A clearinghouse/medical intermediary is an organization that enables the exchange of healthcare data between the provider and the payer (insurance company). It is the only HIPAA covered entity that can translate between standard and non-standard transaction formats. As such, clearinghouses/medical intermediaries provide solutions that enable data submission from provider systems into the HIPAA 837 claim format required for claims submission and payment as part of this program. This can expedite the overall turnaround time from claim submission to payment.
See our list of Uninsured Program (UIP) participating clearinghouses/medical intermediaries (PDF). Providers that utilize a clearinghouse/medical intermediary not listed should contact their current vendor to ensure they establish a partnership with one of UIP’s designated clearinghouses/medical intermediaries.