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.
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.
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.
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.
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.
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.
