Some insurance carriers, such as Blue Cross/Blue Shield and Medicaid, require a special enrollment form to be completed for processing electronic claims through DentalXChange, the clearinghouse that is used by Dentrix Enterprise. These payors will not accept or pay for electronic claims until the applicable form has been completed and processed. Henry Schein One provides a search tool to help you determine if a payor requires a special enrollment form and provides a link to the DentalXChange website, where you can complete the applicable form.
To complete a special enrollment form
Open the Dentrix Enterprise Payor Search Tool page (www.dentrixenterprise.com/products/addons/eclaims/payor-search-tool/).
In the either the Payor ID or Payor Name box, enter all or part of a payor ID or name, and then click Search Payors.
The matching payors appear in the list.
If a payor requires a special enrollment form, a green check mark icon 
appears in the Special Enrollment column.
Repeat steps 2-3 to verify if any of the other payors that you work with require special enrollment.
To complete an online enrollment form for those payors that require special enrollment, click a payor's green check mark icon in the Special Enrollment column, or go to www.dentalxchange.com/channel-partner/lp/henry-schein-one.
The DentalXChange website for Henry Schein One opens on a new tab of your browser.
Click Enroll in Claims.
The Enrollment Form page opens.
To complete the Which payers would you like to enroll for Claim Submission? section, in the Payer Name list, select the checkbox of each payor that you want to complete the special enrollment for.
To complete the Practice Information section, enter your Practice Name, Practice Address, Practice Tax ID, Billing NPI, and Practice Medicaid ID; and select Dentrix Enterprise as your Practice Management Software.
From the How many providers do you want to enroll? list, select a number from 1 to 10.
Note: The maximum number of providers you can include on the form is 10. If you want to enroll additional providers, you must complete the form multiple times, each time including up to 10 providers.
Do one of the following:
If you are enrolling only one provider, to complete the Provider 1 Information section, enter the Provider 1 Full Name and Provider 1 NPI.
If you are enrolling multiple providers, to complete each Provider [#] Information section, enter the corresponding Provider [#] Full Name and Provider [#] NPI for each provider (where [#] represents a number from one up to the specified number of providers being enrolled).
To complete the What is your contact information? section, enter a Contact Full Name, Contact Job Title, Contact Email Address, and Contact Phone Number.
Under Complete the verification below, select the I'm not a robot checkbox.
Click Submit.