Electronic Claim Processing

Insurance Claims Processing is a service QSI provides its dental clients which allows you to outsource all of your insurance claims submissions, thus relieving you of the hassle of having to print and mail claims yourself. QSI’s partnership with some of the largest clearinghouses in the country allows you to submit most of your claims through QSI’s QUIC Network. Any claims that cannot be submitted electronically may be printed on paper ADA forms and mailed out by QSI. This service offers a more accurate, efficient, and cost-effective means to submit your office’s insurance claims and pre-authorizations.

Why submit claims through the QUIC Network?

• Speeds processing and payment of claims
• Saves valuable staff time and effort
• Advances your practice toward a "paperless" office
• Saves on postage, paper, and reduces processing costs
• Improves cash flow with higher collections and shorter A/R turnaround
• Decreases submittal errors and re-submissions

How does it work?

Insurance companies in Program 91 are set up to submit claims through the QUIC Network (based on the Form Type field and carrier number field). Insurance requests are queued through Program 12 or D.1X13 (Automatic Insurance Billing). Program 37 is run to create the claims. All QUIC claims successfully processed are sent to a holding file which QSI retrieves from your system at intervals designated by your office. These claims are then processed and forwarded to insurance companies and/or clearinghouses. Reports containing a list of all claims processed are sent back to your system. In addition, any reports received from the insurance companies are also sent back to your system. For more information, please refer to the documentation for Program 37, Print Insurance Forms.

How do you get started?

To start enjoying the benefits of QUIC electronic claims, fill out the enclosed enrollment forms (including the purchase order) and fax them back to QSI. Implementation, including installation and setup, normally takes 2-3 weeks. QSI also provides two training sessions as a part of the implementation process. After enrollment forms are received, a QSI representative will contact you to discuss the installation process and to schedule your training sessions.

Individual Carrier Enrollment Forms: Below is a list of insurance carriers that require an additional enrollment form to be returned prior to submitting electronic claims. In addition to submitting the appropriate Sign Up form, you may need to also complete one or more of the enrollment forms below if you submit to any of these carriers. Print the appropriate form(s) and fax them directly to the CARRIER (not to the QUIC Department). Alabama Blue Cross Blue Shield Alabama Medicaid Arkansas Blue Cross Blue Shield Cigna Dental Health Colorado Medicaid Colorado Medicaid EDI Update Connecticut Medicaid Denti-Cal Doral Dental Florida Medicaid Georgia Medicaid Idaho Blue Cross Idaho Blue Shield Idaho Medicaid Indiana Medicaid Iowa Blue Cross Blue Shield Iowa Delta Dental Iowa Medicaid Kentucky Medicaid Louisiana Medicaid Maine Medicaid Massachusetts Blue Cross Blue Shield Massachusetts Medicaid Michigan Medicaid Minnesota Delta Dental Minnesota Medicaid Mississippi Medicaid Missouri Medicaid Nebraska Delta Dental New Hampshire Medicaid New Jersey Direct Dental New Jersey Medicaid New Jersey Medicaid 835 EDI Agreement New Jersey Medicaid 837EDI Electronic Claims Input New York Medicaid North Carolina Medicaid North Dakota Blue Cross Blue Shield North Dakota Delta Dental Ohio Blue Cross Blue Shield Ohio Medicaid Oklahoma Medicaid Oregon Blue Cross Blue Shield Pennsylvania Blue Cross Blue Shield Pennsylvania Medicaid Rhode Island Blue Cross Blue Shield Rhode Island Medicaid Tennessee Blue Cross Blue Shield Tennessee Medicaid Texas Blue Cross Blue Shield United Concordia (UCCI) Vermont Medicaid Washington Medicaid West Virginia Medicaid Wisconsin Blue Cross Blue Shield Wisconsin Medicaid Wyoming Delta Dental Wyoming Medicaid