Sending claims electronically can be very advantageous for your company. No more paper claims, no more stamps and envelopes. Claims are sent more quickly, received and reviewed faster, necessary corrections can be made in a more timely fashion, and you receive payment in approximately half the time it takes for an insurance company to reimburse paper claims. It's good for your cash flow. It's good business.
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In DentiMax, claims are sent via an Internet connection. You must have an Internet connection to use this feature.
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DentiMax sends claims through the EDI-Health Group clearinghouse, which checks the claims and, when accurate, forwards them to the correct insurance companies. The actual system through which you send claims to EHG is called ClaimConnect.
The advantages of using a clearinghouse are many. They include the following:
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Each claim submitted is checked for data errors and omissions, dramatically reducing claim rejections and suspensions. Because of these audits, your claims go to the carriers virtually error free
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All claims can be submitted over the Internet. In most cases, the claims are accepted 24 hours a day, every day. This also means that you have no phone bills to pay each month for your electronic claims
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You can verify patient eligibility and detailed benefits, and more
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Signing Up
Insurance Company
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You may have to sign up with the insurance company for sending electronic claims and receiving authorization and necessary identification numbers, etc. Check with the carrier to be certain.
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Open the insurance company record and, in the General tab under the Category field on the right-hand side, click Send Electronic Claims. All claims created for this company will be designated as electronic claims. Also, if provided, enter other information required by the insurance company in the program.
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Make sure the Routing number has been entered in the Payer ID field.
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Clearinghouse
You must register with the EDI-Health Group to send claims to its clearinghouse. To do so, perform the following steps:
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To the left of the blue options bar, click Register.
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Under the New users? Sign up now! section, click Register again.
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In the Create an Account screen, enter all required information. Your user name will probably be your practice name, if you are registering as a complete practice, or the individual provider name. Note that passwords cannot be the same as the user name, must be between six and twelve characters long, and must contain at least one number and at least one letter. Click Continue.
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In the Create a User Profile screen, enter at least the required information. Click Continue.
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In the Verify The Dentist screen, verify name and specialty, then enter your TIN/SSN and license information. Click Continue.
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In the Select Your Claim Solution screen, click the Continue button after your chosen solution. If you choose Batch File Upload, select DentiMax from the list of practice management systems currently accepted by EHG. Then click Continue. You do not have to choose a claim solution at this time.
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The registration program verifies that your chosen practice has the ability to make the proper connections for batch processing and may include other directions or information. Click Continue.
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In the Select Your Packages screen, enter a promotional code (if you have one) and choose from the available packages. You can also change your practice management software in this screen if necessary. You are 40% finished with registration. Click Continue.
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In the Claim Connect 30-Day Satisfaction Guarantee screen, you have three options: Change your package selections, take advantage of the 30-day trial period at no cost, or enter your billing information. To enter billing information, click Continue.
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In the Billing Information screen, choose Credit Card or Checking Account and enter the required information. Verify your billing information. Click Continue. If you are using the 30-day trial offer, click Remind Me Later.
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In the Confirm Your Services screen, verify all information. To complete registration, click I Agree.
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Read the license agreement and click I Agree.
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Registration is complete.
If the insurance plan does not require registration, you can begin sending electronic claims immediately.
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If you experience trouble registering or have any questions, call EDI-Health Group, Inc. at (877) 932-2567 or email them at support@dentalxchange.com.
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To send attachments with electronic claims, see Sending Attachments with Claims.
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