When you send claims electronically, you receive reports containing important information about your claims and your eTrans account. The information in these reports comes from three sources: Henry Schein One, the secondary clearinghouses involved in processing your claims, and the insurance company/payor. Reading and understanding your eClaims reports will help you ensure that you receive payment in a timely manner.
When you enroll and enable eClaims (or any time changes are made in your practice organization), you must print and send a copy of the Practice Organization List to eServices Sales so that a representative can use your practice's information to create (or update) an eTrans account.
To print the Practice Organization List
In DXOne Reporting, select Reference, and then double-click Practice Organization List.
In the Practice Organization List dialog box, make sure that all clinics and providers are selected.
Click OK.
Before claims are transmitted, the eTrans software performs over 250 checks to assure that the information in the claims is complete and that the claims are ready to be sent to the insurance company (payor). The eClaims Pre-submission Summary Report shows you if your claims are Validated, Warning, or Rejected.
Validated - Claims with a Validated status contain all the necessary information and attachments and are ready to be sent to the insurance company/payor.
Warning - Claims with a Warning status are missing information and/or attachments that should be included with the claim. You can send claims with a Warning status to the insurance company/payor, but you should correct the information in the claim before you send it.
Rejected - Claims with a Rejected status are missing information that will cause the claim to be rejected by the insurance company/payor. If the error is caused by information included on the claim, delete the claim from both the Batch Processor and the Ledger. Correct the errors, re-create the claim, and re-send it to the Batch Processor for processing with your next batch of claims. You can send rejected claims by placing a check mark in the box under the status column, but this is not recommended.
A copy of the eClaims Pre-submission Summary Report will be placed in the Batch Processor after you send your electronic claims.
Note: The eClaims Pre-submission Summary Report is not a transmission report and is not an indication that you have successfully submitted your claims.
The Transmission Report is a compilation of reports from Henry Schein One that is delivered after you send electronic claims. This report may contain any the following reports: the Confirmation Report, the Payer/Clearinghouse Report, the Passthrough Report, the Attachment Status Report, and the Billing Statement. You can view each of these reports by previewing or printing the eTrans Transmission Report.
Confirmation Report
The Confirmation Report shows all the claims Henry Schein One received in a given transmission. Henry Schein One assigns a unique number to each claim on this report so that you can distinguish between the claims submitted for the same patient. The Confirmation Report also indicates whether each claim was accepted for electronic processing or was rejected before being submitted to the insurance company (payor). If a claim is rejected, the report will include information about the reason for the rejection. You should receive this report immediately after you submit claims. If you do not receive this report at the time of submission, resubmit the claims or contact eServices Support at 800.734.5561 for further assistance.
Attachment Status Report
The Attachment Status Report contains information about the e-claim attachments your office has sent. You should receive this report immediately after you submit attachments. If you do not receive this report at the time of submission, resubmit the attachments, or contact eServices Support at 800.734.5561 for assistance. You will also receive this report when a payor needs additional information about attachments you have sent.
Payer/Clearinghouse Report
The Payer/Clearinghouse Report is a compilation of status messages received from either the clearinghouse or the insurance companies that are processing the claims you previously submitted. Because a status message could be generated for each step of the submission process, a claim could appear on this report several times. To help you distinguish between different claims submitted for the same patient, some basic patient information and the Henry Schein One claim number (which can be found on the Confirmation Report) is included with each message. You will only receive this report when new information is available.
Passthrough Report
The Passthrough Report contains information similar to information on the Payer/Clearinghouse Report. However, the Passthrough Report is more detailed and only contains information for each claim once. This report does not contain the Henry Schein One claim number because that is created by the payor or clearinghouse and is merely transmitted to the Batch Processor through Henry Schein One.
Billing Statement
The Billing Statement is sent to you at the beginning of each month. This report contains a complete list of the claims processed by Henry Schein One during the previous month, some basic statistical data about the number of claims you have submitted, and the total charges to be remitted to Henry Schein One.
Depending on the payment method you selected when you registered for eTrans, the charge may be deducted automatically from a checking account or charged to a credit card.
Error Report
The Error Report appears after you send your claims electronically. This report only appears if one or more of the claims that you sent were rejected by the eServices department or by the payor. If you use eCentral, the Error Report provides you with links to your eCentral account. If you click the eCentral link in the error report, your eCentral account is opened to the Reports Manager, where you can see all the reports for the claim. If you click the claim number, your eCentral account is opened to the claim detail information. If you click the Claims Search button, your eCentral account is opened to the Claims Manager.
The top section of the Error Report displays claims and the statuses of those claims. The bottom section displays totals, such as the total number of claims rejected and dollar amount of those claims. The important information area serves as a reminder that any claim listed on this report needs your attention.
You can access the most recent Error Report that you
received by right-clicking the eSync Reminder Icon 
and selecting eClaims Error Report.