Welcome to Confluence
Let Confluence Practice Partners (CPP) be your trusted partner for optimizing your practice’s revenue and profitability through cost-effective administrative services that include insurance claim and accounts receivable management, payment processing, and insurance benefit verification.
CPP works exclusively with EDDSON users and all CPP agents/consultants are experienced dental office professionals that are proficient in the use of EDDSON.
About Confluence Practice Partners, LLC
Insurance Processing & Claims Administration
Insurance Eligibility & Benefits Confirmation
Insurance Eligibility & Benefits Confirmation
Add horsepower to your team by relying on Confluence for daily submission of insurance claims and payment processing as well as claim tracking and claim follow-up. Quickly create and manage insurance payment batches for efficient and cost-effective processing.
Insurance Eligibility & Benefits Confirmation
Insurance Eligibility & Benefits Confirmation
Insurance Eligibility & Benefits Confirmation
Instantly review Insurance Verification request totals and results for any date range, and make requests quickly without the headache of the paperwork and manual processes typically required.
Insurance Payment and Claim Management Administrative Service
Third Party Administration (TPA) of insurance claims and payments through CPP is a convenient and economic way to add horsepower to your admin team. TPA services include the daily submission of insurance claims and payment processing as well as claim tracking and claim follow-up as needed.
Unlike other TPA services that require users to manually create, transmit, and track claims/EOBs, the CPP solution uses an integrated module built directly into EDDSON. Users can quickly create and manage insurance payment batches for efficient and cost-effective processing by an experienced processing agent with knowledge of both insurance payment/claim management and using EDDSON.
Insurance Verification
Optimizing your practice’s revenue cycle and effectively managing patient expectations begins with accurate insurance estimating. Unfortunately, accurate insurance estimating requires precise insurance information that can only be acquired through the time-consuming process of insurance benefit verification. CPP’s IV Service offers an affordable and effective alternative to managing this cumbersome. CPP’s IV agents are well versed and experienced in the verification process as well as updating associated EDDSON insurance data records.
New User Conversion
New user data conversions are never perfect – the lack of accurate insurance coverage information from the previous software can make an already messy and stressful post conversion environment even worse. CPP’s conversion clean-up package is designed specifically to help new EDDSON offices get a head start on the this unavoidable clean-up process.
Services include the updating of selected insurance plan information (including coverage information and carrier allowed amounts) as well as coverage/benefit verification for existing appointments for the 1st 30 days after conversion as follows:
- Insurance Plan/Carrier coverage verification and updating – includes the top 30 plans based on associated patient counts (the 30 plans with the most associated patients).
- Standard Appointment Benefit Verification – reduced fee verifications for all applicable appointments for 1st 4 weeks of business following conversion to EDDSON.
- 2 hours of additional staff insurance training/consultation.
Exclusive EDDSON Partner
Exclusive EDDSON Partner
Exclusive EDDSON Partner
Our billing experts have walked in your shoes. Each and every member of our team has worked in administration at an EDDSON dental practice. This allows us to work as a true extension of your team.
Save Time
Exclusive EDDSON Partner
Exclusive EDDSON Partner
Every minute counts in a busy dental practice. Save wasted time hunting down unpaid claims. Other third-party administrators still require cumbersome manual processes. Not with Confluence. Thanks to deep integration with EDDSON Practice Management Software, processing and collecting on insurance claims is just a click away.
Improve Profitability
Exclusive EDDSON Partner
Improve Profitability
Leverage our team to capture your hard-earned revenue and increase practice profitability. By freeing up time for your team, they can turn focus to enhance the patient experience, deliver care, and engage other production-generating activities.
Pricing
Insurance Payment Processing and Claims Administration
Insurance payment and insurance adjustment processing are managed and reported directly in the EDDSON practice management software and include:
- Resubmission of outstanding claims and attachments, as necessary.
- Weekly “Missed” claim review and submission, as necessary.
- Review and analysis of outstanding insurance claims and aging totals as well as necessary carrier follow-up, claim resubmission, and appeal services for denied claims when appropriate.
- Provide updated summary reports at the end of each billing cycle.
Set-Up
$150
One-time set-up and implementation fee .
Recurring Monthly Fee
3.50%
3.50% of the total of all insurance payments processed by CPP. Insurance payments processed by the user are billed at 1.75% of the total.
Minimum Monthly Fee
$500
Claims Aging Clean-up Services
Insurance claim management and clean-up including:
- Resubmission of outstanding claims and attachments, as necessary.
- Review and analysis of outstanding insurance claims and aging totals as well as necessary carrier follow-up, claim resubmission, and appeal services for denied claims when appropriate. appropriate.
- Provide updated summary reports at each the end of each billing cycle.
Recurring Monthly Fee
2.50%
2.50% of the total of all insurance collections during the service coverage period.
Insurance Eligibility and Benefits Verification
Insurance benefit confirmation service includes all associated data entry as well as an integrated EDDSON module that enables user to make IV requests quickly without the hassle of the paperwork and manual processes typically required. The EDDSON IV management screen enables users to instantly review IV request totals and results for any date range.
Set-Up
$150
One-time set-up and implementation fee.
Monthly Base Fee
$100
Insurance eligibility fees include a base monthly fee and a per verification fee based on the verification type as follows:
Failed
$3.00
Subscriber information missing/invalid or patient does not have coverage.
Basic
$6.00
Verification of eligibility and available coverage.
Standard
$8.00
Basic plus coverage types/maximums, deductibles, and frequencies.
Specialty
$10.00
Code specific coverage details for up to 6 CDT codes.
Expedite Fee
$5.00
For verifications requested to be completed in less than 3 business days.
Minimum Monthly Fee
$500
Account Management and Patient Billing Services
Account management and patient billing services that includes:
- Account ledger audits and verifications.
- Account statement generation and transmission to printing service (as applicable).
- Collection facilitation and payment requests via text, email, and US Mail.
Associated fees include a base monthly fee and a % of all “Net” collections as follows:
Monthly Base Fee
$275
Percent of Net Collections
0.6%
$6.00 for every $1,000 in net collections
Conversion Clean-Up Package
This service is designed specifically to help new EDDSON offices that require data conversion from another practice management software application. Services include the updating of selected insurance plan information (including coverage information and carrier allowed amounts) as well as coverage/benefit verification for existing appointments for the 1st 30 days after conversion.
The Conversion Clean-up Package includes the following:
- Insurance Plan/Carrier coverage verification and updating – includes the top 30 plans based on associated patient counts (the 30 plans with the most associated patients).
- Standard Appointment Benefit Verification – reduced fee verifications for all applicable appointments for 1st 4 weeks of business following conversion to EDDSON.
- 2 hours of additional staff insurance training/consultation.
- Collection facilitation and payment requests via text, email, and US Mail.
Associated fees include a base monthly fee per verification charge as follows:
Base Fee
$975
Appointment Standard Benefit Verification
$7
$7.00 per completed verification
Failed Benefit Verification
$3
$3.00 per verification attempt
Additional Per Hour Assistance
Administrative services from experienced EDDSON agents to assist with any situation as needed.
Contact CPP at info@confluencepracticepartners.com for more information or to schedule services.
$50.00 per hour with a 2-hour minimum.
Pricing subject to change.
Contact Us
Confluence Practice Partners, LLC
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