Welcome to Sun Health Claims Management Services
SHCMS is a Canadian provider of ASO/TPA services, administration, claims processing, and adjudication. We also offer dental consulting services aimed at helping plan sponsors succeed. We are an active member of the Canadian Association of Dental Consultants. It's our mission to help businesses better serve their employees through self-sponsored dental insurance plans. We provide a wide variety of solutions including adjudication solutions and audits to claims processing and everything in between. We're committed to providing exceptional services to our members while helping them reach their plan goals.
Dental and Extended Health Claims Processing and Adjudication
Driven by deep knowledge and experience, our dental claims team is committed to guaranteeing that each plan member's payment is processed precisely according to their employee benefit provisions. We operate quickly and transparently to ensure your entitlement is processed according to the rules. One of the foundations of an effective and fully functional self-funded dental plan is informed employees. Through our Explanation of Benefit services, we'll provide a clear and concise explanation of the services, treatments, or procedures that were covered by providers according to their unique health plans.
Administrative Services Only (ASO)
We can help you set up a self-funded dental plan for your employees' dental claims up to a personalized deductible level. An ASO can lead to higher employee satisfaction, increased flexibility for employers, and lower costs for everyone involved. We help employers set up plans that make sense given their specific circumstances.
With SHCMS, we make business easier by having everything handled by us.
Adjudication
At SHCMS, we provide full-service claims adjudication solutions. We handle claims adjudications with the utmost care and attention with strict processing strategies for the most secure, quick, and effective services. We're committed to protecting our clients from fraud while making it easier for them to serve their cli
Audits
Make sure your employee benefit plan is remaining compliant with all necessary regulations and standards through our comprehensive audit solutions.
We provide extensive and thorough assessments looking in every nook and cranny to ensure the entire system is following all the essential rules.
Communications
A key strategy to keeping employees interested in your business's dental program is to provide information in digestible and accessible formats. We'll produce personalized booklets,
announcements, memos, and other sources of info to provide employees with the knowledge they need to stay engaged and informed.
Call Center
Employees deserve accurate and quick answers when it comes to their dental coverage.
Offer your team the same customer service quality as some of the biggest insurance providers by using our call center solutions. Our expertly trained, knowledgeable, and friendly client service specialists handle all employee inquirie