eEOB

Electronic Explanation of Benefits (ERA) are sent out by an insurance carrier to your dental practice explaining what was paid for services rendered to your patients and sent previously as an insurance claim (either printed or sent electronically).

ERAs typically include:

• The payee (the provider), the payer (insurance carrier), the insurance subscriber and the patient (if different than the subscriber)
• The service(s) rendered along with the date of service and the name of the provider or place that provided the service
• The dentist’s fee and what the insurer allows (depending on the fees submitted on the claim)
• The amount the patient is responsible for paying
• Adjustment reasons (e.g. downgrades, frequency limitations, age limitations, etc.)

Access, review and manage patient ERAs electronically

eClaims users have a convenient tool in Dentrix G5 or higher for reducing paper dependency and manual data entry. ERAs eliminate the delays created by mailing documents and the hassle of managing paper. Instead of sorting through mail or searching patient files to find insurance payment details, that information is only a couple of clicks away.

With detailed claim payment information delivered automatically into the Dentrix Ledger, you can submit secondary claims faster and manage claim reconciliation and patient billing more efficiently. Plus, when combined with electronic funds transfer (EFTs), which is available separately from some individual carriers, payments can be deposited directly into a designated account for an even more streamlined collection process.

With ERAs, your practice will:

• Reduce manual data entry and mountains of paper
• Streamline insurance claim reconciliation
• Speed up patient billing and secondary claim submission
• Improve accounts receivable accuracy by posting claims directly to Dentrix

Requirements to Register for ERAs in Dentrix

• Dentrix G5.2 and higher
• Dentrix eClaims
• eSync plug-in for eEOBs

*Recommendations for Dentrix G7.4.5 for improved Batch Insurance Payment window features and eliminate the need for the eSync plug-in for eEOBS (aka ERAs)

To Register for ERAs

Contact a member of the Henry Schein One Sales team at 800.734.5561 option 2 or 800.336.8749.

Once your registration your registration has been processed, you will receive a welcome letter which includes a username and password to a website managed by Henry Schein One and Change Healthcare (our third-party partner for eEOBs ERAs) within 24 to 48 business hours after submission.

Once you log into your account on the website, you will be able to register for eEOBs ERAs with any insurance carrier you submit claims to and who are presently participating in electronic explanation of benefits as listed on the website.

After you submit your requests to receive eEOBs ERAs from each insurance carrier you selected from the website, you will receive a response either approving or denying your request. Once an insurance carrier approves your request for eEOBs ERAs, you will start to get electronic explanation of benefits. This process may take up to 30 business days. *Some payers automatically will start to sending ERAs once you have been enabled for the service.