JSON twin: https://www.healthaidb.com/software/trubridge-clearinghouse.json
TruBridge
https://trubridge.com/solutions/clearinghouse/
TruBridge Clearinghouse is a HIPAA-compliant claims clearinghouse that prescreens, validates, and electronically submits healthcare transactions (claims, eligibility, ERA, claim status) to payers to reduce errors and accelerate reimbursements.
A commercial clearinghouse and RCM component from TruBridge that supports ANSI X12 healthcare transactions (e.g., 837 claims, 270/271 eligibility, 835 remittance advice, claim status) with data validation/editing, payer-specific prescreening, secure transmission, real-time claim status tracking, and reporting/analytics to optimize revenue cycle performance. The service emphasizes fast implementations (advertised 2–3 weeks) and HFMA peer-reviewed RCM practices.
yes
1979
P1683
2025-09-07
commercial/proprietary
Contact vendor for pricing and quotes; vendor advertises 2–3 week implementation timeframe.
enterprise_quote
—
product
1.0
{
"company_name": "TruBridge",
"company_url": "https://trubridge.com/",
"company_offices": [
"United States",
"Canada",
"United Kingdom",
"Australia"
],
"company_founding": "1979",
"product_url": "https://trubridge.com/solutions/clearinghouse/",
"categories": [
"administrative",
"revenue cycle management",
"claims clearinghouse",
"billing/claims",
"interoperability"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://trubridge.com/",
"https://trubridge.com/solutions/clearinghouse/",
"https://trubridge.com/about-us/",
"https://trubridge.com/contact/",
"https://trubridge.com/hipaa/",
"https://trubridge.com/certifications/",
"https://elion.health/products/trubridge-clearinghouse",
"https://www.businesswire.com/news/home/20250212546655/en/TruBridge-Selected-by-Cibolo-Health-as-a-Preferred-Partner-for-RCM-Technology-and-Services"
],
"summary": "TruBridge Clearinghouse is a HIPAA-compliant claims clearinghouse that prescreens, validates, and electronically submits healthcare transactions (claims, eligibility, ERA, claim status) to payers to reduce errors and accelerate reimbursements.",
"description": "A commercial clearinghouse and RCM component from TruBridge that supports ANSI X12 healthcare transactions (e.g., 837 claims, 270/271 eligibility, 835 remittance advice, claim status) with data validation/editing, payer-specific prescreening, secure transmission, real-time claim status tracking, and reporting/analytics to optimize revenue cycle performance. The service emphasizes fast implementations (advertised 2–3 weeks) and HFMA peer-reviewed RCM practices.",
"target_users": [
"billing staff",
"revenue cycle managers",
"practice administrators",
"hospital/health system finance teams",
"medical coders"
],
"specialties": [],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing and quotes; vendor advertises 2–3 week implementation timeframe.",
"license": "commercial/proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Electronic claims submission to payers (claims prescreening/edits)",
"Transaction processing (claims, remittance, eligibility, attachments, claim status)",
"Data validation and editing to meet industry/regulatory requirements",
"Real-time claims status checking",
"Reporting and analytics (claim acceptance, denials, KPIs)",
"Eligibility verification (270/271)",
"Claim attachments handling",
"Remittance advice processing (835)",
"Denial reduction/workflow support",
"Implementation/onboarding services (2–3 week deployment option)"
],
"optional_modules": [
"Payer-specific transmission/interface setup",
"Promoting Interoperability / FHIR API access (fee-based)",
"Custom reporting/analytics packages",
"Public health and registry reporting interfaces",
"EPCS integration (via third-party)"
],
"integrations": [
"Payer networks / insurance carriers",
"Laboratory interfaces (custom lab integrations)",
"Public health reporting agencies",
"CCD / document exchange interfaces",
"hMail / Inpriva hDirect (listed as used in other TruBridge products)",
"DrFirst Gold (EPCS, referenced in certification pages)"
],
"data_standards": [
"X12 837 (claims)",
"X12 270/271 (eligibility)",
"X12 835 (remittance/advice)",
"HL7 / CCD (document exchange)",
"FHIR (Promoting Interoperability / certified FHIR API access noted)",
"HIPAA transaction standards"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"ONC Health IT Certification (170.315 criteria for certified modules)",
"HFMA Peer Reviewed (RCM solutions referenced)"
],
"certifications": [
"ONC Certified Health IT (multiple TruBridge products / CEHRT editions listed)"
],
"security_features": [
"HIPAA-compliant transmission",
"Multi-factor authentication (OTP supported)",
"Secure payer connectivity"
],
"privacy_features": [
"Business Associate Agreement (TruBridge acts as business associate)",
"HIPAA Privacy & Security Rule compliance"
],
"data_residency": "",
"customers": [
"Sweetwater Hospital Association",
"Promise Healthcare Group",
"Texas Institute for Surgery",
"Big Horn Hospital Association",
"Lady of the Sea General Hospital",
"Three Rivers Health",
"Artesia General",
"Schweiger Dermatology"
],
"user_reviews": [
"I just switched a customer off of TruBridge, and I was honestly slack jawed with how disjointed and bad the RCM is.",
"We treat each client as a unique case, joining data-driven insights with our wealth of experience to create a solution that delivers the results they need. (user commentary: implementation needed heavy support)",
"Has been helpful in allowing for enrollments to be automated and processed as a batch rather than individually — eased workload.",
"Are you essentially stuck with them if you are a rural/small hospital? Is there any way off their platform to another company?",
"Days in AR slashed from 40+ to 24.5 after switching to their services (reported in a customer case study)."
],
"ratings": [
"G2: 3.4/5 (aggregate reported)",
"Black Book 2024: ranked as a top provider in client-rated financial and RCM solutions (reported)"
],
"support_channels": [],
"training_options": [],
"release_year": "",
"integration_partners": [],
"id": "P1683",
"slug": "trubridge-clearinghouse",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/trubridge-clearinghouse.json"
}
}