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How to process a Medicare claim through HICAPS for CDBS
How to process a Medicare claim through HICAPS for CDBS

Processing a CDBS (Child Dental Benefits Schedule) claim through HICAPS Medicare Easyclaim in Zavy is a quick and seamless process designed to streamline patient billing.

Aisah | Zavy Support avatar
Written by Aisah | Zavy Support
Updated over 3 months ago
  1. When claiming for CDBS through HICAPS Medicare, make sure to select "Specialist" as the service type.

  2. Please note that HICAPS has a limitation in that it may not immediately update the claim status. The verification process on their end can take up to 24 hours, which is why the claim transaction in Zavy will initially appear as "Pending."

  3. Additionally, HICAPS does not provide an automatic update to Zavy regarding the claim status. Once you have the claim status and amount, you can manually update the transaction in Zavy by selecting 'Adjust transaction' from the claim entry and entering the claim amount.
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