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Q:
Do I need any special software to submit WebClaims?
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A:
No. All you need is an Internet connection and a Browser. It supports Netscape Navigator® or Microsoft Internet Explorer® Internet browser, even AOL. If you’re reading this screen, you have everything you need to submit claims via WebClaim.
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Q:
When can I send WebClaims?
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A:
WebClaims can be sent 24 hours a day, seven days a week. WebClaims will be
processed according to the following schedule: WebClaims received by 5:00 PM
West Coast time Monday through Friday will be processed that night.
Confirmation reports will be made available the following business morning.
Those WebClaims received after 5:00 PM will be processed the next business day.
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Q:
How much does a WebClaim cost?
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A:
Industry studies show that each paper claim you prepare manually costs
somewhere between $1.50 and $5.00. WebClaims however, cost only $0.50 for
claims sent to electronic Payers and for claims we print and mail on paper.
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Q:
Whom do I call if I’m having problems or have
questions or concerns?
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A:
If you cannot find the answer to your question here, feel free to contact
our friendly and knowledgeable support staff at (877) WEB-CLMS.
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Q:
Do I need to re-enter patient, insured and
provider information each time?
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A:
We store and maintain your patients and provider information in our highly
secured and state-of-the-art server. You can retreive your patients either by
their chart numbers or names.
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Q:
Can I still submit a WebClaim electronically
if the insurance company is not found on the Payer List?
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A:
Yes. You can submit via WebClaim any claim that uses a standard dental claim
form. If a particular carrier does not accept claims electronically, we simply
print them to paper and mail them for you.
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Q:
Do I need to notify WebClaim if I add a new
dentist to my practice?
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A:
Yes. It is extremely important to register a new doctor before submitting
WebClaims for that provider. To add a new doctor, simply go to the WebClaim
main menu and follow the selections to modify your account.
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Q:
Do I need to notify WebClaim if I have a new
address, telephone number, tax identification number, etc.?
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A:
Yes. Whenever any changes take place in your practice information, be sure
to modify your account information in the Web Claim system. This is the only
way we can insure that the most correct information is being sent to the
insurance company. Keep in mind, it is still your responsibility to also
communicate these changes directly to each insurance company as well.
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Q:
Now that I send my WebClaims electronically,
does that mean I don’t have to follow up with insurance companies?
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A:
We recommend that you follow up with insurance companies on any outstanding
claims that have been submitted, but not settled after 30-45 days.
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Q:
What if an insurance company says they never
received my claim?
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A:
Verify the claim information (name, SSN, date of birth, group ID, etc.) with
the insurance company. If the correct information was submitted and the claim
was submitted through WebClaim, contact Customer Service. If the claim was:
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Electronic – WebClaim will research the claim to determine the status. This
procedure usually takes one to three days.
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Paper – WebClaim will verify the insurance company’s mailing address with you
and resubmit the claim for you.
WebClaim is unable to resubmit or research any claim that is older than 90 days
from the electronic submission date.
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Q:
What if I accidentally submit a WebClaim
twice?
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A:
A duplicate WebClaim received on the same processing day will be cancelled
at no charge. However, duplicate WebClaims submitted on different processing
days will be submitted to the insurance company, and you will be charged for
processing both WebClaims.
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Q:
Can I send WebClaims electronically that
might require x-rays?
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A:
Yes. We recommend that you send all of your WebClaims electronically via
EDI-Health Group. Many insurance companies have reduced or eliminated the
number of procedures requiring additional documentation. Should the insurance
company need supporting documentation to settle your WebClaim, they will
request it either electronically on your WebClaim report or through the mail.
You will be instructed on how and in what format you should forward the
information.
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