2010 NDEDIC Industry-Wide Survey of Claims Payers and Processors
 

1. About the 2010 Survey

 
The information requested in this survey is critical to the advancement of electronic transactions in dentistry. Industry-wide information does not exist or is inadequate or unreliable. Your participation is very important and needed. All findings will be reported in the aggregate. Any information you provide on this survey instrument will be seen only by personnel of Dental Delivery System Consultants, an independent dental health services research firm.

This survey is about transactions sent/received in 2009 and is arranged in two sections:

1) Basic information -- Most critical that we collect from you.
2) Enhanced transaction information to afford better understanding and interpretation.

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1. Name of your Company:

2. Parent company name(s):

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3. Contact Person (completing this survey):

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4. Your email address:

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5. Your phone number:

6. Scope of Operations:

7. Mix of plans offered by your company: (check all that apply)

8. Does your company accept dental claims (sent to you) electronically?

9. If NO, please provide date when your company will accept electronic dental claims:

THIS IS THE MOST IMPORTANT QUESTION ON THIS ENTIRE SURVEY - PLEASE BE AS ACCURATE AS POSSIBLE (STANDARD ADA-TYPE CLAIMS, NOT CAPITATION ENCOUNTERS).

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10. Number of dental claims processed company-wide in 2009 (all sources):

THIS IS THE SECOND MOST IMPORTANT QUESTION ON THIS SURVEY - PLEASE BE AS ACCURATE AS POSSIBLE.

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11. Number of 2009 dental claims that were processed electronically?

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