Green Shield Co-ordination of Benefits Setup (COB)
Summary:
Green Shield Canada has announced on or about July 2005 that they will adjudicate secondary dental co-ordination of benefit (COB) claims online in real-time.
It is important to note here that this will only occur in those situations where both the Primary AND the Secondary insurances are Green Shield, or as they refer to it as Green on Green, meaning both primary and secondary are GS.
The following details the modifications required in ABELDent to allow for COBs of Green Shield.
These instructions are only for ABELDent versions 5.xx and up.
Steps:
1. Open ABELDent.
2. From the toolbar, select Insurance>Carriers.
3. The Insurance Carrier File Update window will display.
4. Select the Insurance Carrier ID for Green Shield from the list of IDs in the list at the left.
5. The details for Green Shield will display.
6. EDI Carrier ID 000102, EDI Network ACE-NDC Health (or iCA-iTRANs if using internet), CDAnet Version 04.
7. Click on the button CDAnet4 Setup
8. The Carrier Information Dialog screen for Green Shield will display. Only make the following changes!
9. At Supports COB, click on drop down and select YES
10. At Transaction Types Supported, check the box for Coordination of Benefits
11. Do not make any other changes!
12. Click OK to close Carrier Information Dialog window, click OK to close Insurance Carrier File Update window.
Product (s): ABELDent
Category: Insurance
Classification: Public
Date Created: 19 July 2005
Created by: KaM