PROVIDER & VENDOR RELATIONS

Diligent, Efficient, Quality, & Optimal Outcomes

EZ Comp Care is always recruiting exceptional provider partners for its ever-growing network of national providers. EZ understands workers’ comp can be tricky and often times confusing to providers. Like our company name “EZ”, our goal is to make your job easy as possible when treating a workers’ comp patient. We are here every step of the way to provide guidance with state requirements and to act as your “back office assistant” when it comes to relaying information to multiple parties about a workers’ comp patient, filing claims, and staying connected with the payer to ensure prompt authorization for services.

SELECT FROM THE BELOW CREDENTIALING APPLICATIONS:
BELOW HIGHLIGHTS SEVERAL BENEFITS OF NETWORK PARTICIPATION:

Providers may receive phone calls directly from payers requesting appointments for injured workers. Often these requests are denied, as dentist and specialty physicians do not treat many work-related injuries and view these types of referrals as cumbersome and low-paying. EZ offers the Workers’ Comp Referral Solution (WCRS) to providers to again, make their life simple while generating this additional revenue to their practices. Through the program, EZ acts as the provider’s “personal” back office assistant that manages all workers’ comp referrals. So, not only do providers receive referrals from EZ through network participation, but through this program, providers may now accept workers’ comp referrals from other payer sources! EZ’s back office assistant will work with your office to secure authorizations, process claims promptly, and offer scheduling assistance. What is even better is providers have ONE SOURCE to manage ALL workers’ comp referrals and experience the flow of additional high-dollar revenue.

  • Consistent reimbursement schedule across all worker’s comp claims
  • Claim filing to one billing address for all workers’ comp claims
  • Quick & Easy Authorization Process
  • 24/7 access to workers’ comp specialists

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    These are common questions about provider network participation and the referral program. Please do not hesitate to contact us with any additional questions about EZ’s network, program, and processes.

    There is no fee for participation and all licensed dentists are eligible to participate. For more information, please contact the provider relations department at EZ Dental.

    No, by signing an EZ Dental Provider Agreement you are agreeing to accept referrals from EZ Dental. You will be contacted directly by an EZ Dental representative when a case presents itself in your area. If a Workers’ Comp carrier contacts you directly please complete the Provider Referral Form or call 1-855-9EZ-COMP.

    When a Workers’ Comp referral is received, we obtain all of the patient’s demographic information and injury information. The file is then reviewed to determine which provider type is best suited for the patient. If there are multiple providers in the area, then the patient will be sent to the office that is closest to their home or work.

    All claims are reimbursed 30 days after receipt of a clean claim or such time as set forth by law and in accordance with the Provider Reimbursement Schedule on Exhibit A. A clean claim will include proper coding, supporting chart notes, and a signed authorization form.

    EZ Health Care & EZ Comp Care guarantees 100% reimbursement on all claims that are authorized by EZ Health Care & EZ Comp Care. All EZ authorizations will include the following:

      • EZ Health Care & EZ Comp Care name and logo
      • Injured Worker’s name
      • List of approved services requested with corresponding ADA, HCPCS, and/or CPT codes

    The ADA Dental Claim Form provides a common format for reporting dental services to a patient’s dental benefit plan. The ADA policy promotes use and acceptance of the most current version of the ADA Dental Claim Form by dentists and payers. The following materials are prepared by ADA Practice Institute staff with contributions from the ADA Council on Dental Benefit Programs and other internal and external knowledge experts.

    ADA Dental Claim Form

    American Dental Association

    Provider Application

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      Workers Comp can be tricky

      Let EZ Comp Care handle these concerns for you!

      • How do you get paid?
      • What if there is an attorney involved?
      • What’s bill review?
      • What’s the Work Comp Statute?
      • Is there a cap on reserves?

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