Some insurance carriers, such as Blue Cross/Blue Shield and Medicaid, require a special enrollment form to be completed for processing electronic claims through Change Healthcare, 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 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. To download the form, click that icon.

Open the form. Refer to the instructions that are included with the form to complete and submit the form.