Dyserv, Inc

Pricing and Submission Summary
Dyserv, Inc. currently processes claims electronically to the following 3rd parties:
  • Ohio Medicaid
  • Nationwide Medicare
  • Ohio Bureau of Worker’s Compensation
  • United Health Care
  • Area HMO’s
  • Anthem
  • DMERC (Medicare Durable Medical Equipment - AdminaStar)
Processing claims electronically will help your organization in the following way:
  • Errors in claims can be detected immediately
  • You are billed only for the claims submitted, not for those in which errors are detected (exception: claims coming to our office electronically, i.e.: on diskette or over the modem)
  • Claims are submitted on a weekly basis
  • No minimum number of claims required
  • Claims can be submitted to Dyserv either hard-copy or electronically (on diskette or over the modem)
  • There is NO set-up fee or initial charge for hard-copy claims
The following charges apply (effective April 01, 2000). All pricing is per claim form:
HARD-COPY CLAIMS DISKETTE AND MODEM CLAIMS
Medicaid Supplies $0.61 Under 100 forms per month $0.31
Medicaid (all other types) $0.55 100 - 500 forms per month $0.30
Nationwide Medicare $0.62 500 - 1000 forms per month $0.29
DMERC $0.73 Over 1000 forms per month $0.27
CMN’s (when required) $0.58 Please contact our office for information on how to submit forms on diskette or over the modem. Please note that there will be an initial programming fee of $50.00/hour
Worker’s Compensation $0.52
Anthem $0.70
United Health Care $0.70
Cross-Overs $0.85
(Medicare primary, Medicaid secondary)
HMO’s $0.55
Additional Comments $0.20

Postage for printouts mailed to your office will also be charged on your account.

Our minimum billing charge is $28.00 per month. That charge will only be imposed if forms are submitted during the month and if the total of your billing, excluding postage and tax does not reach $28.00.

If you have any questions, please contact Debbi Parliament at (614) 294-6078.
Customer Service hours are Monday thru Friday from 8:00 AM to 4:00 PM.


SUBMISSION SUMMARY

Hard-Copy Claims:
Once the hard-copy claims reach our office, our data-entry department will key and verify each page. After verification, the diskettes containing the claim data are loaded onto a magnetic tape. This tape is submitted to the Ohio Department of Jobs and Family Services every Tuesday. Only those claims received by 5:00 PM on the previous Thursday (12:00 noon on Friday for Individual Home Health – Waiver providers) will be on the Tuesday submission. Any claims received after the deadline will be submitted on the following tape. Barring any problems at the state, the checks for the Tuesday submission will be issued the following Wednesday.

Diskette and Modem Claims:
All claims received by noon on Monday will be processed for the Tuesday submission.