With eClaims (also known as eTrans), the electronic claim (e-claim) service provided by Henry Schein One, you can submit insurance claims electronically. Using eClaims simplifies the complex, time-consuming task of sending insurance claims.
By sending claims electronically, insurance claims get resolved faster, so you get paid faster (because the insurance company receives claims quickly, sometimes even immediately) and have more time to interact with your patients. Using eClaims saves time, materials, and postage, significantly reducing the cost of sending claims. Additionally, if a payor does not accept electronic claims, or if some claims cannot be sent electronically, the clearinghouse will print them and mail them for you, so you can send all your claims electronically.
You must have Dentrix Enterprise 4.0 with CU3 or later installed.
You must have an Internet connection.
You must enroll in eClaims by doing the following:
Obtain a registration form from eServices Sales (800.734.5561, option 2), and complete the registration form.
Send the completed registration form to eServices Sales (for details, call 800.734.5561, option 2).
Some insurance payors require special enrollment forms to be completed before they will accept claims electronically from your office. A list of these payors, special enrollment forms, and instructions for completion and processing these forms are available online at https://www.dentrixenterprise.com/products/addons/eclaims/payor-search-tool. Contact the eServices Enrollment department for more information about these forms or to receive additional special enrollment forms.
Notes:
Instructions for completing and processing the forms are also outlined on the front page of each special enrollment packet.
Until confirmation is received from the insurance company, claims submitted electronically to that insurance company will be rejected or printed, depending on the carrier.
Requirements for electronic medical insurance claims.
Completing special enrollment forms for claims
Assigning eClaims security rights
Changing the authorization option for e-claims
Requiring attachments for e-claims
Specifying direct print options
Submitting an individual dental insurance claim
Submitting an individual medical insurance claim
For questions about eClaims, contact the eServices department of Henry Schein One. You can reach the eServices department by calling 800.734.5561. When you call the eServices department of Henry Schein One, you have the option to speak with technical support, sales, finance, or enrollment. Use the following guidelines to decide which resource will be able to best help you:
Frequently asked questions about eClaims
Technical Support:
Registration
Special Enrollment
Change in Federal Tax ID numbers
Adding new providers to your practice
Installation, setup and use of eClaims
Reading or printing reports
Claim tracking
Sales:
New sales of eTrans
Billing:
Billing questions
Changing pre-authorized payment selection
Reconciling invoices to statements or reports
Notes:
Toll-free telephone support is available only to registered eTrans users. Support is limited to the current version of the software and one prior release.
When calling Support, be near a computer running the Dentrix Enterprise and eTrans software programs, and be prepared to give the following information:
Your name and the name of the practice
The Dentrix Enterprise customer number assigned to the practice
The version number of the product(s) being used
The type of network being used, if any
The version of Windows installed on the computer
The exact wording of any messages that have appeared on the screen
The circumstances surrounding the question or problem
Steps that have been taken to reach a solution
The eServices Support department has training and experience in supporting the Dentrix Enterprise software but are not authorized to answer questions or solve problems relating to your hardware, network, or operating system. Operating system questions can sometimes be answered by reading the Windows documentation. For help with computer or network maintenance, please contact TechCentral by Henry Schein One (800.288.7691) or a qualified integration specialist who offers help with installation and ongoing service and support.