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Uniform Glossary of Terms
Claims & Billing

Pre-authorization allows you to know, upfront, if a procedure or medication is a covered benefit. Pre-authorization includes:

Electronic Transactions
Electronic transactions include sending and receiving information electronically between trading partners – clients and vendors. Electronic transactions can make your business more efficient and your workflow more precise. Use electronic transactions to:

  • Save time and money
  • Reduce administrative costs
  • Reduce or eliminate data errors
  • View and print documents instantly

View our electronic transaction options and requirements.

Submitting Claims
We require dental claims to be submitted electronically. Electronic submission of medical claims will be required later in 2013. We strongly encourage you to make the switch now. Learn more about our claims submission requirements, including:

Receiving Payment
Receiving prompt payment is essential to your office. Learn how to make this process more efficient including: