Eligibility

Instant verification.
Instant gratification.

Enable your provider network to manage eligibility and patient benefits efficiently and improve satisfaction. With DentalXChange’s Eligibility, providers don’t have to pick up the phone or rely on multiple sources. Benefit information is available in one place allowing providers to share patient costs at time of service. Empower your provider network and reduce the resources needed to manage call volume and claim denials.

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    Improve provider and patient experience
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    Increase clean claims
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    Enable consistent experience for providers
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    Reduce call volume and save staff time
Illustration of 2-way communication technology lines. Illustration of 2-way communication technology lines.

How it works.

Provider GETS ACCESS
to eligibility across payers.
PAYERS DETERMINE
the level of information delivered.
PAYERS DETERMINE
a standardized Eligibility and Benefit response.
And just like that, the provider gets instant access to comprehensive eligibility information like plan benefits, deductible, co-insurance, limitations, and more.

Eligibility in realtime. Really.

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Where eligibility meets transparency.

Stop fielding repetitive eligibility questions and managing fragmented data. With a unified dashboard, practices get instant access to accurate out-of-pocket costs and reimbursement details—right within their workflow. Consistent, integrated information means faster answers for them and smoother collaboration all around.

Everything all in one place.

Cut out login fatigue and reduce data entry errors by providing practices with a single access point for eligibility across payers. Practices can quickly confirm patient coverage, verify benefits, and ensure claims are clean from the start—resulting in fewer delays, faster reimbursements, and a more efficient experience for both sides.
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Empower providers. Elevate experiences.

By giving practices instant access to accurate coverage data, you help eliminate payment guesswork and treatment delays. Patients get clear cost insights upfront, providers make quicker decisions, and you strengthen your network relationships by supporting smooth, informed visits.

Key Features

One Centralized Dashboard

All-in-one platform providing on-demand patient benefit information

Integrated with Practice Management Software

Real-time benefits information within the provider’s preferred practice management software

Standardized Benefit Display

Eligibility utilizes EDI 270/271 to keep things streamlined. Everything is standardized in X12 formatting.
Secure and Compliant
Secure HIPAA-compliant eligibility check
Ready to get started?
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What our clients are saying...

“It makes claims eligibility so easy to look up and also fast. You can submit claims and any problems you encounter have a resolution only a button away. I am so happy with it.”
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Dental Office Manager

Our products are better together

Each product is powerful alone but they’re even better when used together.
Credentialing
Complete, manage, and track applications.
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Claims
Smarter Claims.
Smoother Operations.
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Attachments
Process claims faster.
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Claim Status
End-to-end visibility and instant claim status.
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ERAS
The ultimate ERA timesaver.
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PayerXChange
Enhance Communication. Optimize Operations.
Learn More