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claims
.net designer invoices claims administration claims audit productivity

  

 

 

 

 

The claims module adjudicates all claims on-line, is completely table driven, and does not require any manual operator intervention.

Key Benefits

On-line Provincial Dental Fee Guides
Disability Duration Guides
Prescription Drug Formularies
Cost Plus Plans or Fully Insured
Pending Claims Processor and Reminders
Cheque and Detailed EOB Statements
Cheque Reconciliation Module
Integrated Report Data Base With Over 100 Standard Reports
Claim Approval Limits by Operator by Plan
COB Function and Claim Balances Display
Payments by Cheque or Electronically
Payments to Employee, Provider or Bank Account
Notice of Payments to Insured, if Payment Not to the Insured
New Event Viewer to Display Cheque Processing Events and Errors

Benefit Plans

Benefit Included
Extended Health yes
Dental Benefits yes
Short Term Disability yes
Long Term Disability yes

 

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