JSON twin: https://www.healthaidb.com/software/ssi-clearinghouse.json
The SSI Group
https://thessigroup.com/clearinghouse/
SSI Clearinghouse is an enterprise-grade EDI clearinghouse that automates HIPAA transaction submission, claim scrubbing, and connectivity to payers to accelerate reimbursement for healthcare organizations.
SSI Clearinghouse (The SSI Group) provides a claims submission and processing platform with robust edit/scrubbing capabilities, direct payer connections, and support for real-time and batch HIPAA transactions (eligibility, claims, remittance, claim status, attachments, authorizations). The product emphasizes a high first-pass clean claim rate, a large payer network, regulatory certifications (CAQH CORE, EHNAC, SOC 2, HITRUST), and hands-on customer support with AI-enabled self-service resources.
yes
1988
US-hosted infrastructure and US-based support; regional/data residency options handled via client engagement
P1563
2025-09-07
commercial/proprietary
Contact vendor for pricing and implementation tiers; request a demo/trial through SSI sales.
enterprise_quote
product
1.0
{
"company_name": "The SSI Group",
"company_url": "https://thessigroup.com/",
"company_offices": [
"United States"
],
"company_founding": "1988",
"product_url": "https://thessigroup.com/clearinghouse/",
"categories": [
"administrative",
"revenue cycle",
"claims management",
"clearinghouse",
"remittance management",
"denial management",
"analytics"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://thessigroup.com/",
"https://thessigroup.com/clearinghouse/",
"https://thessigroup.com/claims-management/",
"https://thessigroup.com/aboutus/",
"https://thessigroup.com/hipaa/",
"https://www.g2.com/products/the-ssi-group-ssi-claims-management/reviews",
"https://klasresearch.com/review/the-ssi-group-ssi-claims-management/1220",
"https://www.linkedin.com/company/thessigroup"
],
"summary": "SSI Clearinghouse is an enterprise-grade EDI clearinghouse that automates HIPAA transaction submission, claim scrubbing, and connectivity to payers to accelerate reimbursement for healthcare organizations.",
"description": "SSI Clearinghouse (The SSI Group) provides a claims submission and processing platform with robust edit/scrubbing capabilities, direct payer connections, and support for real-time and batch HIPAA transactions (eligibility, claims, remittance, claim status, attachments, authorizations). The product emphasizes a high first-pass clean claim rate, a large payer network, regulatory certifications (CAQH CORE, EHNAC, SOC 2, HITRUST), and hands-on customer support with AI-enabled self-service resources.",
"target_users": [
"billing administrators",
"revenue cycle managers",
"medical coders",
"finance teams",
"health system IT/integration teams",
"payers"
],
"specialties": [
"hospital medicine",
"ambulatory/physician practice",
"long term care",
"behavioral health",
"surgery/ASCs",
"general/primary care"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing and implementation tiers; request a demo/trial through SSI sales.",
"license": "commercial/proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Electronic claims submission (837P/837I) real-time and batch",
"Eligibility & benefits checks (270/271)",
"Electronic remittance (835) retrieval and posting",
"Claim status (276/277) querying and processing",
"Authorizations/referrals submission (278)",
"Extensive payer edit engine (1M+ edit combinations; payer & provider level)",
"First-pass clean claim optimization and smart edits",
"Large payer connectivity (2,200+ direct payer connections / 2600+ payer edits)",
"Electronic attachments management (ANSI 275 and multiple channels)",
"Flexible claim status options including Medicare DDE and EDI statusing",
"Automated payer enrollment and advanced enrollment technology",
"Remittance management and ERA retrieval/coordination",
"Denial management with AI-assisted root cause and workflows",
"Claims management workflow and work queues",
"File repository / File Folder document management linked to claims",
"Audit & appeals integration (RevKeep partnership)",
"Correspondence and EOB conversion to EDI remits",
"Pre-billing eligibility edits (PBE)",
"CAQH CORE certified transaction handling",
"Client support with US-based support and AI-enabled knowledge base"
],
"optional_modules": [
"Claims Director (claims management suite)",
"Pre-billing Eligibility Edits (PBE)",
"RevKeep Audit & Appeals integration",
"Flexible Claim Status module (enhanced statusing options)",
"Electronic Attachments fact-sheet / attachments service"
],
"integrations": [
"Epic (bidirectional payer status / Payer Status Query integration)",
"MEDITECH Expanse (example customer integration)",
"RevKeep (audit & appeals integration)",
"Major hospital information/host systems (generic integrations)",
"Claimsnet / SSI client portals",
"Payer network direct EDI connections (2,200+ payers)",
"Accounts receivable / practice management systems (posting of ERA files)",
"EMR systems (for automated record retrieval via RevKeep)"
],
"data_standards": [
"HIPAA / ANSI X12 (270/271, 837, 835, 276/277, 278)",
"CAQH CORE",
"EDI (ANSI X12)",
"NIST (framework references)"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"CAQH CORE",
"EHNAC accredited",
"SOC 2 compliant",
"HITRUST CSF",
"NIST framework alignment"
],
"certifications": [
"CAQH CORE certification",
"EHNAC accreditation",
"SOC 2 compliance",
"HITRUST CSF"
],
"security_features": [
"Encryption of data in transit and at rest",
"Role-based access control (RBAC)",
"Audit logging and monitoring",
"SOC 2 / HITRUST aligned security controls",
"Secure payer connectivity and certified EDI handling"
],
"privacy_features": [
"HIPAA/BAA support (BAA available)",
"Privacy & HIPAA statements and policies"
],
"data_residency": "US-hosted infrastructure and US-based support; regional/data residency options handled via client engagement",
"customers": [
"Madison Memorial Hospital",
"Nebraska Medicine",
"Northern Regional Hospital",
"Lavaca Medical Center",
"Unity Health"
],
"user_reviews": [],
"ratings": [
"KLAS Best in KLAS (Claims Management) — Score: 93 (2020)"
],
"support_channels": [
"phone",
"online request/ticketing",
"24x7 self-service knowledge base",
"US-based support"
],
"training_options": [
"documentation",
"webinars",
"videos",
"implementation/onboarding",
"client support/training"
],
"release_year": "",
"integration_partners": [
"Epic",
"CAQH CORE",
"Medicare/Medicaid (government payers)",
"2,200+ commercial payers"
],
"id": "P1563",
"slug": "ssi-clearinghouse",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/ssi-clearinghouse.json"
}
}