PMS Vendor Solutions

How do your Partnership Services work?

Claims are created within your software system, and depending on the method of connectivity used, they are transmitted to Tesia-PCI Clearinghouse for processing. Easy-to-read reports are returned to submitters, providing immediate information about their transactions, and remittance / EOB responses are returned within seconds*, including patient responsibilities.

What communication methods do you support?

Bulletin-board systems (BBS), direct modem-to-modem (toll-free), FTP (batch or fast-batch), real-time (XML, WebServices, HTTPS), and more. Our goal is to provide your customers and systems the easiest, most effective and productive way to connect with the dental industry. For systems that are not designed to transmit, Tesia-PCI can offer our own “object” for seamless integration and use by your customers, or provide our industry leading “interface” software used by thousands of doctors nationwide.

What transactions do you support

Tesia-PCI has developed and implemented all dental and medical X12 HIPAA-compliant transactions utilizing real-time and batch technology. Claims, eligibility, claim status, remittance/EOB responses are available in ANSI, NSF, Tesia-PCI suggested proprietary or even your own custom formats for access by your existing systems. 

What administrative services do you support?

Direct bill with custom reporting, tiered pricing based on your requirements, claims and patient statement printing, data backup & recovery, unlimited direct customer support  services (installation, registration, level-one claims research, level-two technical), credit card processing, telemarketing services and auto-dialer systems available to reach your customers, and more!

What do you provide that will enhance our relationship?

Tesia-PCI uses a sophisticated, proven core technology that offers robust monitoring and reporting for our staff to focus on identifying most errors before they affect your customers. By isolating issues that arise with submitter’s transactions pro-actively, often Tesia-PCI staff correct problems before an office even suspects there is an issue, and applies the appropriate measures to address transactions affected during the issue.

How do you handle registration?

Tesia-PCI continues to find ways to resolve resource-draining measures with robust, technological solutions. Offering a web-based “registration portal”, Tesia-PCI delivers a simplified way for an office to complete one (1) form, and automatically receive all registration paperwork immediately — on the screen — for printing and submission (along with specific instructions (by Payor)), reducing the effort to a single event.

Additionally, Tesia-PCI works directly with insurance companies who require registration to isolate those instances where auto-registration can occur, behind-the-scenes, without submitters even realizing the process is underway. Either way, Tesia-PCI handles the process on your behalf in a professional and efficient manner

 

 

Tesia Test

If your organization answers yes to any of the questions below, Tesia-PCI can help. Reduce lengthy and costly in-house development to gain advanced EDI capabilities for your clients.

Tesia-PCI services can be co-branded or private labeled to enhance or replace aging, non-compliant products and services.

• Does your software system need the ability to offer all-Payor EDI services?
• Can your clients check eligibility, claims status & EOB’s?
• Does your software have REAL-TIME CLAIMS capabilities?
• Can your software provide electronic attachment EDI services?
• Do you need a full service partner who can provide direct billing, claims printing, direct customer service and claims support?
• Would you like to offer Patient Statement Printing services to your clients?
• Do you process dental claims, and need a partner that provides a more complete service at better rates?
• Would you like an easy, automated registration process for your offices?
• Do you need a communications method, possibly an integrated “object” to allow your offices access to EDI communication services?
• Would you like to submit transactions in a proprietary format?
• Do you want a partner you can count on to address on-going issues in a timely and professional manner?

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