How do you think you compare with your competitors? Who are your closest competitors?
Interactive Clearinghouse is unique in providing a team approach to your HIPAA solution. Our carefully assembled group of professionals brings together a diversified experience base. This diversity allows us to, not only, provide you with the most advanced technical services but with a practical business perspective borne of experience in labor and fund management.

Describe the national capability of your clearinghouse.
Interactive Planet Clearinghouse through redundant high speed internet connections as well as advanced internet connectivity and security tools can provide services to entities regardless of their location as well as 24 hour hotline and email support. Our client base is throughout the North American continent. Through the use of WEDI standardized Connectivity Guides and direct negotiations with regional provider networks, we are capable of providing trading partner support for provders nationwide.

Are you currently able to process multiple HIPAA-complaint transactions?
Yes. Currently we can handle all WEDI X12N 4010 Transaction Code Sets. We will soon be testing the extended 4050 Code Sets as well.

What is your submitted claims rejection rate?
Internal loop testing has returned rejection rates below 17% following each clients integration process.

How does a typical doctor's office submit a claim or other transaction?
File Transfer
Batched transaction files can be submitted via any standard protocol. We are currently pursuing peering relationships with provider oriented clearinghouses to streamline this process.
Web Interface
By logging on to the Interactive Clearinghouse web interface a doctor’s office can then search for a particular member by name of SSN once a member has been selected his/her information is then displayed as well as coverage details. A claim can then be entered and processed in real time.

How does an institution submit a claim or inquiry?
File Transfer
Batched transaction files can be submitted via any standard protocol. We are currently pursuing peering relationships with provider oriented clearinghouses to streamline this process.
Web Interface
By logging on to the Interactive Clearinghouse web interface a doctor’s office can then search for a particular member by name of SSN once a member has been selected his/her information is then displayed as well as coverage details. A claim can then be entered and processed in real time.

How do you handle provider’s sending you different versions of the X12N standard transactions? (Passed directly to payer; standardized and then passed on to payer, etc.).
Standardized, logged, 997 response and sent to payer
How do you share claims with other clearinghouses?
We do not “share” claims with any other covered entity unless they are part of the trading partner chain. If they are the provider clearinghouse, we will transmit claims remittance or requested eligibility and claims status transactions to their provider via that clearinghouse.

How do you handle Medicare crossover?
We do not, at this time address that as part of the clearinghouse operation

How do you process eligibility?
File Transfer
Batched transaction files can be submitted via any standard protocol. We are currently pursuing peering relationships with provider oriented clearinghouses to streamline this process.
Web Interface
By logging on to the Interactive Clearinghouse web interface a doctor’s office can then search for a particular member by name of SSN once a member has been selected his/her information is then displayed as well as coverage details. A claim can then be entered and processed in real time.

How do you support online inquiries such as eligibility/authorization/claim status?
Web Interface
By logging on to the Interactive Clearinghouse web interface a doctor’s office can then search for a particular member by name of SSN once a member has been selected his/her information is then displayed as well as coverage details. A claim can then be entered and processed in real time.

Technology FAQs

What options for receiving data do you offer? (Dial up, Internet, etc.)
Any internet connectivity including http, ssl and ftp.

What resources do you offer for implementation of your services? (Test files, test transmissions, test responses, etc.)
We have a complete set of transaction test files and loop testing procedures for client utilization. Additionally, we will provide ClarEDI tools as part of the contracted services for clients that require additional level of testing.

What is the average time to implement your services?
Depending on customization level as well as size and complexity the implementation process can take anywhere from several weeks to several months. (depending on hours of custom programming needed to meet specific needs.) Typical implementations take 6-12 weeks.

What file formats do you support? (HIPAA, NSF, etc.)
We support the WEDI 4010 X12N HIPAA compliant formats (amendment 1).

Please briefly explain how you implement security of our data?
Data is stored in a secure database comprised of redundant fail safe authentication mechanisms. Connectivity is protected via multiple, redundant firewalls. Physical safeguards for our state-of-the-art data center exceeds Security Final Rule requirements and are in line with NIST standards.