Medicare
Reporting
DentaQuest excels at providing the reports needed to meet stringent government standards, including all relevant HIPAA transaction files and proprietary file formats. In addition, DentaQuest utilizes a robust information management system which allows for fast and accurate ad-hoc and standardized reporting activities. This reporting system compiles statewide dental program information obtained from eligibility feeds, authorization monitoring and claim adjudication activities, allowing DentaQuest to provide our clients with real-time data to produce per-member-per-month cost analyses, trend reports, provider profiles, and many other important reports for evaluating government dental programs.
Reports on:
- Call center metrics
- Member satisfaction
- Early & Periodic Screening, Diagnosis & Treatment (EPSDT) outreach program activities
- Utilization management
- Co-pay
- Claim activity
- Reconciliation of paid claims to billing
- Referral time
- Audited financial statements and income statements
- Response time
- Prior authorization
Back