| |
Dental Claims Processing is tuned for Insurance Companies and Dental Providers.
It tracks everything necessary to properly process claims from Provider Service Agreement fee schedules, Employer Contract benefit schedules,
to member eligibility Enrollments. Automatically calculates and creates provider paychecks, sales commission checks, and employer or self-insured
invoices. Features automatic retroactive delete and add calculations. Supports XML, point-to-point, and batch interfaces. Provider interface
detects when a participating insurance company is on-line and will submit the claim directly.
Thus eliminating time-consuming reconciliation associated with batch interfaces. The provider
receives current enrollment information maximums, limits and exclusions on-line. Provider
Payment schedules are synchronized automatically. Patients can even view appointment scheduling
on-line. Insurance Companies can allow employers to maintain Member Eligibility on-line, or Members to view status or utilization on-line. And for
non-participating Insurance Companies traditional paper or Batch file transfer via modem, VPN, or Internet.
 |
|
