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§ Software · Clearinghouse & Claims · Eligibility Checks

Top Eligibility Checks software.

30 ranked tools · How we rank
01
201-500 employees
Vancouver, WA
Est. 2000

Services Provided

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Office Ally combines a claims clearinghouse, EHR, and practice management tools under a single vendor. Many small ABA billers use it as their primary clearinghouse thanks to its low-cost per-claim pricing and broad payer connectivity.

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02
500+ employees
Louisville, KY
Est. 2017

Services Provided

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Waystar combines clearinghouse services with denial management, patient payments, and authorization automation. Mid-to-large ABA organizations use it to reduce days in A/R and surface the root causes of denied claims.

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03
11-50 employees
Austin, TX
Est. 1980

Services Provided

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Claim.MD offers affordable per-provider clearinghouse access for practices and billing companies. It supports electronic claims, ERAs, eligibility checks, and direct payer enrollments and is a common alternative to the larger national clearinghouses.

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04
500+ employees
Nashville, TN
Est. 2007

Services Provided

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Change Healthcare, part of Optum, routes a large share of U.S. medical claims and provides revenue cycle and clinical connectivity tools. Providers use it as a clearinghouse, for eligibility checks, and for payer-agnostic analytics.

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05
500+ employees
Jacksonville, FL
Est. 2001

Services Provided

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Availity connects providers to hundreds of payers for eligibility verification, prior authorizations, claims submission, and remittance posting. Many ABA billers check eligibility in Availity before a learner's first session to confirm ABA coverage and units.

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06
51-200 employees
Orlando, FL
Est. 1999

Services Provided

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CollaborateMD, an EverHealth company, emphasizes claims management and reporting for practices and billing services. It handles electronic claims, ERAs, patient statements, and clearinghouse submission in one workflow.

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07
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Claims management and denial prevention.

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08
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Claims processing and clearinghouse.

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09
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Billing and clearinghouse for small practices.

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10
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Medical billing and claims management.

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11
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Eligibility verification and claims processing.

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12
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Revenue cycle management and clearinghouse.

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13
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Services Provided

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Charge capture and claims processing.

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14
51-200 employees
Atlanta, GA
Est. 1993

Services Provided

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NueMD provides charting, scheduling, and revenue cycle tools with a focus on smaller practices. Its clearinghouse integration supports electronic claims to most commercial and Medicaid payers and is compatible with common ABA CPT codes.

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15
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Services Provided

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Touchless prior authorization for prescriptions with broad pharmacy payer connectivity.

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16
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RCM claim scrubber with automated validation and compliance checks.

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17
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AI-powered ERA/EOB retrieval and automated payment posting across payer portals.

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18
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Enterprise healthcare data interoperability and claims processing platform.

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19
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Electronic claims submission with real-time eligibility and ERA integration.

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20
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Data platform accelerating payer-provider connectivity and data exchange.

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