Pricing and Submission Summary

Dyserv, Inc. currently processes claims electronically to the following 3rd parties:

Ohio Medicaid
Palmetto Medicare (excludes Railroad Claims)
DODD
HMO's such as but not limited to: Aetna, CareSource, Molina, UHC, Buckeye and Paramount.
Most Major Insurance Carriers

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).
Claims are submitted on a daily basis.
No minimum number of claims required.
Claims can be submitted to Dyserv either hard-copy, electronically, or fax.
There is NO set-up fee or initial charge for hard-copy claims.

The following charges apply (effective January 01, 2018). All pricing is per claim form:

PAPER CLAIMS

Medicaid Supplies

$0.85

Medicaid (all other types)

$0.75

Nationwide Medicare

$1.75

CMNs (when required)
(Depending on carrier)

$0.60

Prior Authorization Request

$10.00

Workers Compensation

$0.72

Anthem, Aetna, UHC

$1.25

Cross-Overs
(Medicare primary, Medicaid secondary)

$1.25

CareSource

$0.75

Additional Comments

$0.30

All Other Insurance Carriers

$1.25

All Adjustments
(This does include DODD adjustments)

$5.00

ELECTRONIC CLAIMS

Under 100 forms per month

$0.42

100 - 1000 forms per month

$0.40

Over 1000 forms per month

$0.38

Please contact our office for information on how to submit forms over the internet. Please note that there will be an initial programming fee of $75.00/hour.

DODD providers: you may have your DODD reports sent to you via email for an additional $5.00 per month. Please contact Sonya Hay if you would like to use this option.

Postage for submission summaries mailed to your office will also be changed on your account.

Our minimum billing charge is $28.00 per month.
DODD billing is $35.00 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 our office at (614) 294-6078.
For EDI questions and testing, please contact Erick Wilds at (614) 294-6078 ext 108.
Customer Service hours are Monday through Friday from 8:00 AM to 4:00 PM.