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All glossary terms

Billing and revenue

Clearinghouse

An intermediary that routes electronic claims and related transactions between providers and payers.

What is Clearinghouse?

A clearinghouse connection lets practices submit claims electronically and receive status and remittance information back into their workflow. Account ownership and credentials are clinic-specific.

In ClinicPro360, electronic clearinghouse submission is part of Elite-tier insurance operations, configured during onboarding.

Where the clearinghouse sits in the billing chain

The clearinghouse sits between the practice and payers, translating and routing standardized electronic transactions — claim submissions out, and status and remittance responses back. That routing role is why a clean, scrubbed claim reaches the payer faster than paper or portal keying.

The clearinghouse account and its credentials belong to the practice, not the software vendor. Configuration during onboarding connects the practice's own account so transactions flow into the same billing workflow.

Frequently asked questions

What does a clearinghouse do in medical billing?

It acts as an intermediary that routes standardized electronic claims and related transactions between providers and payers, and returns status and remittance information back to the practice's workflow.

Who owns the clearinghouse account?

The practice does. Account ownership and credentials are clinic-specific; the software connects to that account during onboarding rather than the vendor holding the relationship on the clinic's behalf.

Related on ClinicPro360

Billing

Written & reviewed by the ClinicPro360 clinical team

Last reviewed July 19, 2026

Educational definition for operators evaluating therapy practice software. Not legal, compliance, billing, or clinical advice.

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