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Can your dental-plan software effectively monitor the quality of care while keeping control of the benefits dollar? TriZetto® has designed the AutoDental component, a software solution integrated with the QicLink™ system, to provide you greater control of your dental plan, from plan set-up to printing of checks. AutoDental gives you a foundation for success in today's evolving marketplace.
Integration with QicLink enables auto-adjudication of claim/encounter data according to dental-procedure edits for which you establish the procedure code and the plan. AutoDental accepts claim data from various sources, automatically from remote locations, electronically, or via OCR input from high-speed data entry. It can modify payment parameters based on provider specialty code and it automatically replaces obsolete procedure codes and performs procedure edits. When used with the ClaimBatch component, also offered by TriZetto, AutoDental can accept claims electronically. AutoDental also stores dental history of enrollees and generates pre-authorizations, including pre-treatment payment estimates.
Benefits
- Reduces processing costs
- Increases productivity, accuracy and consistency
- Saves staff time, as only claims that don't auto-adjudicate on first pass require review by an adjuster
- Increases throughput, by allowing the capture of claim or encounter data from multiple sources
- Meets requirements of fee-for-service, PPO and point-of-service plans
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Information
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For more detailed information, please call 1-800-569-1222 or click on the link below.
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