Claims Processing
  Claims Adjudication
  PPO Repricing
  Forms Processing
  Enrollment & Eligibility
  Fraud Detection
  EDI Integration
  Data Entry Services
   
Services :: Insurance :: Claims Processing:: Dental Claims

Dental Insurance Claims Processing:

Dental Insurance is a special niche; very few people have dedicated teams following this important piece of the insurance chain. This is due to the fact that there are several variations of dental forms of American Dental Association (ADA) and also which are recommended by American Association of Orthodontists and FACETS system. VeeInsures - VeeSmile is one of the very few companies that possess dental claims processing experience. The dental forms are intricate and very often the images are challenging and need competent processors to evaluate, estimate and espouse the claims processing path

A few types of Dental Insurance Claims processed at Vee are:

  • American Dental Association J 504, J510, J511, J512
  • 2002 -2004 ADA
  • ADA 1999 version 2000
  • ADA 1994 J510

5 reasons why our clients look at Vee for processing their dental claims are:

  • Unique Differentiator - Training/migration
  • Quality
  • Faster Turn Around Time
  • Process, Technology and ease of working
  • Organization and People

The Unique Differentiator:
One of Vee’s brand promise is ‘Leadership in outsourcing through world class education’. Vee Technologies' parent group ‘Sona Group’ believes in education community development and towards this endeavor runs several group of institutions like The Sona College of Technology www.sonatech.ac.in, Sona School of Management www.sonamgmt.org and Thiagarajar Polytechnic College www.tptcsalem.com Together these institutions educate over 5000 students. Staffing therefore is never an issue. As Vee Technologies has training programs to harness its employees in the college to educate, train and develop its human resources. This has enabled Vee to develop programs in various areas like US Healthcare, Insurance, HIPAA, Information Security, Medical CPT coding etc. These programs have made VeeInsure to move its services up the skill curve. It has convinced our clients to offer us several complex processes which they would never have thought in the first place. Vee understands that outsourcing is a relationship that evolves over time and grows once the confidence is built.

Quality:
The Vee Guarantee for quality: Vee believes in its quality and offers a performance guarantee that states that it will get paid according to the quality it delivers. If the quality is bad then Vee gets paid less. But if the quality is better than required we request our clients a bonus. Vee is a fair employer and shares this bonus with the team members.

  • Training – Through our college where over 5000 students study, we are able to set up specific training courses that are customized to suit client requirements. We employ DICUM and Courseware based training methodology in our training approach. We use a lot of instructional design and e-learning tools to train our employees. Technology to assist - we use best of breed softwares like OCR, ICR, Work flow engines etc. Six Sigma Standards - we are able to guarantee the best of our transactional expertise and offer six sigma level quality.
  • HIPAA Compliance - Vee Technologies is one of the first companies outside the US to be HIPAA compliant. We have been HIPAA compliant from 1999 onwards. Ontrack Performance Guarantee - we are able to enter SLAs with direct penalties if the quality is below par, and if the quality is better then we realize bonuses. These bonuses and penalties are shared with our employees. Vee has achieved ISO 9001:2000 certification and is certified by RWTUV.

24/7 Operations for faster Turn Around Time
Work when you sleep - Susan, one of the team members with our client says with the glint in her eyes, “Its sooo kool- I can actually work when I sleep its awesome! I go home leaving a pile of work and get back in the morning and my work is done! Waoo!! This gives me time to focus on the key aspects and have been able to get effective“ Time Zone Difference - because of India being 10-11 hours ahead of US the processing work can be done during US night time which is daytime in India.

Like the US ambassador said- put India and the USA together and you have a true 24 hour democracy. The fact that Vee’s processing centers work 24X7 is another catalyst in quickening the velocity of the turnaround. Jen another team member with another client says, “What freaks me out is that I get an email from Vee and its dated tomorrow! - incredible” Be ready to have such quicker service with Vee!

Process, Technology and Understanding Process Workflow

  • Electronic claims to be loaded into FACETS or any other systems in batch form
  • Vee will use client’s FACETS or any other system – Access FACETS via Citrix/PC Anywhere/Remote Desktop
  • Vee has experience with Trizetto systems (RIMS)

The main idea is to look for a back office processing solutions which will make the process faster cheaper and better:

  • Faster
    By offering reduced turnarounds taking a process which works 12 hours to an integrated 24 hour process. This enable the clients team to focus on things like member servicing, and look at areas like fraud and abuse and other critical areas like customer acquisition.
     
  • Cheaper
    By getting a low cost benefit by switching to a variable cost model from a fixed cost. We can also look at pricing models for our services on a per member per month based pricing.
  • Better
    Better quality is one good reason, quality in terms of HIPAA and security certification is a safety insurance, added to that the comfort that Vee has multiple centers for processing work is a bonus.
Technology:
Vee Technologies has a passion for technology and this shows in the products and processes that we have. Vee uses best of breed Technology to assist from hardware to software and from bandwidth to security system.

Bandwidth- Vee have several ways to connect with clients. As we believe that each client has its own path when it comes to access and security. Hence there are several ways that we connect with our direct point to point connectivity- IPLC lines which can connect to the Client systems and be able to work seamlessly. We also VPN lines established through our T1 internet lines with some of our clients. With some FTP in the path to get work. With others we ‘share their desktop.’

Vee has the proven capability of processing most of the aspects in dental insurance processing.

Vee will be happy to answer your questions and discuss over a call. Please contact us on 1-877-794-9514 or email at

 

 
 




Toll Free: 312-373-9346





Download Casestudy on
360 Degree Claims Processing
Health Insurance

 

“There is no better company to get your back office transaction work done”

– John (COO-Leading Document Management Company






Privacy policy | Copyright 2010, Vee Technologies, All Rights Reserved

Suite 111, 1290 Baltimore Pike Chadds Ford, Pennsylvania, PA 19317