Case Study

Enhancing Electronic Data Interchange

November 16, 2022

A large dental payor needed an electronic clearinghouse for health data exchange, including the ability to allow dentists to know in real time how much was owed by the patient.

The Challenge

The payor was spending more and more on clearinghouse services, and did not have a system that would allow for real-time connectivity with their claims adjudication platform. They wanted to cut down on customer service calls by providing information through a self-service portal.

The Solution

With Novus 360 Benefits Admin Software, the payor was able to have a customized API that directly pulled data from their claims system and relayed it via the clearinghouse and viewable on an online real-time portal. This saved dentists valuable time and helped manage the payor’s call volume.