Frequently Asked Questions

ClaimConnect is a SaaS product for submitting dental claims to multiple payers. It integrates with various practice management software.

ClaimConnect offers full, partial, or file upload integration options depending on your existing software.

ClaimConnect aims to make claim submissions more efficient by reducing manual tasks and offering real-time validation.

U.S.-based client service and training are available to users.

No, there are no start-up fees or contracts required.

ClaimConnect is used by dental providers including Office Managers, Practice Managers, Billing Specialists, Dentists and DSOs.

PayConnect, DentalXChange’s merchant service provides a comprehensive suite of financial services enables your dental practice to easily collect payments, creating efficiencies managing your practice’s merchant account. Accept credit or debitcards, online payments and checks providing patients flexibility with payment options.

To accept credit card payments (online, offline, anywhere) you need a Merchant Account and processing equipment. DentalXChange has terminal options we can discuss that will best fit your practices’ needs.

PayConnect is compatible and can integrate with a variety of Practice Management Software. We have spent years improving those integrations and have added many functionalities and tools. Please contact PayConnect to determine if your PracticeManagement Software is compatible with PayConnect.

Yes, along with the PayConnect Online Portal, PayConnect offers a state-of-the-art reporting and reconciliation portal. Advanced Merchant Portal allows you to track financial statistics, download and print your monthly statements, and get notified of important industry changes. We also offer custom reporting if requested. Sign up forPayConnect today and get Advanced Merchant Portal for free.

Clients can configure and manage recurring payments easily, setting up patients with a payment plan to automatically draw payments from the patient’s account. This provides an automated solution for these recurring payments to avoid keeping track manually.

Yes, clients can send invoices and payment reminders to patients via text with just a few clicks.

Yes, PayConnect does have an option for 0% Credit Card Processing Fees(Surcharging). This allows clients to pass credit card fees for eligible transactions onto the cardholder to cover processing costs. This can alleviate additional expenses the practice incurs from payment processing.

Consumers are well protected from online fraud by the zero-liability plans offered by their card issuers, but the merchant is not according to United States law. A few fraudulent purchases or charge-backs on your merchant account can lead to increased bank fees and even the revocation of your account.

Automatically included with all PayConnect accounts are basic fraud screening tools including AVS (address verification system), Visas’ CVV2, Mastercard’s CVC 2, and American Express’ CID. These proven tools can filter out most online fraud, and are available to you at no extra cost. The ultimate fraud fighting device is our Card Present transactions combined with signature/receipts/check images capture and retrieval. This will help you significantly reduce fraud and the risk of charge-back. PayConnect also offers Dispute Manager, which is an easy-to-use tool to help manage all your chargebacks and disputes, online. Dispute Manager allows you to receive and respond to chargebacks online, and track the progress of pending disputes. Please contact PayConnect sign up.

EMV stands for Europay, MasterCard and Visa. It is a global standard for cards equipped with computer chips and the technology used to authenticate chip-card transactions. All of our credit card machines are enabled to read EMV chip credit cards, to help combat against counterfeit and fraud.

Security is our highest priority and proper precautions are taken at all times. All communication between your servers, PayConnect, the acquiring bank, and the issuing bank are encrypted end-to-end with 1024-bit RSA public/private key-pairs assuring server authenticity, and invulnerability to man-in-the-middle attacks.

Yes. Our system runs in Secure Mode using SSL (Secure Sockets Layer) to encrypt all communication data.

PCI (Payment Card Industry) Compliance is a nationwide mandate across the industry requiring all merchants to become compliant with PCI Standards. As a merchant, you must do your due diligence regarding protecting your customers credit card information. The PCI Compliance process ensures you employ security protocols and procedures to limit any exposure to credit card information.

After signing up for PayConnect, you will be provided information on how to become compliant. Our trusted PCI vendor, Clover Security will activate your PCI Account. You will be required to register and complete the process, which consists of completing a questionnaire and possibly a network security scan to ensure there are no vulnerabilities within your network. We make it a priority to help you become PCI compliant and will answer any questions or concerns you may have.

PayConnect is fully level 1 PCI Compliant - the highest level of PCI privacy and security recognized by the Payment Card Industry Security Standards Council.

A product solution for attaching required documentation to dental claims.

Yes, it meets all HIPAA compliance guidelines.

Types of attachable documents include x-rays, EOBs, perio charts, and narratives.

It’s designed for dental provider roles like office managers, dentists, RCM managers, and Dental Service Organizations.

Attachments is available directly through ClaimConnect and is designed to work alongside your practice management software.

Offices can include an unlimited number of attachments and there is no limit on file size.

Yes, US-based customer service and technical support are available for assistance.

Yes, you will need ClaimConnect in order to use Attachments.

Yes, our product allows offices to send attachments to a large variety of different dental payers.

Attachment works on both Windows as well as Mac.

PNG, JPG and TIF are file types that work with Attachments.

Claim Status is a dental claim status solution that helps you track down the status of a claim via search.

Our users range from Office Managers, Billing Specialists, and Dentists in individual practices to C-level executives and Revenue Cycle Managers in Dental Service Organizations (DSOs).

Yes, Claim Status adheres to all HIPPA regulatory requirements.

Claim Status eliminates the need to log into multiple payer websites or make multiple calls to check claim statuses, allowing your staff to focus on other important tasks.

Yes, Claim Status is fully secure and HIPAA-compliant.

Claim Status helps accelerate payment collections, streamline workflows, and avoid duplicate claim submissions, positively affecting your practice’s cash flow.

Among other things, it helps save staff time, reduces payer follow-up, and provides visibility into payments collected.

Claim Status is user-friendly and designed for easy adoption, minimizing the need for extensive training.

While we offer many of the same capabilities, Claim Status is a direct line to your insurance payers and stands out for its focus on real-time, single-click claim status checks across multiple payers.

Credentialing for Providers is a solution that simplifies the credentialing and re-credentialing process for dental providers, enabling them to apply to multiple payers simultaneously and track the progress of their applications in real time.

Yes, Credentialing for Providers is fully HIPAA-compliant and employs advanced encryption, ensuring that all data and sensitive information are securely handled.

Credentialing for Providers offers a comprehensive, all-in-one platform that simplifies the entire credentialing process, from application to approval to re-credentialing, without the need for costly third-party agencies or complex integrations.

The platform automatically alerts providers when it’s time to re-credential, storing all previous documents and answers for easy access and update, which streamlines the process.

Yes, Credentialing for Providers provides robust support, including a team of U.S.-based credentialing experts and comprehensive training material, to assist with any questions or issues.

Most practices can set up their account and start submitting applications within 30 minutes, thanks to the platform's user-friendly design.

Yes, Credentialing for Providers boosts accuracy with guided form completion and automated checks, increasing the likelihood of approval and reducing the chances of errors or denials.

Credentialing for Providers is available both for providers and payers designed to make the process simple and easy. Visit our Credentialing for Payers page for additional information.

We offer comprehensive dental billing services including Payment Posting, Claim Submission, Claim Follow-Up, and Benefit Verification with Data Entry directly into your practice management software.

Our services handle pre-authorizations, primary and secondary claims electronically with necessary attachments for quick and efficient processing. We also resolve claim rejections and write narratives.

Payment Posting includes daily posting of EFT and paper checks to patient ledgers, ensuring accuracy with all necessary adjustments and write-offs. This includes adding paper check payments as well as running balance reports.

Insurance claims are meticulously tracked and followed up on at 30, 60, and 90 days to ensure timely resolution and maximum insurance benefits for patients.

Yes, our services are designed for direct integration into your Practice Management Software for seamless operation.

Our expertly trained staff, with over 17 years of experience in the dental industry, ensure the highest level of accuracy in all aspects of dental billing.

Outsourcing reduces manual tasks, simplifies HR processes, enhances operational efficiency, and improves patient satisfaction through accurate billing and focused care.

Dental Billing Services is our most comprehensive and robust option, offering a full suite of services including Payment Posting, Claim Submission, Claim Follow-Up, and Benefit Verification with Data Entry. It's a complete, done-for-you solution that covers all aspects of dental billing. In contrast, Eligibility AI and EligibilityConnect focus specifically on benefit verification. Dental Billing Services is ideal for practices seeking an all-inclusive and comprehensive billing solution.

Eligibility AI is an automated solution for verifying patient eligibility, integrating directly with your dental practice's schedule to pull patient coverage details from payer websites into a single dashboard.

Yes, Eligibility AI is fully HIPAA-compliant, ensuring the security and privacy of patient data.

Yes, by providing accurate and up-to-date patient eligibility information, Eligibility AI can significantly reduce the rate of claim rejections.

Eligibility AI enhances patient trust by providing immediate and transparent cost information, allowing for clearer communication about financial responsibilities.

Eligibility AI is designed to gather information from a wide range of payer websites, offering comprehensive coverage details across various insurers.

Yes, Eligibility AI automates the eligibility verification process, saving valuable time that your staff would otherwise spend on manual checks and phone calls.

Eligibility AI features an intuitive dashboard that is easy to navigate, making it user-friendly for your staff.

Yes, Eligibility AI checks patient benefits for your entire schedule automatically up to 10 days before their appointment ensuring your office has the most up to date information.

Eligibility AI provides US-Based customer support to assist with any questions or issues.

Eligibility is a comprehensive solution from DentalXChange that provides instant access to eligibility and plan benefit information across 950+ in-network plans, streamlining the process of verifying patient coverage.

With Eligibility, you can instantly verify patient eligibility and plan benefits without the need to call insurance companies or rely on multiple sources. It integrates with practice management software, minimizing data entry and improving efficiency.

Eligibility provides immediate confirmation of patient responsibility, detailed benefit breakdowns, deductible, co-insurance, limitations, and more, all through an easy-to-use dashboard.

Eligibility seamlessly integrates with your existing practice management software, allowing for minimal clicks and reduced data entry. This integration ensures a streamlined workflow and enhanced user experience.

Absolutely. Eligibility prioritizes security and compliance, adhering to HIPAA guidelines. It employs a safe, secure, and smart system to ensure the protection of sensitive patient information.

While Eligibility offers similar patient benefit verification information, it is a more cost-effective and simpler option. It utilizes standardized information, which provides essential eligibility details without the broader scope of services and higher costs associated with Eligibility AI and Dental Billing Services.

The key benefits include immediate eligibility verification, reduced need for manual calls to insurance companies, increased clean claims, improved patient experience, and streamlined integration with practice management software.

ERA is a comprehensive Electronic Remittance Advice (ERA) solution that streamlines the reconciliation of claim payments by automating your ERA/EOB workload.

ERA is designed for dental provider roles such as Office Managers, Dentists, Billing Specialists, Practice Managers, Revenue Cycle Managers, and Dental Service Organizations.

No, one of the advantages of ERA is that you can manage your connectivity with all dental payers through a single login, simplifying your workflow.

By automating your ERA workload, ERA accelerates the reconciliation of claims, reduces days in accounts receivable (AR), and enhances your revenue cycle management.

Yes, ERA is fully HIPAA-compliant, ensuring the privacy and security of your data at every step of the process.

ERA is designed to be compatible with a variety of practice management software solutions, please contact us to find out what level of integration we cover for your specific practice management software.

While the specifics can vary, ERA is designed to offer a comprehensive set of features aimed at automating ERA workload and accelerating revenue cycle at an affordable price.

We provide support during your transition to ensure that the implementation is smooth and that you can effectively use all the features that ERA offers.

Patient Statements is a billing delivery solution from DentalXChange designed to streamline the patient billing process by offering both digital and paper statement delivery options.

Patient Statements let providers send patient statements in a secure web link via email. For those who prefer paper, Patient Statements can also print and mail statements for you.

Users include dental providers like Office Managers, Dentists, and Billing Specialists, as well as Dental Service Organizations (DSOs).

Patient Statements eliminates envelope stuffing, freeing up your staff to focus on patient care and other revenue-generating tasks.

Yes, Patient Statements is fully HIPAA-compliant, ensuring the security of patient data.

Patient Statements offers both electronic and paper statement delivery. You can choose between sending an email with a secure web link or having us handle the print and envelope mailing for you.

Patient Statements automates address verification and normalizes to USPS standard.

If an emailed statement is not opened within seven days, Patient Statements will automatically send a paper statement to the patient.

A solution that streamlines the entire process of credentialing and recredentialing from start to finish. Providers complete and submit applications within minutes and payers receive complete and ready to process applications they can approve within days.

It provides payers with a platform that simplifies the exchange of credentialing information, reducing manual work, and increasing accuracy.

CredentialConnect allows payers to manage and verify dental provider credentials more effectively, maintaining up-to-date records and ensuring compliance.

By streamlining the credentialing process and reducing manual tasks, CredentialConnect can help payers lower administrative costs and improve operational efficiency letting payers refocus staff on network growth.

Credentialing for Payers allows providers to submit a complete application correctly the first time reducing back and forth and long processing times.

Payers receive clean submissions with all required forms and supporting documents attached enabling staff to approve applications within days and reducing back and forth with providers.

Yes, we reach out to the provider on the payer’s behalf via email, mail, and phone to let them know it’s time to recredential.

Yes, Primary Support Verifications can be configured to automatically run after application submission saving payer staff time and enabling faster approvals.

Credentialing for Payers abides by all industry security protocols and processes to provide our users with the safest credentialing experience possible.

Credentialing for Payers is a user-friendly product with a low learning curve, but payers can expect US-based support that will be there to answer any questions that might arise.