.491790
by Mary Murray

My name is Dr. Mary Murray. I am a licensed psychologist and I work in a solo practice. I am looking for a clearinghouse to help me with my billing needs. I need a company that has experience with the Therapist Helper software through Netsmart. I don’t require that the clearinghouse works with Practice Fusion but that would be helpful as well. I submit approximately 30 claims a week. I would like to know your pricing. If you have a monthly charge, please tell me what it is. If you charge per claim, I would like to know that fee. I have many companies wanting to speak with me, however, I am busy taking care of clients. If possible, please just respond to this email with your charges. If you feel that you need to speak with someone, my office manager, Cindy Edwards, can be reached at my office at 727-319-3020 on Mondays, Tuesdays, Thursdays and Fridays from 9:30 a.m. to 1:30 p.m. eastern standard time.

On 2014-01-30 16:59:52.857530
by Deb Howard

I have used and changed several different providers large and small to Claim.MD since 1998. They continue to provide the best overall product available in the United States period. They have great people who provide the best customer service daily if you ever have questions cause the website is just so darn easy my grandkids could use it. They can provide eobs, reports, non remit notices, etc. These guys provide exceptional services and can answer questions regarding all revenue cycle issues even those they do not do for you. I would never use any other clearinghouse and recommend them to all my clients. If you have not tried the Demo, you must. Once you change over you will wonder why you never had before. The price for what they provide is insane, they have got it down to a science and they do not goughe you for rate increases every time the wind blows. You know I love you guys and it is time the World gets the chance to know you. Good luck as always.

On 2014-01-29 14:28:38.433230
by JLMyers

My clients have been using ClaimMD for years and I can comment that without doubt, it is the best clearinghouse option on the market today. Not only has ClaimMD evolved with new and useful enhancements, they are constantly updating and meeting the challenges of healthcare reform. The most outstanding feature is that it is compatible with nearly every EMR/EHR product and clients are saving hundreds of dollars every month compared to other clearinghouse subscriptions. ClaimMD surpasses a 4 star rating when it comes to Support – nearly 24/7 and located in the US with individualized attention to their clients requests. If you are looking for a healthcare “partner” that is as concerned about your revenues as you are, talk to ClaimMD – it is a step into the future for your Practice!