State-Of-The-Art Claims Processing
Friday, November 20, 2009
DCS2000® is State-of-the-Art Claims Processing

DCS2000 integrates claims, eligibility, and billing functions. And, since claims are keyed directly into DCS2000, errors are greatly reduced. This “one-stop” claims processing system’s unique capabilities are at the core of how Delta Dental delivers superior service to our members and, just as importantly, cost savings to employer groups.

The core components of the DCS2000 system are:

  • Accounts Receivable Module
  • Billing
  • Claims Adjudication with "Rules Based" History Cross Check & Pricing Logic
  • Claims Processing with Queue Routing & Workflow Management
  • Customer Service Inquiry
  • Fee and Plan Allowance Maintenance
  • Group & Contract Maintenance
  • Payment
  • Provider & Facility Maintenance
  • Subscriber (Eligibility) Maintenance
Flexibility
DCS2000 is designed to support multiple products and plan designs, with flexibility to customize for individual group contracts. Keying and human error are dramatically reduced because the system incorporates standard code tables for selection and cross-reference. DCS2000 requests return all information available for a particular inquiry, including displaying images of claims on the Claims Processing and History screens.
Claims Imaging and History

All paper claims are numbered and imaged upon receipt. Claim information is then keyed directly into our system and linked to the image of the original document for access during inquiry or processing. This practice significantly reduces lost claims, enhances data security, and allows for automatic display of the original document image whenever a claim is queried.

Claims are filed directly to Delta Dental by network and, in most instances, non-network dental offices. Within three days of receipt, they are entered into the system. Claims are keyed directly into our system, and images are scanned and linked to the claims for access during inquiry or processing.

Contact Us

For more information on how your group can benefit from the DCS2000 claims processing system, contact your regional sales representative.

If you are with another Delta Dental member plan and would like information on licensing the DCS2000 system for your company, please contact us.

 

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