Frequently Asked Questions On
Electronic Claims Submissions
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I'm running practice management software throughout my office. How easy is it to get electronic claims installed and working?
Extremely easy, over 140 practice management systems have the ability to send claims electronically.
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My practice currently doesn't have a computer. How can I take advantage of electronic claims?
Although electronic claims do require a computer, it doesn't demand a high-dollar sophisticated setup. There are stand-alone systems that only require a standard windows based PC, printer, modem, and telephone line access.
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Who actually does my electronic claims processing?
An electronic clearinghouse transmits the claims to Delta Dental of Massachusetts and other insurance carriers who accept claims electronically.
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Is electronic claims processing accepted throughout the dental industry?
Yes, almost all major insurance carriers accept electronic claims submissions.
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Once I generate my claims electronically, how can I be sure I sent the right information or if the electronic clearinghouse has received my data?
Before you send your claims a report known as a Submitter Report is generated that lets you know if something is wrong with the claim (i.e.: missing procedure codes, incomplete group numbers etc.). Once corrected, your data is sent to the electronic clearinghouse and an itemized Transmission Summary is generated that lets you know each claim was received completely and intact.
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What other costs are involved in processing electronic claims?
The electronic clearinghouse does charge a small fee for electronic claims processing. This fee varies depending on your practice management software vendor. There may also be an initial enrollment fee.
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