Tuesday, October 10, 2017

More tips for getting your claims paid faster

Last week, I attended the annual Dentrix Train the Trainer conference. At this conference, I get to be the student and learn about all the new features being release in the next year. Over the next few months, you will be reading about some of the amazing updates coming out with eServices, Dentrix Pay and your Dentrix software.

Today, I want to give you some things I learned about the current eClaims service and how you can increase the success of your claims getting paid faster.
  • Always batch your claims and send out in a group. What I learned at the conference is that if you send claims in real time or what might be called a “one off” claim, there is a greater chance of getting a duplicate claim.
    • You can turn off the option of sending claims in real time so it will stop asking you every time you create a claim on the ledger. Go to the Ledger > File > Direct Processing Options and uncheck the “Display Real Time Payor Notice”. The is very common with Metlife claims.
    • When you batch your claims, you will get one set of eClaims reports instead of a set of reports with every real time claim. This will save on the amount of reports that display on your Batch Processor. This is more of an annoyance than a tip for quicker payment.
  • If you are not sure of the Payor ID, the Payor Search tool on the Dentrix website is more up-to-date than the Payor ID list in the Insurance Info window. Remember that the Payor ID is the electronic address and, if you have the wrong Payor ID listed, it will slow down the payment of your claim. CLICK HERE to be directed to the Payor Search Tool on the Dentrix website.
  • You should NEVER have to resend a claim if you have a DC#. What is a DC#? It is the Document Control Number or the confirmation number that the insurance company has received your claim. With this number, you can always find your claim and hold the insurance company accountable to find it. For more info on this tip, CLICK HERE to read more about the reports and confirmation numbers.


If your office sends a lot of claims every day, I would recommend sending a batch of claims at lunch and then sending a batch of claims at the end of the day. This will break up the process and give you a smaller list of claims to go through each day. My recommendation is that claims get sent out within 24 hours of date of service.

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