Sending Claims to EDS

EDS takes most of the paperwork — and most of the work — out of insurance claim processing by electronically submitting them for you. As a result, you'll reduce the time-consuming data entry and follow-up processes required for paper claims. And your claims will be submitted more efficiently, with fewer errors and omissions, resulting in fewer returned/denied claims and quicker payments to your practice.

Watch this video to learn how to send insurance claims to EDS. (Duration 1:20)

This quick start video demonstrates functions in Open Dental, which then transitions to the EDS Bridge when the user clicks the EDS Bridge button.

Key Information

• If you attempt to send a claim, either with the Send or OK button, you may receive an error message informing you of missing or invalid data. Depending on the send method you choose, you'll have the following options:
• If you click the Send button (to send the claim immediately), at the error message, click OK, fix the data, and click Send again. Repeat the process until all errors are corrected and you no longer receive the error message.
• If you click the OK button (to batch the claim), and the claim has errors, you'll have the option to "Continue anyway?" to send the claim, with its errors, by clicking OK; or, you can click Cancel, correct the errors, then click OK again (to batch the claim).
• If the "Clinics" option is enabled in Open Dental, you must use the Send E-Claims drop-down list to select the clearinghouse to which you want to send the claims — in this case, EDS.
• To view the claims at EDS, click the EDS Bridge button, select a Location, and click Load. All claims sent to EDS today are listed in the Claims At EDS section.
• At the end of every workday, claims in the Ready To Send category are electronically batched out and sent to insurance carriers, and they are grouped as follows:
• If the carriers accept the claims, they process the claims, and in time, EDS will receive the ERAs, which will be ready for you to receive and auto-post to Open Dental.
• Any claims rejected by the carriers are sent to the Rejections; Payer category.
• After the claims are batched out, EDS generates the Day End Confirmation Report, which you can view by selecting the Reports tab of the EDS Bridge.
• For more information about sending claims to EDS, read Sending Claims in EDS Help.