Category Archives: E-Credentialing

NEW CO-BRANDED DENTALXCHANGE AND DELTA DENTAL OF COLORADO SOFTWARE REDUCES CREDENTIAL PROCESSING FROM 90 DAYS TO 10 DAYS

Co-branded with Delta Dental of Colorado, DDS Enroll software has reduced credentialing processing times by 89 percent, dropping from 90 days to 10 days, according to Cheryl A. Lerner, DMD, Chief Clinical Officer of Delta Dental of Colorado.

“These results create a new benchmark for the industry,” says Dr. Lerner. “In just three short months, the DentalXChange team implemented a product that exceeds our expectations in every way. The concerns we had early on that providers would be hesitant to adopt the paperless process were quickly dispelled. Since our launch, 99.8 percent of all credentialing and recredentialing application packets have been submitted electronically.

“The tremendous expertise, quality of software design and professionalism of the DentalXChange team have allowed us to process 97 percent of the applications submitted to date with no hands-on assistance or provider follow-up from Delta Dental of Colorado staff,” says Lerner. “The level of service they have provided has been exceptional—certainly the best from a vendor in my career so far.”

Additional results released by DentalXChange regarding the new co-branded DDS Enroll software include:

  • Increased provider accessibility

With the new software, providers are now able to log in and monitor their credential process in real time. This option was not previously available.

  • All-Payer Option

DDS Enroll improves the provider experience by offering an all-payer solution in lieu of a single-payer solution, which eliminates the need to duplicate lengthy applications across all carriers.

  • Payer Notifications

Recredentialing notifications can be delivered via ClaimConnect, a national all-payer revenue management portal with access to nearly every provider desktop. Credentialing expiration notices are no longer an expensive process for payers, freeing up in-house staff or eliminating the need to outsource this process.

“The results of this program are encouraging for the industry as a whole,” says Scott Wellwood, President of DentalXChange. “EDI adoption rates in the dental sector continue to lag that of the healthcare industry at large. The impressive adoption rates of the Colorado provider market show that providers are seeking paperless and streamlined solutions. We believe we’ll see more payers shift to EDI credentialing software in the months ahead, and we remain open to partnerships and co-branded solutions with others in the industry.”

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Filed under ClaimConnect, DDS Enroll, Delta Dental, Delta Dental of Colorado, E-Credentialing, Electronic Claims, Uncategorized

2017 in Review with Scott Wellwood

Scott Wellwood, President of DentalXChange

I can honestly say that 2017 was one of the most eventful in our history. While we have faced many challenges, I am so proud of the way our entire Team has faced them head on, and converted them into opportunities for both personal and company growth.

Throughout the year, our focus has been to broaden the scope of our offerings to all of our stakeholders. We have continued to reduce our dependency on outside entities in some areas, while entering into strategic partnerships where it made sense.

Noteworthy developments include:

  • We have exceeded our forecasted growth in both claims and real-time transactions
  • Print claims have been reduced to an all-time low of less than 4%, facilitated by new EDI relationships with numerous payers large and small
  • Launch of our own Attachment service has rolled out extremely smoothly, with connections to most of our major Payer Partners contracted and in place
  • Launch of our DDS Enroll Credentialing services for both Providers and Payers, including a co-branded Payer portal for Delta Dental of Colorado
  • Rollout of a new DMD service improving functionality and accuracy
  • Expansion of our Merchant Services capabilities including:
    • EMV/FSA/HSA reprograming and implementation
    • PCI, EHNAC, and other security re-certifications
    • Improved Vendor integration with our Practice Management Partners
  • Production and deployment of Training videos for both internal and external audiences
  • Expansion of our Mailroom Services, allowing a Payer to completely outsource the processing of incoming paper claims and other documents, becoming 100% EDI

I truly feel we are uniquely positioned to have a fantastic 2018 and thank you all for your past and ongoing contributions to our success.

 

Scott Wellwood

President

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Filed under Attachments, ClaimConnect, Claims, DDS Enroll, dentalxchange, E-Claims, E-Credentialing, E-Patient Statements

DentalXChange Selected To Provide All Payer Portal For Humana

DentalXChange has announced a partnership with Humana Inc. (NYSE: HUM) to launch a co-branded online portal supporting electronic data interchange (EDI) for the dental community.

Better Solutions for your Practice!

DentalXChange has designed and will operate the insurance company’s All Payer Dental Portal, allowing Humana’s dental providers to securely file insurance claims and conduct insurance-related transactions.

Scott Wellwood

“Our goal in supporting Humana’s All Payer Portal is to improve utilization management and increase administratice efficiencies” Scott Wellwood 

“Our goal in supporting Humana’s All Payer Portal is to improve utilization management and increase administrative efficiencies for providers,” explained Scott Wellwood, President of DentalXChange. “By increasing the speed at which providers of dental care can gather and utilize insurance information, we will be helping to improve the overall healthcare experience for patients, while accelerating revenue cycles for each of Humana’s dental providers.”

Through the portal, providers will have the opportunity to interact more directly with Humana, completing all dental EDI transactions at reduced or no cost. Features include the submission of claims and predeterminations, checking patient eligibility and benefits, obtaining the status of claims and receiving remittance information to balance claim payments. Transactions can be conducted directly on ClaimConnect or through integration with popular dental software programs.

“Humana is one of the nation’s leading health and well-being companies,” Wellwood said. “We look forward to working with Humana to further streamline the company’s EDI processes and reduce costs for their providers.”

“DentalXChange’s EDI tools will help empower Humana’s dental providers with the ability to eliminate paper and manage their entire revenue cycle, from eligibility verification before a patient’s visit, through the receipt of the electronic remittance advice and payment,” he added.

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Filed under California Dental Association, ClaimConnect, Claims, Dental EDI, E-Credentialing, EDI Claims, Humana, Uncategorized

DentalXChange’s 2015 Year in Review with Scott Wellwood

As the year winds to a close we thought it would be fitting for our fearless leader, Scott Wellwood, to reminisce about the company’s 2015. So, without further ado:

Hi All,

2015 has been a very exciting year for us on many levels. In some respects we’ve never faced stiffer competition in the marketplace, and yet we’ve managed to continue to grow our brand and respect throughout the industry significantly over the last 12 months.

Over the past year we have worked to create two new EDI solutions, E-Credentialing and Attachment Services. I’m pleased to report that both of these products are now a reality.

Scott Wellwood, President of DentalXChange

Scott Wellwood, President of DentalXChange

E-Credentialing provides easy to use tools for online credentialing and network enrollment, as well as automated form completion. This innovative, web-based application streamlines the creation and delivery of credentialing and network enrollment forms.

DentalXChange Attachment Services enables you to transmit attachments electronically. Fully integrated with ClaimConnect, you will be alerted to which claims need attachments to help expedite claims processing.

We have updated the User Interface of ClaimConnect making it easier to use, ensuring that it remains at the forefront of the technology curve.

We have also partnered with TransUnion allowing you to run financial assessments on patients needing treatment in order to determine the viability of extending “in house” credit.

We have worked tirelessly on making each of these products “best in class” and want to thank you, our customer, for the tremendous amount of input you’ve given. We greatly appreciate the trust you put in us and hope that these new products, services and upgrades will continue to make your life easier.

We wish you a happy and prosperous 2016,

Scott Wellwood

 

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Filed under ClaimConnect, dentalxchange, E-Credentialing, Financial Assessments, Uncategorized