Open Dental Forum

HAS ANYONE USED THE ELECTRONIC BENEFITS DIRECTLY THRU OPEN DENTAL? IS IT EASY TO INTEGRATE INTO AND USE OR IS IT MORE HASSLE IF YOU HAVEN'T BEEN USING IT ONCE THE INTEGRATION IS COMPLETE? I USE CURRENTLY CLAIM CONNECT AND WONDER IF THIS WOULD BE AN EASY WAY TO RE VERIFY PATIENT COVERAGE RATHER THAN CALLING AND GETTING FAXES ONCE THEY ARE IN MY SYSTEM.

We use Real Time Eligibility - ClaimsConnect

We use it mainly to confirm that the patient still has dental insurance coverage.
When we get the benefits , we do not import it into the patients benefits area, we just keep it in the History. Some times it is too much info, and sometimes not much at all.
We manually modify/import any benefits that we are interested in, mainly annual maximum, deductible and some benefits for in network or out of network provider benefits.

If a family or new patients walk in our office at the same time, this is the fastest way to confirm that they have dental insurance, what the deductible is, and they can get an exam, XRAYS, and a cleaning. Once you enter the patient and the insurance info in OD, just hit submit , and you will get the info right away.
So in few minutes you can confirm that YES the patient has coverage, or NO the patient does not have coverage, without calling the insurance compay

But for detailed benefits, Trojan , or making a call to the insurance company is much better.

I think the cost is an extra $15 per month. It is a safety to confirm that your patients are still eligible.
The receptionist check it the night before the patients appointment. she just hit SUBMIT.

This service covers many dental insurance companies, the main ones, but not all.

I think claim connect offers 30 days free trial, just try it

check this link too:
Who uses OD Real Time Eligibility (ClaimsConnect)?
viewtopic.php?f=1&t=6075&p=26808#p26808

My issue is that I hae Tesia and am very happy with them, but Tesia does not offer electronic benefits. I am unable to utilize a separate company for e verification.

Is there any other way to use a company for e verification?

you can use claim connect to check eligibility . you can still keep tesia.
they offer one month free try in. call them

Works fine here - very convenient - one thing missing is frequency determinations; ie) prophy's, fmx, pano, restorations - but as I understand it, that's the insurance company not bothering to release that information in this format.

rhaber123 wrote:you can use claim connect to check eligibility . you can still keep tesia.
they offer one month free try in. call them

I was told by tesia that you cannot use 2 different clearinghouses.