– compare CLAIM MD to emdeon –


Emdeon is the nation’s largest clearinghouse and the only clearinghouse we know of that spans dental, eRx, professional claims, and facility claims.

What They Say About Themselves

Emdeon is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S. healthcare system. Emdeon’s offerings integrate and automate key business and administrative functions of its payer and provider customers throughout the patient encounter.
Through the use of Emdeon’s comprehensive suite of solutions, which are designed to easily integrate with existing technology infrastructures, customers are able to improve efficiency, reduce costs, increase cash flow and more efficiently manage the complex revenue and payment cycle and clinical information exchange processes.

Emdeon connects 700,000 providers, 5,000 hospitals, 1,200 payers, 60,000 pharmacies, 450 labs and 80,000 dentists processing 7.4 billion transactions each year.

What We Found

Many large businesses use Emdeon and find them satisfactory. But until recently, Emdeon took support calls only from Resellers, making it extremely frustrating (or impossible) to obtain support as a small practice. If you had claims errors and could not reach your reseller, (typically your billing software provider), calling Emdeon was of little to no use.

Recently, we called Emdeon support (the india team answered the line) and we were unable to get even the simplest questions answered as we did not have a customer-number or case-id. We were calling to ask a basic question about their payer-list, without which we could not determine whether a payer was PAR, or Non-PAR. The inquiry resulted in a pointless circle. Opinions regarding their quality of service and support vary wildly to say the least.

Based on our, and other people’s experience, Clearinghouses.org gives Emdeon a rating of 1 star, or Barely Recommended.

On 2014-07-27 17:53:25.835100
by Tim

Agree about poor customer service, although their prices seem ok to me with the new flat rate. The worst part is when a claim is rejected due to an error on emdeon’s part. Getting the claim corrected is pretty much impossible through them and the time it takes makes it not worth it. Easier to just fax a corrected paper claim directly to the insurance company. We finally decided to stop using their service and the final slap in the face was them making us continue paying their subscription fee for 3 months after we cancelled and stopped using them. No reason for that at all other than greed.

On 2014-05-18 03:43:21.906230
by Jessica

Emdeons pricing is very high and not very reliable within the past 8 months. It seems as though their new management in the Tampa location is not sure of the left from the right, clearly lacks issue resolution solving and cannot explain his theories when it comes to the bottom line. I represent an agency and they releasing of seasoned long time employees has tripled, which is a brow raiser, but the high turn over on new employees is due to lack of management or should I say professional people skills on the claims operations side. I would recommend Evolutions or McKesson hands down. Services were less expensive and more accurate. Emdeon gets 1and 1/2 stars.

On 2014-02-03 17:51:18.386780
by Chris P.

I am a consultant and I have had many clients use Emdeon. Our clients have been pleased with their services. They have a nice dashboard which shows claim denial patterns, number of clean claims, etc. Often I find that once the client understands how to fully utilize their clearinghouse services and learn how navigate their software they are much happier with their services.

On 2014-01-15 19:07:10.199890
by Brian Carris

Greetings! I am a customer support manager with Emdeon and would be happy to assist with the issues you are describing. Please send me a message so I can investigate the concern and advise you best on the best fix. Thank you!

Brian Carris, Manager of Operations, (615)932-2811 bcarris@emdeon.com

On 2013-12-12 15:41:46.578120
by Marcos Mendonca

This company has THE WORST client support. If you have to report an issue, you must register to have access their ON 24/7 portal. The problem is, the registration process must be done by leaving a phone message, period. No email option, no talking to a live person. And guess what? They NEVER contact you back. I’ve been leaving messages for 3 WEEKS (multiple times a day lately), and nobody has called me back yet. So if you become their client, forget about client support. You’ll never get it.

On 2013-10-11 22:07:29.249310
by Anonymous

thanks for the information. I will not be doing business with that company

On 2013-10-11 22:05:40.584840
by marketa

what are your fees and do you charge per month and per doctor. How long does it take to set up an account and what are the start up fee

On 2013-09-30 16:28:41.862960
by Active Care

I have had a terrible time with Emdeon. I have worked with this company for approximately 1 1/2 years and every single day has been a struggle. We are a small medical office which would use Emdeon as our means of communicating with insurance companies. We have had terrible struggles every step of the way with no one contact to guide us through filing rejections and software issues. We are finally giving up and very happy to be rid of this company.




Medical Claims Clearinghouse Ratings and Reviews