EDI-Health Group, Inc. offers:
WebClaim™ Direct:
A unique service that allows dental providers to directly access the hundreds
of paying organizations in this country without use of a third party software
such as a practice management software through a simple internet connection.
Whether the patient is covered by a an indemnity plan or by Medicaid /
Medi-Cal, you can be confident in the fact that WebClaim™ can help the provider
get paid - faster and more efficiently than with paper claims.
WebClaim™ Upload:
For those with practice management systems, claims can be uploaded directly to
the web server with nothing more than an Internet browser. This will provide
instant connectivity to a variety of dental software in the marketplace today.
Available via the Web or in a dial-up mode, WebClaim™ Upload provides the
strongest electronic claim offering available today.
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The processing of electronic claims follows much the same "path" as a paper
claim, but it is much faster and more efficient. The basic flow of a WebClaim™
is:
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Providers either enter the WebClaim™ directly, or upload a created file from
their practice management system to our secured server for distribution.
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The WebClaim™ network sorts the claims and checks for accuracy.
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The WebClaim™ submits the claims to the respective payers.
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The payer processes the claim and sends a response back.
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The WebClaim™ displays the notice back to the provider on the web.
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| The WebClaim™ network claim system takes a heavy burden
off the dentist. The office staff no longer needs to sort and verify each claim
for each patient that they have seen. WebClaim™ handles all of the
tedious work electronically. This reduction in office workload can free the
office staff to handle more important duties. Also, with the speed and
efficiency of electronic claims submission through the web, the dentist gets
paid in days, not weeks. |
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| By being an "All Payers" Clearing house WebClaim™ will
print the claim (in case the carrier does not accept electronic claims) and
mail it on behalf of the provider.
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| Furthermore, WebClaim™ claim system is ANSI, NSF and Y2K
compliant and all transactions are processed through Secured Socket Layer (SSL)
technology with highest degree of digital encryption. |
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| Additional benefits for both offerings include web-based carrier
response reports, web-based interface with electronic attachments such as
FastAttach by NEA and Tigerview by Televere and web based eligibility links to
some major participating carriers such as Delta CA, UCCI, Ameritas and
Washington Dental Service. |
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