Tag Archives: claimconnect

The Need For Credit

DocandPatient1200x628

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

DentalXChange at CDA Presents San Francisco and AADOM’s 11th Annual Office Manager Conference in Nashville

CDA San Francisco 2015 August 19th – 22nd  CDA San Fran 15

Wine country! A place where bright, purple stained smiles stretch ear to ear. It’s probably a good thing California’s dentists will be congregating there for CDA Presents San Francisco!

We look forward to this convention every year and next week we will be there to show everyone attending why DentalXChange is the premier clearinghouse for the dental industry.

This year we will have a cool giveaway! Sign up for one of our paid services and we’ll give you this wine accessories kit toWine Access Kit help you get one of those big purple smiles!

We will also have some other cool items to hand out like Snapper plush dolls, DentalXChange pens and Post-it notes. If you are a current client, come by, meet our staff and get a Snapper pin to show how much you love our services!

You’ll find us at booth #809, located in the heart of the CDA Endorsed section!

 

AADOM’s 11th Annual Office Manager Conference in Nashville August 28th – 30th

If you are a dental office manager heading to the Music City for AADOM 11th Annual Office Managers Conference  (August 28th – 30th), we’ll be there too! Stop by our booth for your chance to win a Bose Bluetooth Speaker! We’ll also have some cool things to hand out, so come by and say hi!

Whichever conference you may be attending this August, be sure to stop by to see how our innovative products and services help dentists run their practice in a more efficient and cost effective way. We’ll help you cut down on paper usage, save time and most importantly, save money! Our services are so renowned that the California Dental Association has endorsed us for 5 straight years!

We look forward to seeing all of you soon!

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Filed under AADOM, CDA Presents, Office Manager

DentalXChange at CDA Presents Anaheim 2015

Hailing from the golden state, we might be a little biased, but there is no better time to be in Southern California than the spring. The weather warms up (well, warmer than our 60 degree winters), the wildflowers blossom and the California Dental Association holds their annual event, CDA Presents Anaheim, April 30th – May 2nd.

cda-anaheim

We always look forward to attending CDA Presents, but this year we are even more excited because we are introducing The Preferred Practice Bundle to the convention! This comprehensive selection of online practice solutions is designed to help dentists manage their practice for one low, monthly bill. The powerful tools offered in this bundle will speed up reimbursements, improve marketability, increase patient satisfaction and help create a more efficient practice, all while lowering costs. No one else in the dental EDI industry is offering this kind of value. Just another reason why CDA has endorsed us for 5 straight years!

We will have two booths to better serve all of the attendees. Our first booth will be located at #703, in the heart of the CDA Endorsed section. The second booth will be located at #350.

Visitors can find out how much time and money they can save by switching from paper to EDI. And, when you sign up for one of our paid services at the convention, we’ll give you a big, 16” Disney character plush pillow. The perfect souvenir from Southern California! Anyone who signs up with us and uses our product for 30 days will receive a $25 Starbucks gift card!* A gift from us to help enjoy all the time you’ll be saving using DentalXChange services!

Sign up at the convention and choose your favorite character!

Sign up at the convention and choose your favorite character!

Both booths will feature other cool giveaways like Snapper plush dolls, phone chargers 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 this year, download the CDA app, find our booths, stop by and say hi! We love to meet our current clients and of course, meet new friends!

 

*One gift card per office location. Account must stay active for 30 days without cancellation. DentalXChange will mail your gift card within 45 days of activation. 

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Filed under CDA Presents, Uncategorized

DentalXChange at CDA Presents San Francisco 2014

We can’t wait to come back to the city we left our hearts in!

CDA San Fran 13

CDA Presents San Francisco is a convention we look forward to every year and next week, Sept. 4th – 6th, we will be there to show everyone attending why DentalXChange is the premier clearinghouse for the dental industry.

Our innovative products and services have been designed to help dentists run their practice in a more efficient, cost effective way. We help dental practices cut down on paper, save time and most importantly, save money! Our services are so renowned that the California Dental Association has endorsed us for 4 straight years!

This year we will be at booth #1013, located in the heart of the CDA Endorsed section.

Happy Clients from Whittier DentalWe will feature some cool giveaways like Snapper plush dolls, phone chargers, 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!

Visitors can also find out how much time and money they can save by switching from paper to EDI. And, when you sign up for one of our paid products, we’ll give you a $25 Starbucks gift card* to help enjoy all the time you’ll be saving using DentalXChange services!

So if you are coming to CDA Presents this year, download the CDA app, find our booths, stop by and say hi! We love to meet our current clients and of course, meet new friends!Snapper DentalXChange

*One gift card per office location. Account must stay active for 30 days without cancellation. DentalXChange will mail your gift card within 45 days of activation.

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Filed under California Dental Association, CDA Presents, ClaimConnect, Claims, E-Patient Statements

CDA Presents: Anaheim 2014, The Happiest Dental Convention On Earth!

Anaheim really is the happiest place on Earth!

That is the only way we can explain how much fun we had at CDA Presents: Anaheim 2014. We made new friends, shared stories with old ones and introduced people to the best EDI solutions in the dental industry.

We asked Interim Sales Manager, Bassem Bayaa to share his experiences at this years show.

Snapper DentalXChangeHow was CDA Presents: Anaheim 2014?

CDA Anaheim went extremely well for us. We had a lot of people stop by our booths that were very interested in our services and excited about doing e-claims. Attendees really loved Snapper!

What was your favorite part of the convention?

Happy Clients from Whittier DentalI really enjoyed meeting our existing clients face to face. It was great to see them stop by our booth and mention how happy they are with our services. Some of them have been using us for a very long time and it’s really nice to see that our hard work is paying off.

I loved it when our existing clients would bring their friends by so we could speak to them about our services. That really showed me how loyal and happy our customers are.  We ran out of our Happy Client pins!

Also, I was able to meet Jordan Farmar from the Lakers!

Would you recommend our clients attend CDA Presents?

Absolutely! CDA is always a blast. It is something people should experience for themselves. I’m already looking forward to CDA San Francisco! CDA Presents: Anaheim 2014

We hope to see all of you at the next CDA show, September 4-6 in San Francisco. If you would like to attend CDA Presents: San Francisco 2014, click here to get information on tickets.

Here is a list of other events we will be attending through the end of the year. If you are attending one, stop by and say hi!

CDA-CDA Presents: San Francisco 2014
CDA Endorsed Programs
September 4 – 6, 2014
San Francisco, CA

For more information, please visit:
www.cdaendorsedprograms.com

AADOM- American Association of Dental Office Managers
10th Annual Dental Managers Conference
September 4 – 6, 2014
San Diego, CA

For more information, please visit:
www.dentalmanagers.com

NPAG- National Plan Automation Group
Reaching New Heights
September 14 – 17, 2014
Sun Valley, ID

For more information, please visit:
www.nadp.org

NADP- National Association of Dental Plans
Converge 2014
September 15 – 18, 2014
Orlando, FL

For more information, please visit:
www.npag.org

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