Pricing and Submission Summary

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

Processing claims electronically will help your organization in the following way:

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

Medicaid Supplies
Medicaid (all other types)
Nationwide Medicare
CMNs (when required)
(Depending on carrier)

Prior Authorization Request
Workers Compensation
Anthem, Aetna, UHC
(Medicare primary, Medicaid secondary)

Additional Comments
All Other Insurance Carriers
All Adjustments
(This does include DODD adjustments)

Under 100 forms per month
100 - 1000 forms per month
Over 1000 forms per month
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.