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CompBenefits Upgrades Claims Processing To Speed Customer Reimbursements

September 29, 2004 (ATLANTA)—CompBenefits, the dental and vision benefits company serving more than 4.5 million people, announced today three initiatives designed to increase the company's speed and efficiency—especially when paying dental claims—and communications with members and dentists.

"Providing the highest level of customer service is one of CompBenefits' strengths and hallmarks," says CompBenefits President and CEO Kirk Rothrock. "Technology is an integral part of satisfying customers, and we are committed to upgrading our systems to meet their demands."

With the implementation of Dental Logic software, CompBenefits is expanding its claims auto-adjudication, a function that allows automatic payment or denial of claims, based on a patient's claim and dental history. The change will enhance the number of claims paid per day and free CompBenefits claims adjusters to evaluate more detailed claims. CompBenefits plans to increase the number of claims it auto-adjudicates from approximately 45 percent to 60 percent in the coming year.

CompBenefits has also selected Recall and Data Services Direct (DSD) to provide data entry support to our claims operation. This move adds to CompBenefits resources and will also help speed the company's claims process. Drawing from scanned images, Recall and DSD will transform paper claims into electronic claims to interface with CompBenefits' computer systems.

With Advanced Business Fulfillment (ABF), CompBenefits' providers and members will receive payment vouchers and explanations of benefits (EOB) that are easier to read and understand. Initially, inserts will be included with both the provider's voucher and the member's EOB announcing the new and improved look. The transition to ABF should begin in mid-October.

"These new processes will improve our productivity and allow us to pay claims more efficiently and accurately," says John Kolet, CompBenefits Vice President of Claims Operations. "We are also improving our member communications, creating greater customer satisfaction."

Dolly Purvis
770-552-7101, ext. 8711


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