BRS provides a variety of electronic claims ("eclaims") and related services, using
several industry partners. Most of our commercial electronic claims are
routed through our partner WebMD-emdeon Business Services. Dental claims
for virtually all commercial insurance companies, Blue Cross/Blue Shield
organizations, and many state Medicaid programs can be submitted
electronically through BRS Computing and WebMD-emdeon Business Services.
A per-claim fee applies to electronic claim submission.
In addition to
electronic claims, BRS also offers Real-Time Eligibility ("RTE"), which enables
dental providers to check whether a patient has current insurance benefit
coverage, and in many cases, provides detailed information on the available
benefits. RTE is generally offered on a subscription basis
(additional per-transaction or payer fees may apply).
For more information on eclaims and RTE, contact BRS
Sales at 1-866-"YES-4BRS" (866-937-4277), or BRS Support at
1-914-747-4015, x10.
Key Benefits
Decreased paperwork
Faster payments from insurance companies
Eliminate lost paper forms
Increased patient satisfaction
Requirements
DOM for Windows Practice Management Software
BRS currently offers electronic claims services to clients using the
DOM for Windows dental office management software. We recommend
electronic claims clients enroll in Software
Subscription Service, in order to obtain updates to the DOM
program and the electronic claims software.
Computer Modem/Internet Connection
A computer modem, with a speed of at least 14,400bps, supported by
Windows and able to dial out, is required for eclaims. A broadband
internet connection is required for RTE.
BRS
and United Concordia Companies Offer Reduced Cost Claims
BRS partnered with
United Concordia Companies (UCCI), to offer a special program for
rebates on UCCI electronic claims submission. Claims submitted for the
major lines of business to UCCI, including Pennsylvania Blue Cross/Blue
Shield, are eligible for a rebate of $0.30 per claim, resulting in an
effective cost of $0.20 per claim. For details, click
here. To take advantage of this special program (for all states
except Maryland), contact UCCI customer service at 800-633-5430, and specify
"BRS" as your claims clearinghouse.
Electronic Claims Enrollment
BRS will provide an agreement to be signed and returned by
the client. Once enrolled, an electronic claims username,
password, and the BRS modem phone number will be provided. Some
insurance companies, primarily Blue Cross/Blue Shield payers, and
state Medicaid administrators, require additional registration for electronic
claims. BRS (or your authorized BRS representative)
and WebMD-emdeon can assist you if necessary. For detailed information
on provider registration for eclaims submitted through WebMD-emdeon
Business Services, see
http://www.emdeon.com/PayerLists/payer_enrollment_forms.php .
In order to take advantage of the special pricing and rebate, for all
states except Maryland, UCCI claims are handled separately (see above).
Electronic Claims News
BRS provides a special newsletter just for electronic dental
submitters, which is automatically transmitted to clients with the
electronic claims acceptance report. The Electronic Claims
News is updated periodically, and contains items of immediate
interest to those submitting dental claims electronically.
Customer Service and Payer List Updates
In the event of a question or problem with an electronic claim, your
first contact should be the insurance company. If the insurance
company is unable to resolve the problem, contact WebMD-emdeon
Business Services (for all claims except UCCI, PA BC/BS, and Tricare).
The current customer
service number for
WebMD Transaction Services is 877-220-7770 (toll free).Please note that UCCI claims (for all states except
Maryland) are NOT submitted
through WebMD-emdeon Business Services.For questions on UCCI claims (for all states except
Maryland), contact UCCI customer
service at 800-633-5430.If
WebMD-emdeon Business Services or UCCI are unable to resolve your problem, contact
your DOM support representative, or
BRS Systems Support at 914-747-4015.
BRS Computing provides regular updates to the electronic claims
payer list, adding new payers as they become available, and updating
existing payer information in the case of insurance company mergers
and changes. To view the current eclaims Payer List, select
Tools, Payer ID List, in the DOM for Windows Program.
Claim Removal Service
BRS Computing offers a claim removal service, which allows for
removal of processed or transferred claims prior to re-transmission by
BRS. This provides the ability to remove claims from your
transmission file after the claims have been transmitted by modem to
BRS, but before re-transmission to WebMD Transaction Services or
insurers. If you made a mistake in claims preparation, this
gives you one last chance to have the claim removed before it is sent
to the insurance company. However, due to the speed with which
claims are handled at BRS, you only have a short time to arrange
removal. Click
here for details on Claim Removal Service.
