DentOffice Software Manual - E-Claims Web Claim

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According to ClaimConnect, the advantages are:

HIPAA compliant X12 format.
Submits directly from DentOffice software via secure, HTTPS Internet protocol. No third party program to download and install.
ClaimConnect offers direct connections to most major insurance companies meaning less “hops” in between you and the Payer and faster payments.
ClaimConnect is the only service that offers real-time claim processing for MetLife claims. You get an Estimate of Benefits back within moments of the claim submission.
Online claim management screens that allow you to view, track, edit and even resubmit claims with a few mouse clicks and keystrokes.
Other HIPAA compliant real-time services available include:

Eligibility and Plan Benefit information for selected Payers.
Claim Status Inquiry for selected Payers.

30 Day Satisfaction Guarantee

Visit www.dentalxchange.com for more information about their other EDI services.

To get started simply:

1- Register with ClaimConnect

Both new and existing clients will need to register on ClaimConnect.

Simply go to www.dentalxchange.com, click on Register. Create a new account or edit your existing account. Select batch file upload using DentOffice as your Practice Management Software. Choose the Batch Claims Upload Package at pricing of $0.37 per claim for all payers. (Print Claims Included)

If you need help, please call ClaimConnect customer care at 800-576-6412 extension 455.

2- Setup in DentOffice

Setup the ClaimConnect in Edit Clearinghouse as follows:

You may have to create a folder for your claims (C:\ClaimConnect\Upload\ in the example above). It doesn't really matter where this folder is. It's just a place where the claim files are stored temporarily until they are sent.

3- Submitting Electronic Claims

For Instructions for submitting claims to ClaimConnect, please visit the Send Claims page.

Some History

EDI Health Group was the first clearinghouse that worked with DentOffice with their WebClaim product. However, the old interface fell into disrepair as changes were made to DentOffice. For current versions of DentOffice, you must use the new X-12 functionality as shown above. For older versions, the WebClaim module is installed separately by clicking on one of the links below.

For DentOffice version 2.5: http://www.webclaim.net/Downloads/AppInstallers/OpenDental/WebClaimOD2.5.0.0.zip

For DentOffice version 2.8 or 2.9: http://www.webclaim.net/Downloads/AppInstallers/OpenDental/WebClaimOD2.8.20.0.zip

DentOffice version 3.0 and 3.1 might work, but we're not really sure.

DentOffice version 3.4 uses X-12 and works very well with the ClaimConnect portal.