Question

_______ is an entity that receives transmissions of insurance claims, separates the claims, and sends each one electronically to the correct insurance payer.

a) Payer
b) Clearinghouse
c) Provider
d) Beneficiary

Answer 1

A Clearinghouse is the entity that processes insurance claims by acting as an intermediary between healthcare providers and insurance payers to ensure claims are properly formatted and follow regulations.

Step-by-step explanation:

The entity that receives transmissions of insurance claims, separates the claims, and sends each one electronically to the correct insurance payer is a Clearinghouse. A clearinghouse acts as an intermediary between healthcare providers and the insurance payers, ensuring that the claims are properly formatted and follow the necessary regulations before they are sent. This process helps streamline the billing process, reduce errors, and speed up reimbursement.