When an office utilizes DentalXChange to process electronic claims, the office also has the ability to perform eligibility checks for a patient’s insurance plan.
Eligibility in Denticon is dependent on the insurance carrier's desire to provide information through DentalXChange, then into Denticon.
Some carriers provide eligibility, others do not. Denticon has no control over the amount of information provided, or if any information is provided.
The information provided in Denticon is solely dependent on the insurance carrier.
To check the current eligibility, click the blue square "C" icon.
On the Patient Eligibility screen, click the Check Eligibility button.
The patient’s appointment will show a P icon to indicate the Primary insurance eligibility:
· a green P indicates the carrier reports the patient has eligibility coverage
· a gray P indicates the carrier does not confirm coverage
· a red P indicates the carrier reports the patient does not have eligible coverage
If applicable, the patient’s appointment will show an S icon to indicate Secondary insurance eligibility. The same colors are used for Secondary eligibility in the appointment.