Advantages for the Provider include:

• Efficient claims processing
• Improved cash flow
• Computerization of practices
• Value added features
  • Banking applications
  • Supply ordering
  • Electronic mail
• Better service to customers/patients

Advantages for the Claimant include:

• Better service (eg. Claims submitted on their behalf)
• On-line adjudicated response will provide information on what will be paid by the claims adjudicator
• Immediate editing of data to avoid claims resubmissions
• Improved cash flow (may not need to be out of pocket)
• Clearer statement of services rendered (descriptions not just procedure codes)
• Reduced claim turnaround time on reimbursement claims (mail time if nothing else).

Advantages for the claims adjudicators include:

• Ability to market as one entity
• Combined volume of claims = lower prices.
• Association provides "clout" or influence in industry/marketplace
• Sharing of expertise
• Participation in development
• Membership includes systems and legal consultation
• More accurate claims submission (edit checking in the provider's office)
• Data entry cost savings
• Ability to enter into electronic payments to providers (future cost savings)
• Facilitates electronic links with providers (eg. E-mail)
• Eventually automatic co-ordination of benefits
• Industry standards (participation)

For information on ACE, complete the membership information form or contact the ACE office at:

Phone:  (416) 598-4223
Fax:   (416) 596-9532
E-mail:  ace@claims-exchange.org