NOTE: DentalXChange is a separate company from Denticon. Denticon provides only the bridge to DentalXChange, so that claim submissions may be easily processed to the insurance carriers for payment. Denticon is only the records keeping software for patient records, and does not actually process the claims. DentalXChange is the claims processing company which actually submits the claim to the insurance carrier for payment.
Please click in Utilities>EClaims Management to be taken directly to their website.
You can also call 800.576.6412 Ext 452 for existing customers.
This is for reference information only. For more detailed explanations, please contact DentalXChange.
Claim Life Cycle Message on DentalXChange Website
Validating
When a claim batch is submitted to the DentalXChange website, the claim’s first viewable status will be “Validating”
The system will validate the entire claim information, look for a payer match
Validation Error
If the claim has information that is missing or does not conform to industry standards, it will be flagged with a “Validation Error” and will not be submitted to the payer until the issue is corrected
Validation errors usually apply to:
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- the provider
- the patient and/or subscriber
- procedure code information
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Ready for Submission
The claim has been saved or exited out of while under Validation Error
Claim may need to be edited before it can be submitted
Attachment
The dental office’s NEA facility ID is active, and the procedure code(s) on the claim require an attachment
Duplicate
The claim has already been submitted within the past 10 days
Submitted
The claim has been submitted to the DentalXChange system
Received
The claim has been electronically sent to the insurance payer’s service, or has been mailed to the carrier (if the carrier does not support e-claims)
Received/Suspended
The claim is on hold for additional verification
Rejected
The claim has been rejected internally or by the insurance payer
Processed
The claim has been adjudicated and is complete for payment
User Resolved
This status is selected by the provider. It allows the provider to create a notation about the claim. It does stop the claim and creates a notation for the provider to reference later.
NOTE from DentalXChange: Not every claim will show each different status. Different insurance payers give different status updates.