Tag Archives: electronic 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 Helps Shape the Future of Dental EDI at NDEDIC Summit

Huntington beach is a great place to hang 10, build a sand castle and get a great tan. They don’t call it Surf City for nothing! But this year it was the perfect place to catch a wave of a different sort. The EDI wave of change!

NDEDIC banner

 The National Dental EDI Council (NDEDIC) is the only organization to unite insurance groups, clearinghouses and dental practices in promoting the value and increasing the utilization of electronic commerce within the dental industry. NDEDIC’s EDI Summit provides a conference for these stakeholders to meet and advance the value and utilization of electronic connectivity in the dental community.

 This year, NDEDIC hosted its 2013 EDI Summit over the week of April 29th thru May 2nd  in Huntington Beach, CA. The conference featured a wide range of events and seminars  and brought together Payers, Practitioners and Clearinghouses from all over the country, dedicated to furthering the advancement of Electronic Data Interchange in the dental industry.

Lizzy Jones DentalXChange employees moderated many of these seminars, like, Bill Dachelet, Operation Manager and past Benjamin D. Ward Award recipient, who hosted the EDI Basics Workshop: Talk HIPAA to Me. Tom Mort, a Benjamin D. Ward Award recipient and Director of Product Integration for DentalXChange, help moderate two events: 835 Remittance Advice 101 and 835 Driven to New Directions by UIF. And not to be out done, Lizzy Jones, Director of Sales and Retention, helped present the Town Hall Meeting: Sharing Best Practices for Marketing EDI Usage.

  The SumIMG_1058mit was not all work though. People who attended also got treated to a day at theIMG_1159 Aquarium of the Pacific, in Long Beach, CA, or a day of golf at Mile Square Golf Course. Le Ann Eyres-Morris, Director of Channel Partners for DentalXChange, help host a meet and greet at the Longboard Restaurant and Pub. It all culminated with a fantastic beach party featuring live music and bonfire with a build your own s’mores bar!

DentalXChange president and last year’s Chairman of the Council, Scott Wellwood, presided over the final event of the week, the Awards luncheon and State of NDEDIC Report. He passed his gavel to this year’s Chairwoman, April Rimpley, Vice President of Group Customer Connections & Operations of Ameritas.Scott Wellwood

DentalXChange has been a member of NDEDIC for more than 20 years,”  said Wellwood. “Our active participation and leadership during that time has proven instrumental in driving success for our company and numerous process improvements for our customers.  It is truly a unique organization and the annual Summit provides tremendous learning and networking opportunities and showcases the best of what our industry has to offer.”

 All the events at NDEDIC’s EDI Summit 2013 were lively, educational and ended with great give and takes from the audience that will help shape the future of EDI in the dental industry.

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Filed under Dental EDI, dentalxchange, EDI Claims, Electronic Claims, NDEDIC, Uncategorized

DENTALXCHANGE OFFERS GUARDIAN CLAIM STATUS TRANSACTION

Providers can now check Guardian claims status online through DentalXChange

DentalXChange is proud to announce that The Guardian Life Insurance Company of America (Guardian), now offers online claims status verification through DentalXChange.

Dentists can now easily check the status of their Guardian claims online through DentalXChange. This can eliminate the need for time consuming phone calls to check on the status – making the process easier and faster for dental offices.

“Guardian is committed to making it easy for dentists to work with us,” says Dr. Richard Goren, 2nd Vice President and National Dental Director for Guardian. “One of the ways to meet that commitment is by offering an array of online capabilities, like claims status verification, to ease administrative duties.”

“We are excited to support Guardian in the development of the new transaction as together we have a goal to deliver a complete EDI process for the Guardian providers” said LeAnn Eyres, DentalXChange Director of Channel Partners.

If you would like any more information or have any questions about claims status verification, please do not hesitate to call us at 800-576-6412 Ext. 467.

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