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Analyzing dental claims processing workflows for ways to optimize efficiency starts with a foundational understanding of the extensive journey a dental claim goes through before a patient receives the final bill. Drafting the final dental bill requires the claim to go through 12 or so steps, providing many opportunities for error that ultimately can harm […]
Dental claims processing entails all aspects of giving care to patients, starting from the moment a patient is registered until the explanation of benefits (EOB) and payments are completed. Dental insurance claims are submitted via paper and electronically. Electronic transactions are where clearinghouses such as the Smart Data Stream Clearinghouse come in. Clearinghouses give dental […]
If you’ve never had to file a workers’ comp claim, they can be a little complicated to understand. There are numerous steps involved, and it requires the diligence of both the employer and the insurer to file the claim correctly. Thanks to the help of property and casualty businesses, or other front-end providers, all parties […]
Electronic claims attachments, or eAttachments, are additional documents that go along with a medical claim that does not fit into the constraints of the claim itself. The attachments provide supplemental information the claims processor will use in processing the claim. These may include operative and discharge summary forms associated with the procedure claim, a Certificate […]
A mailroom is a key component of traditional healthcare claims and correspondence processing. As advancements continue to be made, mailrooms continue to digitize with the help of automation. What is a digital mailroom, you may ask? Let’s find out. What is a Digital Mailroom, and How Does it Work? Mailroom management is a unique sector […]
Automated data capture pulls information electronically from paper forms using OCR and other capture software. This information is then formatted and converted into electronic data files for processing in downstream systems. These automated processes have replaced much of the manual data entry and the inefficiencies associated with those legacy processes. What Types of Forms Have […]