Tag Archives: dental 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

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

We Left Our Hearts At CDA San Francisco!

The CDA season is finally over and I can unequivocally say…

We had a blast!

We saw old friends, made new ones, met some colorful characters and introduced Snapper to the masses! And of course, presented people to the best EDI solutions in the dental industry!

Dr. Brown CDA SF 13

We talked with Elizabeth Jones, Director of Sales and Retention about her experience at CDA San Fran.

CDA San Francisco was excellent,” said Jones “I couldn’t count how many times I heard, ‘Oh DentalXChange, yes we use you.’ or ‘DentalXChange! We have claims and patient statements what else do you have?’ I feel that we have made a big impact in California and for sure in the Industry.”

CDA Lizzy Bass Jenny San Fran 13

Snapper was a huge hit. People came from all over the Moscone Convention Center to get one. “They thought he was the cutest thing ever.  This one dental assistant said she’s going to use him as an example for children to ‘open wide just like Snapper’ would,” said Jones about Snapper.

CDA Jenny Bass SAN Fran 13

Of course the best part of each CDA is continuing our relationships with our clients. “My favorite part of all conventions is visiting our partners and vendors. These are the people who help you grow,” Jones went on to say. “Our partnerships are priceless.”

We look forward to seeing everyone at the conventions we attend. Come by and say hi! We’ll introduce you to the best dental EDI products in the industry!

Here is a list of events we will be attending through the end of the year:

NADP- National Association of Dental Plans
Converge 2013
September 9 – 12, 2013
Las Vegas, NV

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

NPAG- National Plan Automation Group
September 15 – 18, 2013
Hershey, PA

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

ADA- American Dental Association
October 31 – November 3, 2013
New Orleans, LA

For more information, please visit:
http://www.ada.org

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Filed under California Dental Association, dentalxchange, DentistUSA, Uncategorized

DENTALXCHANGE TO CELEBRATE ONE HUNDRED MILLIONTH CLAIM SUBMISSION

DentalXChange (DXC), is proud to announce the launch of a new Thanks a 100 Million campaign to celebrate its upcoming one hundred millionth submitted EDI claim.

FB_MillionThanks

“This new campaign is the culmination of over 20 years of dedicated work that we have put towards the dental EDI industry,” said Scott Wellwood, President of DentalXChange. “We anticipate that our 100 millionth claim will be submitted next month, and we want to celebrate this incredible achievement with all our clients who helped make this possible.”

The Thanks a 100 Million Celebration includes a number of exciting benefits for clients, including:

  • A 10% Claims Discount for New Practices: From now through the submission of the 100millionth claim, practices that sign up with DentalXChange’s online claims solution, ClaimConnect, will receive 10% off claims submissions for one month*.  (*Terms and conditions apply. Please call for details.)
  • A $25 Starbucks Gift Card: Any practice that signs up for one of DentalXChange’s paid EDI solutions or refers a practice to DentalXChange will receive a $25 Starbucks gift card*. (*Terms and conditions apply. Please call for details.)

Over the past two decades, DentalXChange has established itself as the leader in Electronic Data Interchange solutions for the dental industry. The company’s goals are to simplify business processes, increase productivity and enhance the management side of the dental practice by providing streamlined connectivity that bridges the gaps between dental payers, patients and providers.

“This is an exciting time to be in the dental industry,” noted Wellwood.  “We will continue to pioneer new innovations to assist providers, patients and payers, while always rewarding our clients, who have helped us to achieve ongoing success.”

“Thanks a 100 Million” Campaign Details

The “Thanks a 100 Million” campaign starts now and runs through the submission of the 100 millionth claim, estimated around August 8th.  To enter, practices simply submit a claim through DentalXChange’s ClaimConnect. Winners will be notified by phone once submission of the 100millionth claim is verified. Terms and conditions apply. Please call for details.

To obtain more information on products and claims submission, please call 800-576-6412 Ext. 455 or visit www.DentalXChange.com. To find out more about the campaign and obtain contest terms and conditions, please visit http://www.dentalxchange.com/promo/ThanksA100Million

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Filed under ClaimConnect, Claims, Customer Service, dentalxchange, Electronic Claims, Uncategorized