After inputting
claim information, your office "sends"
the data through a modem (which connects the computer
to telephone lines) to an electronic claims clearinghouse.
The clearinghouse collects your claim information,
screens it for proper format and missing information,
and delivers it to an electronic "mailbox" for
daily pickup by Delta Dentals computer system.
A claim error (e.g., no Social Security number)
is transmitted back to the dentist by the clearinghouse.
If the claim contains no errors, the clearinghouse
can transmit the claim to Delta Dental.
Delta Dentals
computer receives the claim so it can be stored
and processed and generates an acknowledgment
to the clearinghouse for the dentist. The clearinghouse
provides you with status reports through your
office computer. These reports indicate whether
additional information is needed, and enable
you to verify that your claims have reached Delta
Dental. From start to finish, the entire process
takes approximately 48 hours.
|