CareWorks

Submitters

Entities that submit transactions prospectively to receiving parties for reimbursement


Direct Submitter: Flexible Submission Options

Numerous flexible methods are available to connect and access a robust 2-way communication network for simplified connectivity

Fax-to-EDI (CompFax®)

Fax bills & attachments via your fax machine, and bills are converted to data, attachments are indexed to the bill data, then loaded back into iCompEDI® for processing. Users can upload additional attachments to the now electronic record or simply release for processing.

  • Set up a FREE iCompEDI® account
  • Faxed bills are converted to EDI files and re-loaded into iCompEDI®
  • Attachments are indexed to the bill data (PWK insertion)
  • Est delay of 24- 48hrs on bills being released due to OCR process
  • Connect with Data Dimensions & also 4,400 electronic payors, and receive back electronic bill status updates and electronic remittances (835).
  • OPTIONAL SERVICE: ClaimCheck360™ gives users the ability to verify claim #’s and look up claims #’s for cleaner billing.
  • OPTIONAL SERVICE: Carve-Out portal system provides users the ability to “update” data fields on billing records before releasing​​

Web Portal Upload PDF Bill Image

Upload PDF bills & attachments through our iCompEDI® web portal and bills are converted to data, then loaded back into iCompEDI® for processing. Users can upload additional attachments to the now electronic record or simply release for processing.

  • Set up a FREE iCompEDI® account​​
  • PDF bills are uploaded into the portal, converted to EDI files and re-loaded into iCompEDI®
  • Attachments are indexed to the bill data (PWK insertion)​
  • Est delay of 24- 48hrs on bills being released due to OCR process
  • Connect with Data Dimensions  & also 4,400 electronic payors, and receive back electronic bill status updates and electronic remittances (835)
  • OPTIONAL SERVICE: ClaimCheck360™ gives users the ability to verify claim #’s and look up claims #’s for cleaner billing.​
  • OPTIONAL SERVICE: Carve-Out portal system provides users the ability to “update” data fields on billing records before releasing​

Web Portal Upload X12 837 or Custom

Using the iCompEDI® web portal billing system, users can upload X12 837 bills & link attachments for processing, receive back X12 responses (999, 277, 835) and more.

  • Set up a FREE iCompEDI® account
  • Using the iCompEDI® web portal billing system, users can upload X12 837 bills & link attachments for processing, receive back X12 responses (999, 277, 835) and more.
  • Reach over 4,100 receivers electronically for SBR (Appeals)
  • Billing support services included
  • OPTIONAL SERVICE: ClaimCheck360™ gives users the ability to verify claim #’s and look up claims #’s for cleaner billing.​
  • OPTIONAL SERVICE: Carve-Out portal system provides users the ability to “update” data fields on billing records before releasing​

Direct Submission X12 837 or Custom

Power users can submit X12 837 or custom files and attachments via sFTP, and receive back X12 responses (999, 277, 835) and more.

  • Set up a FREE submitter account
  • Requires sFTP software
  • Submit and receive X12 or custom responses
  • Connect with Data Dimensions & also 4,400 electronic payors, and receive back electronic bill status updates and electronic remittances (835).
  • OPTIONAL SERVICE: ClaimCheck360™ is accessible via our API Toolkit giving clients and partners the ability to verify claim #’s and look up claims #’s for cleaner billing.

 

Via Current CH Vendor EDI Network

Users can use their existing vendor partner or clearinghouse to submit transactions to Careworks, and they will be routed to Data Dimensions seamlessly.

  • Work through existing vendor partner for EDI submission to Careworks
  • Data Dimensions maintains one of the most robust and interconnected networks of clearinghouse partnerships
  • If an electronic connection between Data Dimensions & vendor partner does not exist, Data Dimensions will work to establish the relationship quickly and efficiently
  • Key Trading Partners:

Trizetto main logo


FAQ (Frequently Asked Questions)

Does Data Dimensions submit electronically and directly to Careworks?

YES – Careworks and Data Dimensions have teamed up to maximize electronic submissions for Careworks clients and have invested a great deal of resources to maximize the value of the partnership. Sending Careworks bills through Data Dimensions ensures your transactions are being received and processed in the most efficient and timely manner.

What Payor ID should I use to submit eBills to Careworks?

You should use the specific Payor ID issued to the Careworks client in order to ensure your bills are adjudicated in a timely manner. Use the Payor ID Lookup tool on the Data Dimensions website to find the right Payor ID for your designated receiver.

Do I have to use Data Dimensions to reach Careworks?

NO – while submitting your billing through Data Dimensions is the fastest method to reach Careworks (since all bills are delivered electronically within 24 hours of receipt), your company can send bills through your vendor-partners who may be connected with Data Dimensions. While this adds 24-48 hours to your bills reaching Careworks (depending on your vendor-partner’s processing guidelines for delivery), your bills will reach Careworks.

What are the advantages of working with Data Dimensions to reach Careworks electronically?

The most significant benefit is that Data Dimensions submits directly to Careworks which means your transactions are delivered to Careworks within 24 hours. Once you are set up with Data Dimensions to submit eBilling to Careworks, you can also reach over 4,400 other electronic receivers. Plus, Data Dimensions is an all-Payor clearinghouse, which means if the receiver you are trying to reach does not accept electronic transactions, Data Dimensions will print & mail your bills and attachments using 1st class USPS at no additional cost! Not to mention, you will have a partner in the race to submit clean bills in a timely manner, along with enhanced tracking and validation of your submission.

Is there a cost to submit electronic bills through Data Dimensions?

There is a simple per-transaction charge of $0.65 per bill (with unlimited attachments for electronic routes) to use Data Dimensions as your submitting partner. Keep in mind, the industry average for electronic bill submission to work comp carriers can range from $0.85 to $1.00+ per bill, and most vendors will charge you extra for bills that need to be printed & mailed when an electronic connection does not exist. Added values include no setup or hidden fees, a month-to-month agreement, free access to our iCompEDI® billing management portal, no additional fees for support and valuable tracking reports that provide date & time stamps along with tracking numbers for each bill you submit (whether delivered EDI or paper).

Can I submit bills and attachments to Data Dimensions directly?

YES – Data Dimensions can provide you with a powerful submission tool that uses bill data generated directly from your existing practice software tool. Your staff doesn’t need to re-type bill information into our systems or spend time stuffing envelopes. Simply use your existing practice software to create and submit electronic bills and images of supporting documents through our iCompEDI® billing management portal.

What bill data and attachment file formats do you accept?

Data Dimensions accepts ANSI X12 837, print image, and custom formats for bill data, and PDF, GIF, JPEG, TIFF and other standard image formats for supporting documents.

Can I send bills and attachments through my existing practice management software vendor?

YES – Data Dimensions maintains a large network of cooperative practice management software vendors focused on the auto casualty industry. Some of our key partners include TeamPraxis, Conexem, Prime Clinical, RevClaims and many more.

What about my existing clearinghouse – can I use them to reach Careworks through Data Dimensions?

YES – Data Dimensions maintains one of the largest networks of cooperative clearinghouses in the auto casualty industry. Some of our key partners include Change Healthcare (RelayHealth), Cognizant (Trizetto), Availity (RealMed), Jopari, Optum (P2PLink), and more! Where your vendor is connected with Data Dimensions, you can submit bills to not only Careworks, but also thousands of other receivers.

What if we want to switch back to our current clearinghouse or if we want to return to submitting on paper?

Since there are no up-front or monthly expenses, you have no risk in establishing an account with Data Dimensions to submit eBilling. However, if we fail to provide you with 100% customer satisfaction, and you wish to terminate your service agreement, we will easily cancel your service with our company.

How else can I send my bills to Data Dimensions?

Data Dimensions offers an array of ways to submit your bills to our firm for processing, including: 1.) output a flat file of bills and images from your software and send it to Data Dimensions directly (using a secure FTP tool); 2.) you can submit your bills using our iCompEDI® portal (using many formats, including ANSI X12 837, print image, or proprietary) and either upload your supporting images directly (as single images or a bulk of images), or you can fax your documents using the barcoded fax cover sheet generated for each bill; or 3) you can fax both bills and supporting materials to our firm and receive your reports back through your fax machine using our CompFax® service, where we convert the data off your faxed bill into EDI for submission electronically to receivers. In all cases, you can use any combination of the options above to meet your needs.

What does “any combination of the options above” mean?

You can use iCompEDI® or submit a flat file of your bills, and then use our fax-to-EDI CompFax® service to submit your supporting documents for each of the bills. If that doesn’t work for your existing workflow, you can submit your bills via iCompEDI® and then send us a single file of images with an index file. Or, we can work with you to create a process that works for your office to ensure it does not disrupt your existing billing workflows. It comes down to what is easiest for you and your organization.

Does Data Dimensions provide responses back from the insurance Payors for my bills?

YES – Data Dimensions always provides back an “Immediate Verification” report outlining each bill transmitted and whether it was accepted or rejected by our clearinghouse front-end edits. Then, we will pass back any information provided by the receivers as they adjudicate the transactions, and in some cases even pass back electronic remittances (835) which we can return as an ANSI X12 835 file or as a human-readable report. Most importantly, you will have a record of your submission, including a tracking number for each bill, which provides immediate appeals validation when discussing timely filing concerns.

How do I get started?

Click here to complete our sign-up form. We will review your information and be in touch shortly to go over the options that best suit your needs and get you started on the road to saving time and money.

All Payor Clearinghouse Solution

Data Dimensions provides submitters (doctors, hospitals, clinics, billing companies and others who submit billing outwardly for reimbursement) a single-source, all-payor turnkey partner for eBilling services in the Property & Casualty (auto casualty, workers’ compensation, and personal injury markets) with access to over 4,400 electronic receivers (employers, bill review firms, insurance plans, networks and others who receive and process billing).

Where an electronic route is not available, Data Dimensions prints & mails the transactions (with supporting documents) at the same rate as an EDI transaction(no hidden or additional fees)using 1st class USPS mail from its own print facility (not outsourced)

Using a combination of Data Dimensions products and services, submitter clients can submit all bills and notes – to all payors – in a flexible method, without hidden fees.


Quick Guide iCompEDI

A Glimpse into iCompEDI®

iCompEDI Logo

A single & direct point of connectivity to the entire workers compensation, auto and personal injury markets for a SUBMITTER.

  • iCompEDI® supports nearly all formats & connectivity workflows to simplify adoption for submitters.
  • Robust pre-adjudication validations and timely responses aid submitters and reduce phone calls
  • Simple attachment linking (single or bulk) with flexible uploading methods and timing
  • Private label (white label) and integration capabilities (SSO, API, unique application by client mix type)
  • Ongoing adjustments and compliance with jurisdictional and EDI requirements are handled by Data Dimensions without effect to customers.

iCompEDI Screenshots

Vendor Partners

Data Dimensions retains established integration or interfacing partnerships with the following market leading vendors. Each relationship brings a different level of white-label or custom integration capabilities to end-users, limiting learning curves and enhancing adoption.

Vendor Provider Partners


Careworks Payor ID Lookup

Don’t see the ID you were seeking?

Contact us: DDHelpDesk@datadimensions.com

Payor IDPayor Name
WC251ACADIA INSURANCE
WC422AMERISURE INSURANCE
WC111AMERISURE MUTUAL INSURANCE
WB341AMERISURE PARTNERS INSURANCE COMPANY
LS547ARMOUR RISK
WC521ASG (COLTON, CA)
CB061ASSOCIATION COUNTY COMMISSIONERS OF GEORGIA (ACCG)
WF033AVIZENT
WX601AVIZENT-YORK
LT818BART - SAN FRANCISCO BAY AREA RAPID TRANSIT
CB141CAREWORKS
28665CINCINNATI CASUALTY COMPANY
23280CINCINNATI INDEMNITY COMPANY
10677CINCINNATI INSURANCE COMPANY
WF114CINCINNATI INSURANCE COMPANY
WZ923CINCINNATI SPECIALTY UNDERWRITERS COMPANY
WC152CITY OF SAN ANGELO
LS424CONTINENTAL WESTERN INSURANCE CO (CWG)
CB280COUNTY OF LOS ANGELES (COLA)
CB628DONEGAL MUTUAL INSURANCE COMPANY
WE308FIREMENS INSURANCE COMPANY
LT795FUTURECOMP
LV597GA POWER
WC154GREAT RIVER INSURANCE CO
LV212GWINNETT COUNTY PUBLIC SCHOOLS
LV598GWINNETT COUNTY PUBLIC SCHOOLS
LV369INFINITY RISK MANAGEMENT & ASSOC. LLC
LU454LANDIN
A0317MACKINAW ADMINISTRATORS
CB114MCRS (MANAGED CARE RISK)
WR778MEADOWBROOK INSURANCE - AMERITRUST
LU510METIS SERVICES
LU812MICHIGAN COMMERCIAL INSURANCE MUTUAL MCIM
LV596MISSISSIPPI POWER
WC169NATIONAL INTERSTATE INSURANCE
LU881ONE BEACON – OCCUPATIONAL ACCIDENT ONLY
LU487PREFERRED MUTUAL
LV259QUAL-LYNX (NY JURISDICTION ONLY)
WZ890RAM MUTUAL INSURANCE COMPANY
LU413RISK MANAGEMENT SOLUTONS (RMS)
WX355RIVERPORT INSURANCE COMPANY WC
CB186S.F. BAY AREA RAPID TRANSIT
WB125STATE OFFICE OF RISK MANAGEMENT (SORM)
CB843TENNESSEE RISK MANAGEMENT TRUST
LS537TEXAS A&M
WR891TEXAS COTTON GINNERS' TRUST
WZ084THE BUILDERS GROUP OF MN
WZ819TRI-STATE INSURANCE COMPANY -DOI AFTER 11/1/2018
WC141UNION INSURANCE CO
LU453VACORP
WA051VANLINERS INSURANCE COMPANY
LT791VIRGINIA RISK SHARING ASSOCIATION (VRSA)
WX778YORK RISK SERVICES GROUP
CB888YORK WELLCOMP

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