Tag Archives: dental claims

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 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

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 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

DentalXChange Announces New Partnership with NCDR, LLC

DentalXChange is proud to announce a new partnership with NCDR, LLC (NCDR), a dental services organization serving Kool Smiles and Resolution Dental nationally.Kool_smiles_logo

Through this partnership, DentalXChange is now supporting dental EDI services from claim submissions and real-time transactions, to the delivery of ERA’s electronically.

“By moving all of its EDI services to DentalXChange, NCDR has been able to improve its processes and reduce its operational costs, reaching an overall higher level of processing success,” explained Le Ann Eyres-Morris, Director of Channel Partners for DentalXChange.

We are very happy to have the opportunity to assist Kool Smiles and Resolution Dental in reaching their EDI and claim processing goals. Our relationships with our payer partners help drive the success of this unique implementation!”

After an analysis of their EDI and business processes, NCDR chose to migrate from a direct-connect model and move their claim and ERA transactions to DentalXChange, according to Eyres-Morris.

This change is indicative of a new direction in the industry, according to Scott Wellwood, President of DentalXChange.

“The industry is changing, and many companies are looking for strategic ways to reduce operational costs while continuing to provide exceptional service,” Wellwood noted.  “We are pleased that we have the opportunity to assist NCDR in improving its EDI delivery, and we anticipate that this partnership will continue for many years with great success.”

Damon Dunsmore, Manager of EDI and Integrations for NCDR, led the implementation, and noted “NCDR conducted an extensive selection process in order to identify the right partner, and DentalXChange emerged as the clear choice.  We implemented DentalXChange’s services in April and today, we couldn’t be happier with that decision,” Dunsmore explained.  “I have been working in EDI for over 10 years, and this has been the easiest implementation I’ve experienced.”

Dunsmore noted that the DentalXChange Account Management team was extremely efficient in driving the implementation which brought comfort in moving the remaining volume this July supporting a complete implementation in less than 120 days.

“The whole organization really seems to strive to ensure the customer is happy,” he said.  “I truly feel that we are business partners in the most literal sense of the word.”

According to Dunsmore, DentalXChange is a natural partner for NCDR, as the two companies’ visions are well-aligned.

“Both DentalXChange and NCDR are committed to using technology to provide high quality, affordable, health care reimbursement processes through secure, electronic transactions,” he said.

About NCDR, LLC

NCDR is a dental services organization offering business support services to some of the nation’s leading dental practices, including Kool Smiles and Resolution Dental. NCDR provides non-clinical support to affiliated practices freeing dentists to direct their energy and passions towards providing the best possible experience for their patients.
Affiliated practices benefit from support services including accounting, scheduling, human resources, insurance billing and collections, purchasing, industry leading information technology platforms, and the learning gained from affiliating with hundreds of other dentists nationally.  Our support system includes our award winning Boomerang Practice Management and Electronic Dental Records System, the backbone to our compliance and support systems.  Please visit us at www.ncdrllc.com.

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Filed under American Dental Association, California Dental Association, ClaimConnect, Claims, Customer Service, HIPAA