ClaimCare Medical Billing Services review

Professional medical billing

ClaimCare Medical Billing Services
(Image: © ClaimCare)

TechRadar Verdict

ClaimCare Medical Billing Services has some appealing features like the Instant Payment Plan, a quick setup process, and helpful ancillary services such as credentialing. However, it lacks pricing transparency, offers limited support, and has no user reviews. Overall, there are stronger alternatives on the market.

Pros

  • +

    Instant Payment Program

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    Expedited program for smooth transition

  • +

    Service Level Guarantee

  • +

    Credentialing service

Cons

  • -

    No transparency in pricing

  • -

    Lack of user reviews

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    No mobile apps

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    Lack of options for support

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A serious veteran in the space, ClaimCare  has over 17 years of medical billing service experience. Its mission is clear: to maximize revenue for your practice as quickly as possible, all while reducing costs and hassle for your organization. It is US based, with multiple locations, including Austin TX, Dallas/Fort Worth TX, Houston TX, Orlando FL, San Jose Ca, and Pittsburgh Pa. Its clients include all the specialities, across the entire US, and furthermore all the employees are within the US. 

ClaimCare Medical Billing: Features

ClaimCare Medical Billing Solutions aims to provide comprehensive medical billing services to enhance your practice's collections promptly. Its efficient and dedicated service enables practices to outsource this crucial task, eliminating the potential risks of handling it internally.

The Instant Payment Program is instrumental in ensuring faster payments for practices. ClaimCare promises to facilitate payments within a remarkable 24 hours post-patient encounter, eliminating prolonged waiting periods that can impede cash flow. Moreover, this service can boost collections by 10% to 20% while reducing billing costs.

Transitioning to a new billing solution can be challenging for practices, as downtime must be kept to a minimum to maintain billing capabilities. ClaimCare's Expedited Billing Solution ensures a fully operational billing system within a week. This solution is particularly advantageous in cases where a practice loses its in-house biller or has a backlog of claims.

In addition to billing services, ClaimCare offers a range of ancillary services, including credentialing, contracts, front office staff training, and integrated billing and scheduling software, to alleviate administrative burdens.

ClaimCare stands out from its competitors by offering a Service Level Guarantee backed by quantifiable benchmarks. Notably, it guarantees that "85% of your charges will be resolved within 60 days." This commitment demonstrates ClaimCare's dedication to delivering reliable and efficient services to its clients.

ClaimCare Medical Billing: Drawbacks

Despite the fact that ClaimCare Medical Billing Services has been operating for close to twenty years, it is unsettling that, despite our best efforts, we were unable to locate even one user review online. Furthermore, the business does have a social media presence through its Facebook page, which hasn't been updated since July 2020. Although it has a favorable reputation overall, it only has "40 Likes," which isn't that impressive considering the number of clients it claims to have. With just 19 followers and no updates since 2020, things on Twitter haven't really improved either.

The service's website needs more information about its features. For example, it doesn't say if ClaimCare works with all EHRs or only some. It does say that an EHR can be bundled with the service, but it doesn't say how much extra it might cost. There's also no mention of mobile apps for iOS and Android to access billing services remotely, and we couldn't find an app in either platform's store. Finally, the website doesn't mention any specific desktop platform requirements for ClaimCare.

As discussed later, the pricing information on the website is also pretty vague. The same goes for the support options, which are also discussed later. They're not easy to find on the website.

Support

(Image credit: ClaimCare)

ClaimCare Medical Billing: Support

Based on the information provided on ClaimCare's website, the primary support option appears to be through an online portal. Users can submit their questions via this portal, and an email address is required to receive a response. Recently, ClaimCare added the option to provide a phone number and specify the preferred method of response, either by phone or email. This is a notable improvement since our last review of their services.

However, it's worth noting that some competing platforms offer additional features, such as the ability to upload attachments to better illustrate an issue, such as annotating a screenshot. This option is currently lacking in ClaimCare's support portal. 

We also lament the lack of other options for support, such as directly via phone, online chat, or some self support options. There is also no indication what the hours or days for support are.

Furthermore, we’d like to admit that we get a little concerned when the numbers listed on the support page to their online portal are all for sales, and not to support the product. We are disappointed by the absence of alternative support options such as phone support, online chat, or self-support resources. Additionally, there is no clear information regarding the availability and operating hours of the support team.

Furthermore, it is concerning that the contact numbers provided on the support page are solely dedicated to sales and not to product support.

ClaimCare Medical Billing: Pricing

When it comes to pricing transparency, ClaimCare falls short. Navigating their website, one cannot find any straightforward information about their rates. Instead, potential customers are expected to contact the company directly to discuss their specific needs and receive a custom quote. The only hint regarding pricing is ClaimCare's claim that they offer "The most competitive billing rates in the industry," which, while enticing, lacks concrete details.

Contrary to expectations, the reality might not be as positive. After conducting extensive research, we discovered that ClaimCare's pricing structure is based on a monthly fee per provider, ranging from approximately $200 (£154) to $300 (£231), depending on the number of providers and the volume of services. It's unclear if there are lower costs for non-MD practices, such as optometry or physical therapy. Additionally, there are concerns regarding potential extra costs. For instance, the initial transfer of records can incur an estimated expense of $500 (£385) for every 1,000 records, and the initial training sessions may cost around $200 (£154) per session.

ClaimCare Medical Billing: Final verdict

ClaimCare Medical Billing Services has some appealing features, including its Instant Payment Plan, which accelerates payments to clinicians and decreases the time it takes to collect accounts receivable. Additionally, its setup process can be completed in less than a week, and it provides helpful ancillary services like credentialing.

However, there are also some significant drawbacks to consider. The company lacks transparency in its pricing, which can be a concern for potential customers. It also offers limited support options and does not have any user reviews available, making it difficult to assess the quality of its services.

Ultimately, each practice must determine the best billing solution for its needs. However, our assessment is that there are stronger alternatives available on the market.

We've listed the best medical practice management software.

Jonas P. DeMuro

Jonas P. DeMuro is a freelance reviewer covering wireless networking hardware.