Medigent

Medigent’s Dental module gives you the power to improve dental claim processing through real-time and batch adjudication that integrates business and financial rules. Dental offices across Canada can submit claims electronically, while trial adjudications and policy enforcement keep everything running smoothly.

Flexible fee code structures allow you to set age, frequency, and fiscal controls, ensuring your policies are always enforced. In Canada, the Medigent Dental module is fully CDAnet compliant. Internationally Medigent can adapt to any EDI standard including DentalXChange, NHSBSA, Dentally, HICAPS, etc.

Medigent’s Medical Transportation module gives you control over costs associated with a client’s medical transportation. Pre-authorize, track, and reconcile every aspect of a client’s medical journey - from departure to return. From air and ferry to ambulance, medivac and accommodations, you can automate information capture with electronic loading from third-party systems.

For complete transparency, Medigent lets you link vendor invoices to pre-authorizations, record payments, subsidies, and credits. These tools also give you new insights to flag unauthorized travel. Plus, integration with your financial systems ensures payments are accurate and timely.

For the traveller and any escort, Medigent supports vouchers, uploading and manageming receipts, and access to review claim status. This allows for quick repayment while reducing email and phone call volumes.

The portal also allows for direct, secure and tracked communication between the eligible beneficiary and the health jurisdiction.

Medigent’s reciprocal billing capabilities allow you to manage the complete lifecycle of claims associated with inter-jurisdictional reciprocal agreements.

Within the Medical module, Medigent handles claims adjudication and payment processes associated with the Medicare reciprocal program, where programs and adjudication rules vary according to the policies of each jurisdiction.

Medigent adapts to each jurisdiction’s policies and rules. For out-of-province beneficiaries, Medigent supports in-province claims for hospitals and physicians. In-province beneficiaries are also supported for any out-of-province hospital and physician claims.

Capabilities include invoice management, claims processing, adjustment requests, recoveries, and payment processing.

These capabilities can also be leveraged for processing invoices associated with non-reciprocal reimbursements such as out-of-country claims from residents.