Notes
Slide Show
Outline
1
WebClaim Powered Payer Portal
  • Dental Claims Intake Solution for Payers
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Our Understanding of the Issues a Payer Faces
  • You Need:
  • An Interface that the Average Dentist Can Understand
  • Expertise & Know-How in Dealing with Provider’s Desktop
  • To Respond Effectively to the Dentists Needs
  • To Provide Added Value to your Providers
  • To Support the Needs of  Your Groups
  • To Stay Current with Technology
  • The Ability to Provide an All-Payer Processing Network
  • To Differentiate Your Site from the Competition's
3
Our Understanding of Your Needs
  • The WebClaim Solution is designed to meet the needs of both Payers and Providers.
4
Meeting the Needs



  • Free License to Payer Organization
  • Can be Implemented in Days
  • Payer’s Look & Feel
  • Reduced Claim Price to Providers
  • Payer Option to Offer Partial or Full Claim Subsidy
  • All-Claims, All-Payers , All-Software Processing
  • Eligibility Access to Payer Partners
  • Integrated with NEA for Electronic Attachments


5
Our EDI Success Model
6
WebClaim Facts

  • First Internet Submission
  •     Claim System in the U.S.
  •     (Established 1999)
  • Backed by our own
  •    Dental Clearinghouse
  •     (Electronic Insurance Service)
  •     (Established 1989)
  • Direct Data Entry
  •     (WebClaim Direct)
  • Interfaces with virtually all Dental Software
  •      (WebClaim Upload)
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WebClaim Direct
  • Easy (ADA-Like) Interface
  • Stores Patient Information
  • Stores Insurance Information
  • No Software to buy or download
  • Safe & Secure SSL Connection
  • No Need for Data Back-up
  • HIPAA Compliant






8
WebClaim Upload
  • Easy Claim File Upload Utility
  • Supports All Current Browsers
  • Customized Provider Profile
  • Real Time Claim Validation
  • Instant Transmission Confirmation
  • Safe & Secure SSL Connection
  • HIPAA Compliant






9
Portal Architecture
  • Web-Clustering
  • Load-Balancing
  • Proven Commercial Tools
  • IIS for our web servers
  • Websphere / Weblogic for our application servers
  • .NET & Java for application development
  • Oracle 9i Database Server
  • XML Web Services
  • Data Warehousing Tools
  • Business Objects
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WebClaim Portal Claim Pricing
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Built Around HIPAA Standards
  • (276) ………… Claim Trace
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Payer’s Look and Feel
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Backed by WebClaim Support Infrastructure
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Delivering the Results that Define Success
  • Reduced Staff (CSR & IT) Costs
  • Improved Provider Communication
  • Improved Group Communication
  • Faster Response Times to Customers
  • Reduced Payer’s Processing Costs
  • Increased Payer’s EDI Volume
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What Next?