We offer a complete management solution for dental claims that utilizes many of the newer features that have made our Assure^® Claims Drug solution so successful. Our Assure Claims Dental solution supports auto and manual adjudication of claims, integrating the quality and anti-fraud controls you expect.

Our solution takes into account the norms and standards in effect for the Canadian Dental Association and the Association of Dental Surgeons of Québec for the electronic transmission and processing of claims.

Features, Benefits and Options

• Simple, straightforward claims input
• Switching and transporting claims
• Outsourced paper claims management – managed by you or TELUS, in whole or in part
• Detailed, flexible plans to handle insurers’ needs, including plans that provide cross-benefits
• Mutually compatible interfaces for efficient, secure information exchange from insurer to TELUS and back
• Seamless access to dental fee information from a master list of all care codes
• A central professional registry with all dentist-related information required to validate submissions and assign payment
• Remote access to the claims management module
• Complete set of data extraction and reporting tools
• Efficient adjudication process
• Customizable auto-adjudication parameters
• Advanced workflow system to queue pended claims to the appropriate resource to expedite
• Fraud prevention – claims warranting additional scrutiny after adjudication, prior to payment are flagged and deposited in our audit queue and examined by our audit and quality control specialists