ESORSE Corporation launched its Online Health Resource. Aptly dubbed as TOP (The Ounce of Prevention) Resource, its goal is to provide useful health tips not only on chronic diseases but also on specific health conditions that promote over-all wellness.  But more than that, it offers a comprehensive compilation of reputable organizations that impart unbiased and clinically accepted medical information in their respective fields of expertise. Through this initiative, we hope to prove that indeed, an ounce of prevention is worth a pound of cure.

Managing Risks. Esorse Corporation, in partnership with ETFS, offers Travel Medical Emergency Insurance and Stop-loss Insurance. While the former is intended for Members who will be traveling outside the province/country, the latter provides a means to limit the possibility of excessive liabilities associated with large and unforeseen claims. 

Real Time Adjudication of Dental claims for self-insuring plans
ESORSE Corporation is now providing its members the convenience of on-line and real-time adjudication of their Dental Plan through its Health Benefit Card. In partnership with CDANet, Esorse Corporation is connected to thousands of dentists nationwide.Through this pioneering solution, members no longer need to pay up front for dental services that have already been paid for by their Employers. What’s more, members are now liberated from laborious task of filling out a claim form, submitting it and waiting for a reimbursement cheque.

Claims Submission VIA Internet
Claims may be submitted by either Provider or Member through a secured portal that processes in real-time adjuidication. Reasonably simple form eliminates the need for complicated data entry, time-consuming posting system and paper-based attachments. As the claims is electronically submitted, the system adjudicates in real-time, allowing the providers to instantaneously determine the eligible treatments and allowable expenses.

Members Can Authorize Providers to Electronically File Claims
Not only can ESORSE Health Benefit Cardholders enjoy the convenience of submitting on-line claims, they can also authorize their Providers to file paperless claims on their behalf. This online and secured self-service approach for providers, first in Canada , is intended to expedite the reimbursement process. Members will only pay for ineligible expenses  that are not covered by their Plan Design. To add a level of security , claims submitted by the Provider are routed to the members for payment approval. However, the system also offers the flexibility for pre-approved claims. In such case, the member may create a special authorization that will allow the Providers to receive payments for adjudicated claims without going through the routing system. Such authorization will define how much, how long and how many times can a Provider submit a pre-approved claim.

Earn Interest on Unspent HSA Funds. Aside from the fact that the contributions made by Employers are 100% tax deductible and the dollars spent using HSA are non-taxable, Members can also take advantage of the interests earned on unspent HSA funds.

 



 

Electronic Adjudication
ESORSE provides an integrated solution to seamlessly and electronically adjudicate drug and dental claims.

Web Adjudication
Claims may be submitted by either Provider or Member through a secured portal that processes in real-time adjuidication.

Manual Adjudication
ESORSE can handle the mundane task of adjudication and authorization of manually submitted claims.

Administrative Services
ESORSE offers its resources to perform administrative functions aimed at increasing efficiency and productivity through paperless environment.

 

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