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AutoEligibility and DentalXChange - Eligibility AI (External Product) FAQ

Billy Edelen
Updated
  • What is the difference between DentalXChange’s Real-Time Eligibility (RTE) and Eligibility AI?
    • Realtime eligibility is based on the EDI transaction (270/271) between a provider and an insurance payer. The benefit data that comes back is unstructured and only provides an eligible or not eligible status. With Eligibility AI, we apply our AI algorithm to normalize the eligibility data so it's easy to read, uniform across payers, and includes extra data only available through payer portals.
  • Will I still be able to use Realtime Eligibility in Denticon if I sign up for Eligibility AI?
    • Yes, Eligibility AI is a standalone platform intended to be used alongside Denticon. Offices can still run Realtime Eligibility checks just like normal in Denticon.
  • How does DentalXChanges Eligibility AI work?
    • Eligibility AI syncs the offices appointments from Denticon and then utilizes bots to gather eligibility data from payer portals. This all happens automatically with little effort from the office staff letting them quickly and efficiently prepare treatment plans with high-quality benefit data that reduces rejected or short paid claims.
  • How often does Denticon sync to Eligibility AI?
    • Denticon will show 30 days past and 30 days in the future.
    • A sync happens nightly for scheduled appointments for up to a maximum of 10 days forward.  Past appointments will not sync.
    • A refresh happens throughout the day to the previously synced appointments in 15-minute increments.
  • What payers/carriers work on AutoEligibility?
    • Review the Supported Payer List, if a Payer you need is not listed let us know.
  • Can I use my current usernames and passwords?
    • To optimize a fluid workflow, we recommend creating an individual set of logins specifically for AutoEligibility/Eligibility AI usage.  If you use your existing logins you may experience connectivity issues.
  • What is an MFA?
    • MFA is Multi Factor Authentication, it is a security link to improve website login access and the time they remain logged in.
  • Why do I need to use MFA?
    • The MFA management w/DXC helps keep the login connected longer rather than disconnecting making the credentials invalid loosing valid eligibility checks.
  • How do you handle Medicaid/Medicare or HMO plans?
    • No specific login necessary but the payer must be supported.
    • Do not return a 'full breakdown' but do confirm eligible/not eligible.
  • How does my office's Denticon instance get connected to Eligibility AI?
    • The Denticon implementation team will walk the office through the steps to establish the connection between Denticon and Eligibility AI.
  • Am I able to get patient history?
    • Yes, currently you can navigate to DentalXChange to retrieve specific patient history.  More to come on this, look for Denticon enhancements!

  • Will Eligibility AI be billed by Planet DDS or DentalXChange?

    • Planet DDS handles all packages, billing, and support for Eligibility AI.

     

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