Best Capario Outsourcing Services 4.9 ★★★★★ Google Rating

What Happened to Capario, and What Are the Best Support Options Now?

Capario was acquired by Emdeon in 2014; its network lives on inside Change Healthcare, part of Optum since 2022. If your practice management setup still says Capario, we staff the daily work around it: eligibility, claim submission and status, rejections, ERA enrollment, and denials. Flat weekly pricing from $299 per FTE (volume based), with a trained backup included at no charge. Live in 14 days.

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Capario no longer exists as an independent clearinghouse. Emdeon acquired it in July 2014, Emdeon renamed itself Change Healthcare in 2015, and Change Healthcare has been part of Optum since October 2022. So a practice still searching for Capario is really asking a different question: where do our claims actually go today, and who owns that work? The best support option is not a logo, it is a team. Staffingly staffs dedicated HIPAA-trained specialists who confirm how your claims route now, then run the daily queues: eligibility checks, claim submission and status follow-up, rejections, ERA and EFT enrollment, and denial routing, under signed Business Associate Agreements at a flat weekly fee, never a percentage of your collections. Our specialists work US business hours inside your own systems, under named, auditable logins, with BAAs executed and HIPAA-trained staff.
The Transition

What Happened to Capario?

Capario’s story is longer than most people realize. The company began as ProxyMed, incorporated in Florida in 1989, and later did business as MedAvant Healthcare Solutions. After a Chapter 11 filing in 2008, Marlin Equity Partners bought the business and relaunched it as Capario in March 2009, when it was described as the fifth largest claims processor in the country. Its heartland was the small and mid-sized practice, and many offices did not pick Capario deliberately: it arrived bundled with a practice management system, set up by a vendor or consultant, and then quietly did its job for years.

In July 2014, Emdeon acquired Capario for about $115 million and folded it into its revenue and payment cycle network. Emdeon rebranded as Change Healthcare in 2015, and Change Healthcare became part of Optum, a UnitedHealth Group company, in October 2022. That is where the Capario trail ends today: a small-practice EDI brand absorbed into the largest claims infrastructure in the country.

One more chapter matters. In February 2024, Change Healthcare suffered a cyberattack that halted claims and payment traffic for weeks across the United States, and it pushed many practices to map, for the first time, exactly which network their claims ride on. If your paperwork still says Capario, that mapping exercise is overdue.

Fit

Who Still Searches for Capario?

Mostly small practices, and mostly by accident. An office manager finds “Capario” in old enrollment paperwork or a payer ID list and wants to know what it means now. A practice owner doing due diligence after the 2024 outage wants to know where the claims actually go. Or a biller inherits a practice management setup configured a decade ago by someone unreachable, and the only clue left behind is a brand that stopped existing in 2014. This page is for all three.

Not sure what your clearinghouse is? Pull one recent electronic remittance and one clearinghouse invoice or statement. Between the two, you can usually name the network your claims ride on today. If the trail still says Capario, it leads to Change Healthcare inside Optum, and that is where support requests for the connection itself go. The daily work around that connection is what we staff.
The Problem

Where Capario-Era Setups Bite Today

Nobody can name the clearinghouse.

The setup predates current staff, so when claims stall there is no owner, no support contact, and no map of the route claims take out of the PM system.

See the fix
One outage can stop all the cash.

February 2024 showed what single-network dependency costs. Practices without a continuity plan simply waited it out while payroll kept arriving.

See the fix
Rejections sit unowned.

Small offices work rejections “when there is time,” and time rarely comes. Rejections that sit past timely filing become permanent write-offs.

See the fix
Coverage checked at claim time, not visit time.

Eligibility verified after the fact is a denial, not a safeguard. Two-person front desks skip the check on busy days, and the denial arrives a month later.

See the fix
The Standard

What Makes Support “Best” for a Capario-Era Practice?

Four things, in order. It knows the lineage, so nobody wastes a week calling a company that stopped existing. It starts with an inventory, mapping your actual connections, enrollments, and payer agreements before touching a queue. It staffs the daily work, because a diagnosis without daily hands changes nothing. And it documents as it goes, so the next rebrand or acquisition costs your practice nothing. That is the model Staffingly staffs: dedicated specialists, one accountable team, flat weekly pricing, and documentation your practice keeps.

How Staffingly Supports Capario-Era Practices

Eligibility and Benefits, Before the Visit

We check coverage before the patient arrives, not after the claim denies. For a small office, that is the highest-return work a remote specialist can own: tomorrow’s schedule verified today, plan details and copays entered correctly, and exceptions flagged for a phone call instead of a guess. Front-end checks are quiet work, which is exactly why they get skipped when the same two people also answer phones and room patients.

Claim Submission and Status Follow-Up

Dedicated billers submit claims from your PM system, confirm the batch was accepted wherever your Capario-era connection lands today, and follow claim status until each claim pays or gets a real answer. On legacy setups, the first week is part detective work: we document the actual route, the actual acknowledgments, and the actual turnaround, so “the claims went out” stops being an article of faith.

Rejections, Resubmissions, and Recurring Errors

The rejection queue gets a named owner on our team and a daily clearing time. We correct and resubmit the same day where possible, and we keep a running log of rejection reasons, because in a small practice the same five errors usually cause most of the queue. Fix the pattern and the queue shrinks on its own.

ERA Enrollment, Denials, and the Paper Trail

We inventory ERA and EFT enrollments that may not have been touched since the Capario years, chase missing agreements payer by payer, and make sure remits post where they should. Denials get routed the day they land and worked oldest deadline first, with appeal packets prepared for your signature. The paper trail we build along the way becomes your practice’s map, so the knowledge no longer lives in one head or one defunct brand.

Get a Dedicated Team on Your Claims, Whatever the Network Is Called

Capario, Emdeon, Change Healthcare, Optum: the name will probably change again. Your queues should not care. Meet us, pick the seats you need, and watch a trained team work your own eligibility, rejection, and denial queues before you commit to anything.

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How We Work

How Our Teams Train and Go Live on Your Workflow

Staffingly specialist running eligibility and claims queues for a small practice

Nobody on our bench claims to have worked at Capario, and that is the point: the work does not require the logo, it requires the claim lifecycle. New team members train on your SOPs and your PM system, drill eligibility, submission, status, rejections, remits, and denials in our SOP library and training environment, and then enter supervised production. Every specialist works under an individual HIPAA agreement with named, auditable credentials, never shared logins, and reports production to you every evening in your own format.

Why Staffingly

Why Outsource This Work, and Why Staffingly

Inventory first, assumptions last.

Legacy accounts start with a map: connections, enrollments, and payer agreements as they exist today, documented in a form your practice keeps.

Continuity thinking built in.

The 2024 outage taught the industry what single-network dependency costs. We help you know your route and your fallback before you need either.

Flat fee, never a percentage.

A flat weekly fee per dedicated specialist, no setup fees. Small practices can actually budget it.

Speed with proof.

Live in 14 days. 2-Week Free Trial. Replace any team member in 48 hours. 800+ providers served, 4.9 Google rating you can verify on our listing.

Onboarding

Process and Onboarding

1
Strategy call.

20 to 30 minutes on Teams. We map what became of your Capario-era setup and which queues hurt most.

2
Access done right.

Named user credentials per specialist in your PM and portals, least-privilege roles, your approval on every account.

3
Training on your workflows.

Your SOPs plus our claim-lifecycle library; supervised production from day one.

4
Live in 14 days.

Daily production reports, weekly KPI review, month-to-month after your 2-Week Free Trial.

Security

Security and Compliance

HIPAA-trained staff. Business Associate Agreements executed with every client. Workflows designed to support HIPAA compliance, with SOC 2 Type II attestation, ISO 27001:2022, $5M E&O and cyber liability coverage, and named individual credentials with full audit logs. Read the complete program, including our corporate structure and evaluation framework, at HIPAA and Security at Staffingly.

Pricing

Flat Weekly Pricing Per Dedicated Specialist

Single
$399/ week

1 to 4 dedicated FTEs.

Department
$299/ week

10+ FTEs.

45 hours of coverage for less than others charge for 40.

$399 per week works out to $8.87 per hour across 2,340 hours of coverage a year, flat. Your dedicated specialist covers a 9 hour day, Monday to Friday, a full hour more than a standard shift: the day starts by clearing what arrived after you closed, overnight rejections, remit files, and portal messages, and it ends past your close so far less rolls into tomorrow. A trained backup steps in at no charge whenever they are out. Flat weekly fee per dedicated specialist, never a percentage of your collections, no setup fees.

Start with a 2-Week Free Trial. Month-to-month after, with no long-term contract.

Trained backup VA Dedicated success manager Monthly training updates HIPAA-trained staff $5M E&O and cyber liability
The In-House Comparison
$80K to $120K/yr
Per in-house biller, fully loaded
  • Salary + payroll taxes + benefits
  • Recruiting + turnover replacement
  • Training on your specialty + systems
  • PM seat + equipment + PTO coverage
Run your own numbers
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Tell Us About Your Practice

Not sure what became of your Capario connection, or sure of it and just short-staffed? Share a few details and we will map the right coverage and send pricing for your exact situation within 24 hours.

FAQ

Capario Support: Frequently Asked Questions

Is Capario still in business?

Not as an independent company. Emdeon acquired Capario in July 2014 for about $115 million. Emdeon rebranded as Change Healthcare in 2015, and Change Healthcare has been part of Optum, a UnitedHealth Group company, since October 2022.

Is Capario the same as Change Healthcare?

By lineage, yes. Capario’s clearinghouse business was folded into Emdeon’s network, and Emdeon became Change Healthcare. A connection set up under the Capario name lands in the Change Healthcare infrastructure today.

Our PM setup still lists Capario. What does that mean?

It usually means the configuration has not been reviewed since the acquisition era. Your claims route through successor connections; the useful next step is confirming where they land and who supports that path today. We do that mapping in the first week of an engagement.

Did the 2024 Change Healthcare outage affect old Capario connections?

The February 2024 cyberattack disrupted Change Healthcare systems broadly, and whether a specific practice was affected depended on how its claims routed. That uncertainty is exactly why we inventory connections instead of assuming, and why a fallback plan is worth having.

Should we switch clearinghouses?

That is a decision for your practice and your PM vendor, not something we push. Our teams staff the daily work on whichever network you use, and we can support the evaluation with real data from your own queues if you decide to compare options.

What work can a Capario-era practice outsource?

Eligibility and benefits checks, claim submission and status follow-up, rejection queues, ERA and EFT enrollment paperwork, denial routing and appeals prep, and the documentation of how it all routes, with daily production reporting.

How do your staff access our systems?

Through named individual user accounts you approve, with least-privilege roles, MFA where your systems support it, and full audit logging. No shared logins, no offline exports of PHI.

How fast can a dedicated team start, and what does it cost?

Typically live in 14 days, starting with a 2-Week Free Trial. Pricing is a flat weekly fee per dedicated specialist, from $299 at volume, never a percentage of your collections.

Dan Nandan, CEO of Staffingly, Inc.

Written By

Dan Nandan
Founder and CEO, Staffingly, Inc. · Piscataway, NJ

Dan Nandan has spent 25+ years in IT consulting and healthcare BPO, was among the first in the US to build an RPO/BPO delivery network overseas, and has been featured in Computerworld. He runs the operations and the dedicated virtual teams behind the clearinghouse and billing workflows described on this page.

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Capario, Emdeon, and Change Healthcare are trademarks of their respective owners; the Change Healthcare business is part of Optum, Inc. Staffingly, Inc. is an independent outsourcing company and is not affiliated with or endorsed by Change Healthcare, Optum, or UnitedHealth Group. Staffingly works inside client-owned systems under client-granted access.