Dentrix Eligibility Pro overview

Tracking your patients’ insurance information can be time consuming. You must verify that your patients’ insurance plans are active and ensure that payment estimates are accurate. This may require your office staff to visit multiple insurance websites daily.

Verifying a patient’s insurance eligibility and understanding a patient’s insurance plan benefits are key to ensuring that you are compensated appropriately for the care you provide your patients and that your patients enjoy the full insurance benefits to which they are entitled. Dentrix Eligibility Pro helps ensure that you have access to the most accurate insurance eligibility available.

In addition to all of the standard features of Dentrix Eligibility Essentials, Dentrix Eligibility Pro provides you with the following:

·        Advanced Searches – The API scours full insurance portals, pulling in detailed data beyond traditional electronic responses like patient history, frequency limitations, and procedure code level coverage percentages.

·        Broader Coverage – Works with more payers and provides greater access to additional data.

·        Flexible Payment Options

·        On-Demand – Pay $3.00 per request with no commitment.

·        Subscription – Choose a monthly package for a lower cost per request. To learn more, please call 1-866-955-5694.

Important: To use Dentrix Eligibility Pro, you must have an eTrans User ID and be on Dentrix 24.16 or higher.

Note: The Dentrix Help currently includes topics detailing both old and new eligibility solutions. For information on the older eCentral eligibility solution, see Checking insurance eligibility in the Dentrix Help.

For more information about Eligibility Pro, click the following links:

·        Setting up the Payer Connection Portal

·        Verifying eligibility and viewing eligibility status

·        Viewing eligibility responses in the Document Center

·        Importing eligibility and benefits data

·        Importing deductibles

·        Importing maximums

·        Exiting an insurance benefits details import

·        Frequently Asked Questions