Emdeon Dental Provider Services is a powerful, web-based application designed to provide a simplified, end-to-end, single source solution to dental offices, allowing real-time eligibility and benefits verification and claim status tracking, and ERAs by connecting users to the largest group of dental payers in the industry.
As an eligibility solution, insurance companies will instantly provide users with detailed eligibility and benefit information, such as plan maximums, deductibles, utilization, and percentage paid by category. For some payers, users are able to check specifically by procedure code. Most importantly, the eligibility information received is displayed in an understandable, easy to read format that can be saved, printed, and shared with your patient.
Through Emdeon Dental Provider Services, claim tracking has never been easier. Claim information received and generated during claim processing is compiled and presented in an easy-to-use layout, allowing users to track claims throughout the adjudication process. Claims can be found and displayed in a variety of ways, including by submitted file, patient name, payer subscriber number, or date of service, making it simple to manage claims efficiently and rework claim rejections with ease. The searchable interface provides access to claim report information in consistent formats, eliminating the labor-intensive work of monitoring paper claims. Implementation is easy. Using your Internet connection, you will communicate directly with insurance companies. All data is automatically translated to meet HIPAA compliance standards and the privacy of transactions is protected with the highest level of Internet-based security.
Features
- Immediate results direct from payers
- Single source solution for multiple payers
- Detailed patient plan information
- Automate time-consuming business functions
- Claim status inquiry
- Access from virtually any web-enabled computer
- Decrease phone calls to insurance companies
- Improve patient service
- Expedite reimbursements
- Increase cash flow
- Elimination of labor-intensive claim report monitoring
- Identification and correction of trends in rejection activity for higher first-pass success rates
Electronic Remittance Advice (ERAs) are available through DPS or integrated within your practice management software system. Click here for more information about Emdeon Dentals ERA solution.
