Standards & EDI
Clearinghouse
Draft — pending verification
This reference entry has not yet been verified against its authoritative source (Original definitions; regulatory facts to be verified against CMS-0057-F (89 FR 8758) and X12/HL7 documentation). Do not rely on it for production configuration until this notice is removed.
In more depth
Clearinghouses are HIPAA covered entities in their own right. In prior-auth flows they add value through validation (catching rejections before the payer does), routing tables, and increasingly FHIR-to-X12 bridging as the industry runs both rails during the CMS-0057 transition.