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.
Improve provider and patient experience- Increase clean claims
- Enable consistent experience for providers
- Reduce call volume and save staff time
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, you get instant access to comprehensive eligibility information like plan benefits, deductible, co-insurance, limitations, and more.
Eligibility in realtime. Really.
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.
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?
Let's GoWhat 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.”
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.
It's never been easier to complete, manage, and track applications. Eliminate paper forms, automate Primary Source Verifications (PSVs), and streamline re-credentialing notifications. With a process this easy, there's no need for expensive third-party agencies.
Learn more about CredentialConnect for Payers >
Claims
Smarter Claims.
Smoother Operations.
Smoother Operations.
Your operations run better when claims arrive clean the first time. With DentalXChange’s Claims, providers gain the tools to submit claims with confidence, reducing errors, resubmissions, and administrative overhead on your end. The result? A 99% clean claim rate that improves adjudication, enhances provider satisfaction, and supports long-term retention.
Learn more about ClaimConnect for Payers >
Attachments
Process claims faster.
DentalXChange AttachmentConnect for payers is a simple and cost-effective way to increase claims processing efficiency. Receive electronic claims with the exact supporting documentation you require—and nothing you don’t. No mailroom costs. No data entry errors. No lost or damaged attachments. And no need for followup calls to request additional information. Best of all, you can set it up in hours without a single line of code required.
Learn more about AttachmentConnect for Payers >
ERAS
The ultimate ERA timesaver.
ERAConnect provides a single source for your ERAs—while eliminating single-payment reconciliation. Accelerate your revenue cycle by automating your ERA workload. Get your reconciled ERA the minute it’s available. And manage it all in one place, in one easy-to-understand format.
Learn more about ERAConnect for Payers >
Claim Status
End-to-end visibility and instant claim status.
With DentalXChange’s Claim Status, enable your provider network with end-to-end updates and full visibility on claims—no phone calls, no guesswork. One click shows when a claim was processed and paid, down to the check number and amount. Faster insights mean faster action.
Learn more about StatusConnect for Payers >
PayerXChange
Enhance Communication. Optimize Operations.
Designed for transparency. Built for collaboration. Dental insurance payers can collaborate with their provider network. No more dealing with messy claims or complicated credential checks. With our platform, everything you need is in one place to enhance communication with providers and solve problems faster.
Learn more about PayerXChange >