DENTAL

NexgenRx’s sophisticated, leading-edge dental claim systems provides plan members, plan administrators and plan sponsors access to online claims processing in real-time. The adjudication process includes a thorough authentication of eligibility, procedure code verification and payment information, and maintains a complete claims history. Our systems are compatible for electronic claims adjudication with all licensed dentists across Canada who have CDAnet. Our qualified staff can also provide manual dental claim adjudication with the same quality and controls as our automated systems.

Some of the features of the NexgenRx dental claims system include:

• Compatible with EDI submissions originating from CDAnet versions 2.4 or 4.03
• Customized rules, messages, and frequency limitations
• Ability to support online coordination of benefits (COB) with public and private sector plans
• Dental professional database
• General Practitioner (GP) and Specialist Fee guides
• Dental consultant services
• Dental claim audits
• Cost plus
• Heath Care Spending Account