15
Volume2 Issue5
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CDA
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AlbertaBlueCrossacceptsX-rayselectronically
AlbertaBlueCrossnowacceptsX-rays andother documents in support of
claim transactionsusing theCDAnet version4.1attachment transaction feature.
Dental offices can transmit supporting informationelectronically, saving
postageand improving turnaround time.
Currently,Maxident andGoldDentalOfficeSoftwareare theonly software systems that fully support attachment
transactions, althoughothers are looking intoadding this feature. Findout if your vendor supportsorwill soonbe
supporting this transaction.
a
The transmission and administration processes for electronic dental
claims (e-claims) are always evolving. Driven by a variety of factors—
claims processors’ desire to reduce costs, retirement of old technology, and
CDA’s goal of making e-claims simple for dental offices—the following
industry developments could have an impact on the way your dental
office processes claims.
WHAT’SNEW
in Electronic Claims?
ByGeoff Valentine, CDAManager of Health Informatics Services
Formore informationabout
CDAnet
, includinga link toadocument that lists
the typesof transactions supportedby thenetworks and insurancecarriers, visit
MoreOnline
Great-WestLife introducesbundledpaymentsand statements
Starting in July2015, Great-West Life is enhancing thepayment process for
all dentistsbyofferingweeklydirect deposit payments insteadof individual
chequesper visit. Paymentswill includeaneasy-to-readelectronic statement
withdetails—breakdownsby familynameandpatient, servicecodes, tooth
numbers andmore—tohelpyou reconcilepayments.
Great-West isworkingwithTELUSHealth tomake signingup for direct deposit andelectronic statements fast, easyand
secure. Dentistswhodonot signup for direct depositwill receiveachequeand statement bymail twicemonthly. Go to
telushealth.com/directdeposit
formore informationand to signup.
SunLifeFinancial acceptscoordinationofbenefitclaims
SunLifehasupgraded toCDAnet version4andnowaccepts co-ordinationof
benefits e-claims. This change improves serviceby reducingclaimprocessing time
andcost.
Whenapatient has coverage from twodifferent carriers andSunLife is the
secondarycarrier, thedental officecan transmit theexplanationof benefits from the
first claim toSunLife for electronicprocessing. Bothclaims canoftenbe settledwhile thepatient is still in theoffice.
If your office isnot familiarwith thecoordinationof benefits claim transaction, contact your softwarevendor for
informationonhow toprocess themwithyour software.
