Tag Archives: claimconnect

Engage with DentalXChange at CDA Presents Anaheim, May 17-19 2018

It’s our favorite time of the year! CDA Presents Anaheim 2018 is just ten days away and we are counting down the days to see our old friend and make new ones.

This year, we are happy to announce that our booth will feature our PayConnect Financial Services. Our comprehensive suite of financial services enables your dental practice to easily collect payments, quickly determine in-house credit options and offers a host of other services to better manage your practice’s merchant account.

We are offering a FREE analysis of your current merchant account right at our booth. This cost savings analysis only takes a couple minutes and can be eye opening when it comes to how much your practice is really being charged for its merchant processing services. Plus, we’ll give you a Snapper plush toy and a Snapper Chomp for taking the time to do the analysis.

 

This year’s booth will be located at #701. Visitors will have the opportunity to view demos of all our products and discover our how much time and money they can save by switching from paper to EDI. When you sign up for one of our paid services at the convention, we’ll give you a 19” Disney character plush toy and you’ll be entered into a raffle for your chance to win a JBL Bluetooth Speaker! We will be giving away one speaker for each day of the show, three in total. So come by the booth to enter.

 

 

If you are a current client, come by our booth and we’ll enter you into the JBL raffle, as well. We’ll also give you a Happy Client Snapper pin to display how much you love our services.

We will feature some other cool giveaways like DentalXChange note pads, DentalXChange pens and DentalXChange key chains. So if you are coming to CDA Presents Anaheim, download the CDA app, find our booths, stop by and say hi.

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Filed under California Dental Association, CDA Presents, dentalxchange, Uncategorized

Check Claims Status Online

Did you know that you can check the status of a claim right on your computer? This can eliminate the need for time-consuming phone calls and make claims processing easier and faster for dental offices.

ClaimConnect will help you eliminate the need to call your payer to find out about your claim status,” said Lindsey Schurman, Client Services Manager at DentalXChange, the makers of ClaimConnect. “It is an easy process that will help ease administrative duties for your practice and help save you money.”

To check a claim through ClaimConnect:

  1. Select Claim Status on your ClaimConnect Dashboard.
  2. Enter the payer, provider, subscriber, patient and claim information, as necessary.
  3. Click Continue to view the status of your claim.

“Calling your payer can lead to wasted time and money,” said Schurman. “If you would like to learn more about how to check claims statuses online, please call us at 800-576-6412 ext. 452. We will be happy to help.”

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Filed under ClaimConnect, Claims, Dental Office, dentalxchange, EDI Claims, Uncategorized

DentalXChange at CDA Presents Anaheim, May 4-6 2017

We could not be more excited to attend CDA Presents Anaheim 2017. We are always excited to see old friend and make new ones, but this year we have something BIG to share with all of you.

The release of our new Attachment Service for ClaimConnect!

Our new service will save hundreds of hours by allowing dental providers to attach supporting documents (e.g. x-rays, periodontal charts, EOBs, narratives) that may be required by an insurance company to adjudicate a claim, directly through your ClaimConnect account.

Now, we have a single software system for creating claims and attaching documents, resulting in improved efficiency for both providers and payers.

Features include:

  • System Notifications

Alerts notify the user when an attachment is required, increasing speed and reducing errors on the provider’s side, which it-turn decreases follow-up time with insurance companies.

  • Optimized Image Tools

DentalXChange’s attachment software offers highly functional image tools including high-quality image resolution, and the ability to rotate, zoom, and change image brightness and contrast to better examine attachments.

  • Fully Customizable Platform

The attachment service can be customized and integrated into Practice Management Systems, giving providers the flexibility to personalize the software to their needs.

  • Secure Archive

Payers and providers can view submitted claims and attachments in a secure online archive at any time.

  • Low Cost, Contract-Free Structure

DentalXChange’s attachment service does not require a contract. Payers and providers have the flexibility to sign up for the service on a monthly basis. While many attachment services charge users upwards of $450 annually, DentalXChange offers its attachment service at a price of $25 per month ($300 annual).

All of our innovative products and services have been designed to help dentists run their practice in a more efficient and cost effective manner. Our services are so renowned that the California Dental Association has endorsed us for 6 straight years!

 

Our booth will be located at #703. Visitors can find out how much time and money they can save by switching from paper to EDI. Plus, when you sign up for one of our paid services at the convention, we’ll give you a 19” Disney character plush toy. The perfect souvenir from Anaheim, California!

 

Snapper Chomp

We will feature some other cool giveaways like Snapper plush dolls, Snapper Chomps, DentalXChange note pads and DentalXChange pens.

 

 

If you are a current client, come by, meet our staff and get a Snapper pin to show how much you love our services. So if you are coming to CDA Presents Anaheim, download the CDA app, find our booths, stop by and say hi!

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Filed under Attachments, California Dental Association, CDA Presents, ClaimConnect, Claims, dentalxchange, E-Claims, EDI Claims, Electronic Claims

DentalXChange Announces New Completely Integrated Attachment Service for ClaimConnect

facebook_attachment2_1200We are proud to announce our electronic claims attachment service is now completely integrated with ClaimConnect.

DentalXChange Attachment Service allows providers to electronically attach x-rays, periodontal charts, EOBs, narratives and any other documentation required by a payer to adjudicate a dental claim without having to use a third party application.

“Our goal in designing our attachment solution is to improve administrative efficiencies and control costs for payers and providers,” explained Scott Wellwood, President of DentalXChange. “By using one service to send claims and associated documentation, providers will simplify the claims cycle and expedite reimbursements.”

DentalXChange Attachment Service will allow providers to submit electronic attachments along with the claim, directly to Payers like Cigna, MetLife, UnitedHealthcare, among many others.

Along with sending solicited attachments without third party software, other features of the service include customizable attachment rules, attachment alerts and an online attachment archive.

“We want to empower our clients with services that perform at the highest level for less cost. We feel we have done that once again with DentalXChange Attachment Service,” he added.

To learn more about this innovative service, please call 800-576-6412 Ext. 455 or click here.

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Filed under Attachments, ClaimConnect, Claims, Dental EDI, Dental Office, dentalxchange

The Need For Credit

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In today’s economic climate, the need for dental practices to extend credit to prospective patients is a necessity. With the rising cost of healthcare across the board, most patients just cannot afford to pay for their treatment in one lump sum. So they will look for a dental practice that will extend them credit to pay over time.

Unfortunately, according to a report from the Corporation for Enterprise Development, “56% of consumers have subprime credit scores. Meaning they are unable to take advantage of the best, or even average interest rates if they need to borrow money.” So where does that leave your practice? Do you blindly extend credit on faith, hoping you’ll eventually see your return?

The good news is you don’t have to with our new Patient Credit Score Services.

This innovative service provides you and your staff with the financial data needed for making in-house credit decisions. Powered by TransUnion, you’ll get a synthesized report featuring a FICO score and the healthcare-specific metrics you need to get a more complete picture of your patient’s financial situation, right at the point of service.
Here are the great ways this service is designed to help make better in-house decisions:

  • Improve financial counseling with easy to read Decision Messages, which help staff with in-office credit determinations.
  • Expedite the registration process and improve revenue recovery through self-reported data that is quickly verified.
  • Reduce fraud and identity theft through five standard alert messages, including Red Flags.
  • Review the patient’s available credit and TransUnion New Account score, which are compared against pre-set thresholds to help optimize your collections processes.
  • Improve your charity care determination process and reduce bad debt by comparing the patient’s Federal Poverty Level (FPL) % estimate, which is compared against financial aid thresholds.
  • Makes soft inquiry on a patient’s credit, which will not affect their credit score.

Patient Credit Score Services will help your practice make objective, ability-to-pay decisions and ultimately help you collect on services rendered.

Improve your financial counseling and collection with DentalXChange!

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Filed under Financial Assessments, PayConnect, Uncategorized

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

Why Are My Dental Insurance Claims Rejected?

The hours wasted into investigating why an insurance claim gets rejected can drive a person crazy and waste many quality hours that could be spent with patients.rejected dental claims

To help alleviate the aggravation, we talked to Lindsey Schurman, Manager of Client Services at DentalXChange, to find out how you can avoid being placed in a straightjacket and get those important claims paid quickly.

What are the top reasons claims are rejected? 

The three issues we see most often are:

  1. The provider’s information does not match what is on file with the payer
  2. The patient info does not match what is on file with the payer
  3. The patient is no longer covered under policy

How can these be avoided? 

The best way to avoid a rejected claim is to check the patient’s eligibility when they first make an appointment. This is easily done through ClaimConnect’s Real Time Eligibility. After eligibility is checked, make sure the patient’s ID card matches what is in their chart. This will help avoid discrepancies between information on file and what the payer has on record. After a client receives rejection, the advice we share is to verify that all the information matches what is on file with the payer.

When DentalXChange investigates a rejected claim we ask the following questions:

May I please confirm the patient info to make sure we have matching claims info?

Asked the payer to confirm:

  1. The Patient and Subscriber Name
  2. Dates of Birth
  3. Member IDs
  4. Addresses
  5. Genders
  6. Group/Plan numbers
  7. Plan Effective Date

May I also confirm that the correct Provider information listed on the claim is on file?

Ask them to confirm:

  1. Rendering and Billing
  2. Name
  3. NPI
  4. TIN
  5. Address
  6. License number
  7. Any applicable provider ID or Taxonomy code

One of these issues is usually the reason a claim gets rejected.

How does a product like ClaimConnect help?

When submitting a claim through ClaimConnect, the program focuses on minimizing rejections by checking claims for the preventable errors. We call these validation errors. Validation errors prevent claims from being sent when the information does not match what the payer requires. They can range from incorrect procedural codes to incomplete provider information. These errors are flagged and allow you to fix any discrepancies before the claim is submitted to the payer.

This saves a ton of time dealing with rejected claims. Of course, if anyone is having an issue with claims rejections, they can always give us a call. Our customer service representatives will be happy to help resolve any issues you might be having.

Thanks for taking the time to help us, Lindsey!

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Filed under ClaimConnect, dentalxchange, EDI Claims