Payers
Payers
Enhance your EDI offerings with ClaimConnect™
EDI Health Group, Inc. ("EHG") offers a proven,
state-of-the-art Internet service, backed by an experienced
staff of sales, marketing, and customer service professionals
ready to develop and implement the right plan to help you
achieve your goals.
Partners in your Success
EHG is committed to offering solutions to payers ranging from
batch claims connectivity to establishing support for new HIPAA
compliant transactions. By working closely with our Payer
Partners, we are able to increase their existing EDI volumes
through innovative technology and joint-marketing programs,
including telemarketing and direct mail campaigns as well as EDI
educational seminars.
Experience that Counts
With more than a decade of experience in the dental claim
processing industry, we have developed a comprehensive set of
payer-specific edits that allow EHG to provide our payers with
clean claims that can be adjudicated much more efficiently. This
helps payers to increase the quality of their relationships with
member providers and groups while dramatically decreasing their
administrative costs.
Payer Portal
The EHG Portal concept was designed in 1999 to enable Payers to
have a customized "private labeled"
ClaimConnect™ transaction intake system that bridges the
gap between Providers and Payers. Payers can include their
organizations logos, and colors, up to and including an
exclusive private brand.
The system is compatible with most major dental software
programs and also provides the ability for offices without
dental software to enter claims online. In addition, they can
check eligibility and benefit data, review claim status, and
receive electronic EOB data through one simplified and secure
interface.
Payer Benefits
- Receive cleaner claims, reducing claim handling costs.
- Drastically reduce call center volume and costs by rapidly deploying claim status and eligibility capability to your provider network (HIPAA 276/277 & 270/271).
- Further reduce administrative costs by delivering electronic EOB information to providers.
(HIPAA 835).
- Opt for our enhanced claim validation that will verify eligibility prior to releasing the claim to your system. Never receive a claim that belongs to another payer again.
Provider Benefits
- Fewer rejected claims mean faster payments and improved cash flow.
- Simple interface that works with their software.
- Reduced administrative costs.
- Improved case acceptance.
- Improved Payer and Patient relationships.
The Bottom Line
While many companies are just now jumping on the electronic
transaction bandwagon, EDI-Health Group and its partners have
been pioneering and shaping the industry since 1989. When
selecting an electronic transaction partner, choose a company
whose focus is providing a smooth transition plan from batch
connectivity to the benefits of real-time services, at your
pace, working within the capabilities of your infrastructure.
Contact us today to find out how a partnership
with DentalXChange can set your products apart from the pack.
Call
800.576.6412 ext. 459 or click
here.
