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There are NO Start up costs for EDS, INCLUDING the communications software!
We do NOT charge a per-provider fee.
We have NO annual fees.
We have no support fees and no hidden costs.
The entire operation of EDS is based around the computers doing all the work. Certainly, human hands are involved, but by keeping our costs to a minimum we can pass savings on to you! Also, whenever you send dental claims through your practice management system, they always want a high percentage of profit. We cut out the middle man and file directly to the insurance companies.
YES! EDS can use the internet or a modem to submit transactions.
If you use a cable modem or DSL modem, those are intended for the Internet (see above). EDS also uses a NORMAL TELEPHONE LINE MODEM to communicate with the server. If your computer does not have one already built in, an external modem that can be plugged into your serial port or your USB port can be purchased for less than $50 at your local computer store. If you need assistance, please contact EDS.
No, EDS will take care of most of the insurance companies for you. However, some insurance companies require a signature from the providers on their forms. In these cases, EDS will provide you with the necessary forms.
The HIPAA format is what we at EDS are asked to submit our claims to the various insurance companies in. You would think that this would be a "standard", and that is not correct, as various insurance companies EACH have their own special way of interpreting the data. That is why there IS a EDS...so that you don't have to worry about the various formats or updates, you just have to give EDS your claim data using the HCFA 1500 form format. WE DO THE REST...from converting your data to the proper format, to the transmission of your dental claims, TWICE A DAY to the insurance companies.
For an in-depth look at all things HIPAA, check out http://www.drzur.com/hipaa.html.
Yes. If a payer doesn't accept electronic claims, we will drop the claims to paper for the same low cost..
You can be sending in claims TODAY! The commercial carriers will take your claims immediately and the Blue Cross/Blue Shields and government claims only take a few days. With other clearinghouses this could take 6 weeks!!!!
When you sign up with EDS, you will be sent a series of forms. Some of these forms can be faxed back to EDS and some need to be mailed. Any form that requires a signature will HAVE TO BE MAILED. We also ask that all signatures be in BLUE ink. We MUST have original signatures to send on to those insurance companies that require them.
We also need you to send us a sample test batch of claims, via the EDS software that was sent to you. Please try not to send in less than 10 claims and please try to send us claims with as much filled out as possible as we will use these test claims to "map" your file and the more information available to us, the less we have to guess at certain fields.
Once we have received your forms and your claims file is "mapped", you are READY TO SEND in your "commercial" claims. It takes 21 working days to be able to send your government claims.
Yes. EDS will work with most Practice Management Systems. Contact us if you have questions about integrating EDS with your system.
EDS works with many different software packages and we can recommend a few for you to shop around and explore. If you have a need to JUST send in some claims electronically, EDS does have our own Provider CLAIM SOFTWARE built into our application.
"NPI" stands for "National Provider Identifier" and all providers MUST obtain this number. Contact your local Medicare office. As to what to do with it, there is a schedule being set by Medicare that allows for the transition from the old or "legacy" number to the new NPI. Medicare will decide WHERE on the HCFA form to put this information but with EDS, we can put that NPI number exactly where Medicare requires it, electronically and YOU DON'T HAVE TO DO A THING!
Yes you can review your claims before they are sent to EDS. However, if a claim has incorrect information, you should NOT try to correct that information at that level!! If a claim is not correct, then you must clear the claim and resubmit the claim again so that the data is correct in your Practice Management system.
The payers process overnight during the week so we get the mail from the payers in the morning and distribute it at the same time. Most payers will not give us mail on the weekends and holidays.
Yes, the system is up and running 24 hours a day, 7 days a week. If you wish to talk to a real person, our hours are 8am to 5pm, CST, Monday through Friday.
Although we prefer to use the credit cards, we understand that some people like to write checks. Our policy is that if the last invoice was not paid by the time the current invoice is issued, the system will automatically shut the customer out from being allowed to submit claims until all invoices are current. We apologize for any inconvenience this may cause but in order to pass on the savings of low overhead, EDS simply cannot afford to hold unpaid invoices. In the case of "flat" fee customers, using a credit card is required.
EDS should be the last of your worries when it comes to your claims processing. The software is designed for ease of use and even though it does some pretty complicated things, it does so automatically. After your EDS software is set up, you need to only open the software and click on a single button to submit your claims. Can't get much easier than that!
We will drop them to paper on your behalf.
If the payer you would like to submit is NOT associated with EDS payer list, then we can contact that payer directly to see if they will accept claims from EDS. This includes government claims.
It is our goal to add these payers to our list, so please feel free to let us know about them or to let them know about EDS!