WebClaim offers a proven, state-of-the-art Internet service,
backed by an experienced staff of sales, marketing, and customer service
professionals ready to develop the right plan to meet your goals.
EDI Health Group, Inc. is committed to offer various solutions to
payers ranging from establishing new HIPAA compliant EDI links to licensing one
of the Co-branded WebClaim services. It is an EHG directive to work very
closely with partnering payers to increase their existing EDI volume through
innovative joint-marketing programs that includes electronic claims educational
seminars.
With more than one decade of experience in the area of dental
claim processing and having Built-in a comprehensive set of payer-specific
edits along with other quality technological tools, EHG can help the payer
community by providing them with claims right into their adjudication system.
This will help payers to increase the quality of their relationships with
member providers while dramatically decreasing their administrative costs.
WebClaim Portal was designed in 1999 to create the web-based
connectivity for transactions between payers and providers with the mission in
mind to provide excellent all around service that is achieved by working with
our contracted vendors to develop such solutions. (WebClaim Upload) WebClaim
Direct also has been a great tool for providers that are not utilizing any
practice management software in their office. It gives them an advanced, cost
efficient and all-payer access in all areas of electronic transactions
including claims and eligibility.
Claim status makes up a large percentage of incoming call center
costs. Providers who submit claims electronically can obtain this information
online instead of calling the payer’s customer service. EHG can work with you
to substantially reduce customer service-related costs, so that you can provide
even better customer service at a lower cost.
WebClaim can help a partnering payer to deliver Internet
transaction services with a customized package. WebClaim recognizes that a
payer’s identity is important to maintain. Payers can select from one of the
Co-branded services that include their organizations logos, and colors, up to
and including an exclusive private brand. This is just one of the many ways
that WebClaim can offer the competitive services that the market demands.
Our company goal is to ensure that we are able to support the
complete transactions set (claim submission, claim & eligibility status
inquiry/response and electronic remittance advice) addressed in the final HIPAA
regulations, as our payer partners are ready to provide such transactions to us
in both batch and real-time modes.
EHG’s direct EDI payer connects include:
Delta Dental of CA, Blue Cross of CA, Denti-Cal/Medicaid of CA, Delta Dental of
AZ, Delta Dental of DE, Delta Dental of IL, Delta Dental of RI, Delta Dental of
NC, Delta Dental of NM, Delta Dental of NY, Delta Dental of WV, NE Delta
Dental, Delta Dental of Washington DC, Delta Dental of PA, Unicare Special
(John Hancock), Unicare Major (Mass Mutual), United Concordia Co. (Fee For
Service, Tricare-FMDP, Blue Shield of PA) and WellPoint (BC Life & Health).
There are several payers that currently are testing with EHG. Also EHG by the
way of partnership with other clearinghouses and portal companies is hoping to
provide more direct links to the provider community.
EHG’s free Web-based eligibility provides links to some major
participating carriers such as Delta Dental of CA, United Concordia Companies,
Ameritas and Washington Dental Service.
EDI Health Group Inc. along with its sister company Electronic
Insurance Service is an All-payer clearinghouse that provides a variety of
services, including electronic (EDI) claims [including Medicare, Medicaid, Blue
Cross/Blue Shield, Commercial] distribution, Hardcopy [print-to-laser ADA
insurance form and mail], and translation services.
We have been chosen to be the all-payer dental processor for
dozens of practice management software vendors, and other regional and national
clearinghouses.
"Since 1996, Denti-Cal has been receiving claims electronically
from EIS/WebClaim providers. I have been impressed by their consistent
dedication to providing first-rate customer service and technical support, and
their on-going commitment to EDI in general. We are happy to work with them and
appreciate their efforts. I give them two thumbs up!"
Barbara Castelli
EDI Support Coordinator
Denti-Cal (CA Medicaid)
"It has always been a pleasure working with EIS/WebClaim. They
have a great staff and are always very responsive to our needs. Should issues
arise, they always step up to the plate and work with us as a team to get them
resolved quickly and correctly."
Theresa Jansen
EDI Manager
United Concordia Companies
"Delta of California has received claims from EIS/WebClaim for 6
years. We find them to be very responsive to any technical issues that arise
and favorable to incentives we plan for providers. Their customer service to
the providers is also excellent. They are very forward thinking in the world of
EDI. We value their partnership and would recommend them to any company who
wanted to do business with them."
Debbie Keatley
EDI Manager
Delta Dental of California
