
The Eligibility and Claims Processing Suite simplifies insurance claims and eligibility checks, reducing administrative burdens and expediting payments. It integrates with practice management systems to improve patient treatment acceptance and streamline operations.
Vendor
Henry Schein One
Company Website
Eligibility & Claims Processing Suite
Simplify insurance claims and eligibility checks with a solution that reduces administrative burden, expedites payments, and improves patient treatment acceptance.
What’s Included?
Effortless insurance eligibility verification
Eliminate hours spent calling payors and logging into portals with instant eligibility and benefits information for upcoming appointments written directly to coverage tables.
Automatic coding and attachments
Never forget to bill for an x-ray again. Embedded imaging is connected to your claim submission workflow, so every image is accurately coded and automatically added to the correct claim.
Confidence to get paid from the first claim
Stop reworking rejected claims and send clean claims on the first submission. We validate your claims, flagging required documentation before you send it. Images are auto-coded as they’re taken, so your back office isn’t left guessing.
Claims and attachments for every payor
Easily attach images, charts and narratives to your claims in the same workflow. We’ll even print and mail claims that can’t be processed electronically for you, at no additional cost.
ERAs expedite payment and reconciliation
Stop waiting weeks to bill the patient. Efficiently manage rejected claims with electronic explanations of benefits (EOBs), or electronic remittance advice (ERAs). Easily pinpoint rejection reasons to correct information and resubmit.
All the data you need, in one place
Monitor submitted claims and access information for adjudications with a real time dashboard. Eliminate the need to log into third-party dashboards, downloading and uploading claims, and entering information into multiple systems.