IntelliClaim®
A comprehensive address-to-adjudication clearinghouse that streamlines claims processing and enhances the entire patient-to-payer experience.
A robust set of features
Powerful tools designed to simplify claims processing, close functionality gaps, and improve overall revenue cycle efficiency.
End-to-End Claims Submission
Submit clean claims the first time with a clearinghouse built to connect every point in your patient-to-payer process—fast, compliant, and accurate.
Claim Scrubbing & Custom Edits
Automated CCI, LCD, and NCD edits plus custom logic ensure your claims are scrubbed to payer-specific standards before submission.
Real-Time & Batch Eligibility + Status Checks
Avoid costly surprises with instant eligibility verification and claim status updates—available in both real-time and batch formats.
In-Portal Claim Editing & Workflow Tools
Edit, validate, and manage claims directly in the portal with intuitive tools and automated work queues that keep your team efficient.
Explanation of Benefits (EOB) Rendering & ERA Delivery
Receive and render ERAs into readable EOBs within the platform to simplify remits, reduce confusion, and accelerate follow-up actions.
Expert Support & Enrollment Services
From full payer enrollment to ongoing system support, our expert team and dedicated client managers are with you every step of the way.
How we help
Your clearinghouse shouldn’t just move data—it should drive results. IntelliClaim is built to eliminate the friction between patients, providers, and payers.
Submit cleaner claims faster
With real-time tools, Medicare scrubbing, and batch verification.
Close revenue gaps
By using in-platform edits, smart workflows, and hands-on support from actual humans.
Custom-made reports to make great decisions
Clean claims and real-time visibility mean fewer denials, faster reimbursements, and less back-and-forth with payers.
IntelliClaim helps you reduce revenue leakage, streamline claim workflows, and improve overall billing performance—without overloading your staff.
5M+
per Month
5M+
the US
Accurate claims start here.
Let us show you how IntelliClaim helps you get paid faster with fewer denials.
Resources
Explore a collection of practical tools, training materials, worksheets, and interactive games designed to support compliance, enhance communication strategies, and improve staff education across your organization.
Industries
Hospital Systems
Hospitals deal with high volumes, complex rules, and evolving payers. IntelliClaim strengthens your revenue cycle with Medicare-ready scrubbing, customizable edits, and real-time feedback—so your team stays proactive, not reactive.
Medical Billing Companies
Billing services need reliability, speed, and transparency. Our clearinghouse gives you clean claim automation, full payer enrollment support, and a powerful portal to manage multiple clients with ease.
Long-Term Care Pharmacies
Accuracy is key in long-term care. IntelliClaim simplifies the submission process, highlights issues before they cost you, and gives you the tools to stay compliant while improving reimbursement timelines.
Commercial Companies
Streamline high-volume claims and exceptions (warranty, rebates, insurance-adjacent) with automated intake, validation, and routing—fewer touchpoints, faster resolutions, clearer audit trails.
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Frequently asked questions
Get quick answers to common questions about how IntelliClaim simplifies and strengthens your claims process.
What systems does IntelliClaimⓇ work with?
IntelliClaim is designed to work seamlessly with most Practice Management (PM) and Hospital Information Systems (HIS). We also offer custom programming to fit unique workflows or requirements.
How does claim scrubbing work?
IntelliClaim automatically checks your claims for errors using built-in rules like CCI, LCD, and NCD edits before submission. If issues are found, claims are flagged for correction in our portal or via your system. Clean claims are then submitted, reducing denials and speeding up payment.
Can I edit claims directly in the portal?
Yes. IntelliClaim allows in-portal claim editing so you can make corrections without toggling between systems, which streamlines workflows and shortens processing times.
Do you offer ERA (Electronic Remittance Advice) delivery?
Yes. IntelliClaim delivers ERAs and renders them into easy-to-read Explanation of Benefits (EOBs) for faster payment posting and patient communication.