Claims Adjudication Services.

Our staff and computerized claims adjudication systems can provide superior control over your Self-Insured Health Benefits. CDCS started with dental claims in 1993 and in 1995 began processing all other Health claims. Various reports are available to assist you and your Broker to analyse your annual claims costs and provide the best plan possible for your employees.

Flexibility and accuracy are designed into our systems from the initial design phase to the daily processing routines. Our in-house systems staff is continually allowing new user requests to be turned into new system features. From pay-as-you-go monthly plans to HCSA and PHSP we handle them all.

Our historical database is on-line for both the automated processing and specifically for the manual review process. Claims adjudicators can access each historical claim for an individual. This also provides a history of procedures and costs to be reviewed for usual and customary pricing and usage on exceptional claims.

The processing of Pre-Determination (Estimates) is handle in the same way as a claim. All internal and manual review process are included. Co-ordination of Benefits with other insurance plans follows the industry standard rules.