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Insurance Verification Configuration Guide

  • This article serves as a comprehensive guide to walk you through each stage of the Insurance Verification onboarding process. By completing this process, you'll unlock the benefits of Insurance Verification with RevenueWell, streamlining your administrative tasks and enhancing efficiency.

    Insurance Verification seamlessly examines your patients’ insurance eligibility and delivers comprehensive data ahead of their appointments, all within the RevenueWell Marketing Platform system.

    Gone are the days of juggling calls to various insurance providers or navigating multiple carrier portals. With Insurance Verification, you have the option to conduct checks directly within RevenueWell, providing you with dependable data that you can confidently communicate to your patients. 

    As you get started with Insurance Verification, here are some important terms to know:

    1. NPI (National Provider Identifier): A 10-digit unique ID assigned to healthcare providers in the U.S. to streamline electronic transactions like insurance claims.

    2. Payer: An entity responsible for processing and paying claims for healthcare services, including dental, such as insurance companies or government programs.

    3. Provider: Individuals or entities, like dentists or dental practices, delivering healthcare services covered by insurance plans.

    4. Defining a Relationship: Process by which a dental provider establishes a contractual or professional tie with a dental insurance payer, involving documentation submission.

    5. PMS (Practice Management Software): Software tailored for managing dental practices, covering tasks like appointment scheduling, billing, and insurance claims processing.


    Ready to streamline your verification process? Onboarding for Insurance Verification (IV) is designed for self-setup at your convenience. Here's a quick overview of how you can set up Insurance Verification:

    • Access Settings: Start by navigating to the Settings section within RevenueWell. You can do this by clicking on the gear icon.
    • Select IV Settings: Once in the Settings menu, locate and select your new Insurance Verification settings option. This is where you'll configure all the necessary parameters for IV.
    • Welcome Screen: When you first use Insurance Verification Settings, you'll see a "Welcome" screen. It lists necessary onboarding info like National Provider Identifiers (NPIs) and shows your providers by patient percentage.
      2024-04-25_08-30-11.png
    • Configuring Settings: To begin using Insurance Verification, it is required to configure all of your Insurance Verification settings. 
  • Step 1: Payer Setup [EDI Only]

    This is the first step: setting up payer information for Insurance Verification EDI only.

    Let's get started!

    To begin the setup process for Insurance Verification, please follow the steps below:  
    1. Login to RevenueWell.
    2. Click the "Settings" gear icon.
      2024-04-25_08-27-52.png
    3. Click "Insurance Verification" in the settings menu.
      image (44).png
    4. Welcome! Ensure you have the required information for each provider (50% patient coverage required at set up).
      2024-04-25_08-30-11.png
    5. Multi-location offices will then see a list of offices within your organization and their current status. To begin onboarding, click on the pencil icon next to each office and continue with the steps below for each office.2024-04-25_08-28-53.png
    6. Click into the "Payer Setup" tab within your Insurance Verification settings. 
    7. Select "Edit" next to the payer to begin setup. 
      2024-04-25_08-30-36.png
    8. Here you will see a screen with three (3) options:
      1. Option 1: Setup Payer - Initiates the primary flow to set up a new payer.

        1. Attach identifier to payerID: Choose from the list the Payer and their corresponding PayerID associated with their Insurance Identifier.
          2024-04-23_14-56-42.png

          If a Payer in the list has already been set up, you will see "SELECT (EXISTING)." Choosing this option will link the insurance identifier to the previously set-up Payer.

        2. Define relationship(s): Define the default relationship with the Payer and any provider exceptions. Provider exceptions occur when a specific provider at the practice has a different relationship with the Payer than the practice itself. When adding a provider exception, select the provider from a dropdown menu and the applicable relationship type accepted by the Payer.2024-04-23_14-57-05.png

        3. Add payer NPI Override (Medi-Cal only): For Medi-Cal, two additional pieces of data, NPI Override and PIN, are required.
          2024-04-23_15-06-55.png

        Watch our demo video for setting up an insurance identifier as a payer here! 🎬

      2. Option 2: Link to Existing Setup - This enables you to associate this Insurance Identifier with an already established payer setup.
        2024-04-23_14-54-55.png

        Watch our demo video for linking an insurance identifier to an existing payer here! 🎬

      3. Option 3: Set as Auto Self Pay - Allows you to designate this insurance identifier for Self Pay.
        2024-04-23_14-55-12.png
    9. Repeat these steps for each payer you wish to connect to RevenueWell.
    10. Once you have complete payer setup, go onto "Provider Set Up."

      Watch our demo video for marking an insurance identifier as an indicator of self pay here! 🎬

  • Step 1: Payer Setup [Pro]

    This is the first step: setting up payer information for Insurance Verification Pro.

    Let's get started!

    To begin the setup process for Insurance Verification, please follow the steps below:  
    1. Login to RevenueWell.
    2. Click the "Settings" gear icon.
      2024-04-25_08-27-52.png
    3. Click  "Insurance Verification Pro" in the settings menu.
      image (43).png
    4. Welcome! Ensure you have the required information for each provider (50% patient coverage required at set up). 2024-04-25_08-30-11.png
    5. Multi-location offices will then see a list of offices within your organization and their current status. To begin onboarding, click on the pencil icon next to each office and continue with the steps below for each office.2024-04-25_08-28-53.png
    6. Click into the "Payer Setup" tab within your Insurance Verification settings. 
    7. Select "Edit" next to the payer to begin setup. 
      2024-04-25_08-30-36.png
    8. Here you will see a screen with three (3) options:
      1. Option 1: Setup Payer - Initiates the primary flow to set up a new payer.

        1. Attach identifier to payerID: Choose from the list the Payer and their corresponding PayerID associated with their Insurance Identifier.
          2024-04-23_14-56-42.png

          If a Payer in the list has already been set up, you will see "SELECT (EXISTING)." Choosing this option will link the insurance identifier to the previously set-up Payer.

        2. Define relationship(s): Define the default relationship with the Payer and any provider exceptions. Provider exceptions occur when a specific provider at the practice has a different relationship with the Payer than the practice itself. When adding a provider exception, select the provider from a dropdown menu and the applicable relationship type accepted by the Payer.2024-04-23_14-57-05.png

        3. Portal Credentials [Pro]
          • 3a: Add payer portal credentials (Pro supported portals only): If the Payer's provider portal is supported, the setup process continues with this screen. Enter username and password to connect the provider portal.
            2024-04-23_14-57-26.png
          • 3b: Portal URL and Username/Email Conflicts [Pro]: Potential conflicts may arise when an office must correct the Username/Email for a specific portal before providing their password and continuing.
            • "Username/Connection Exists" (blue) - Indicates when the Portal URL and the Username/Email match an existing connection. To proceed, the practice can choose the "Use Existing Connection" button or adjust the Username/Email.
              2024-04-23_14-57-43.png
            • "Connection Exists" (red) - Indicates a rare occurrence where the exact Portal URL and Username/Email combination exists outside the practice's organization. To move forward, you must correct the Username/Email.

              2024-04-23_14-58-23.png
          • Step 3c: Payer portal connection statuses [Pro]: Once portal credentials are submitted, the system attempts to connect to the portal, displaying one of the following statuses:
            • "Connecting" - Establishing a connection to the portal.
              2024-04-23_15-02-32.png
            • "Invalid Credentials" - The username and password combination was invalid.
              2024-04-23_15-02-49.png
            • "Connected" - Successful connection to the provider portal. At this point, the Payer setup is complete (unless the Payer is Medi-Cal).
              2024-04-23_15-03-09.png
        4. Add payer NPI Override (Medi-Cal only): For Medi-Cal, two additional pieces of data, NPI Override and PIN, are required.
          2024-04-23_15-06-55.png

        Watch our demo video for setting up an insurance identifier as a payer here! 🎬

      2. Option 2: Link to Existing Setup - This enables you to associate this Insurance Identifier with an already established payer setup.
        2024-04-23_14-54-55.png

        Watch our demo video for linking an insurance identifier to an existing payer here! 🎬

      3. Option 3: Set as Auto Self Pay - Allows you to designate this insurance identifier for Self Pay.
        2024-04-23_14-55-12.png
    9. Repeat these steps for each payer you wish to connect to RevenueWell.
    10. Once you have complete payer setup, go onto "Provider Set Up."

    Watch our demo video for marking an insurance identifier as an indicator of self pay here! 🎬

  • Step 2: Provider Setup 

    This is the second step: setting up your providers.

    To conduct insurance verification effectively, it's essential to input the National Provider Identifier (NPI) for each provider within the practice.

    To complete your provider setup: 
    1. Step 1: Navigate to the Insurance Verification settings and select "Provider Setup."
    2. Step 2: Input the Default NPI for your office, which will be used for providers or hygienists without a unique NPI.
    3. Step 3: Enter the NPI for each required provider. Required providers are those who have had appointments within the last 3 months.
    4. Step 4: Optionally, add the NPIs for any staff members who have not appeared in recent appointments.
    5. Step 5: Click "Save" for each section.  image (48).png
       

    For hygienists (providers), please select one of the primary doctor's National Provider Identifiers (NPIs) to input. For active office staff or office staff who are no longer with the practice, please select the NPI of an active practicing provider. Additionally, you can update this information in your Practice Management System (PMS) to ensure accurate and up-to-date records of providers.

    See our demo video for provider setup here! 🎬

  • Step 3: PMS Sync

    This is the third step: configuring your PMS Sync settings.

    In the Insurance Verification Settings section, you'll find the "PMS Sync" tab, which allows for automated PDF writeback of insurance verification documents (provided your PMS supports this feature). Here, you can easily determine if the sync is active, view the designated user for PDF syncing, and identify the destination location.

    To see this:
    1. Step 1: Click "PMS Sync" within your Insurance Verification Settings.
    2. Step 2: Select "Edit."
      2024-04-25_11-13-22.png
    3. Step 3: Toggle "Enabled" on/off. 
    4. Step 4: Select the designated "PMS User" from the dropdown menu.
    5. Step 5: Choose your desired "PMS Location" from the dropdown menu to dictate where PDFs will be saved.
    6. Step 6: "Save" changes. 
      2024-04-25_11-14-19.png

    Check out our demo video for PMS sync settings here! 🎬

    Check out our resource "Patient Data Management Made Simple" for additional insights!
     button-new.png

  • Carriers

    RevenueWell’s insurance verification solution gathers information from over 300 carriers. Check the list below to see if a carrier is supported by EDI or Provider Portal [Insurance Verification Pro].

    Please note that while RevenueWell strives to provide consistent information across all carriers, the details returned are dependent on each specific carrier and their respective portal.

    Carrier Name

    Alternate Names

    EDI Supported

    Electronic Data Interchange

    Provider Portal Supported [Pro]

    AARP Dental Insurance Plan

     

    YES

    https://www.deltadentalins.com

    Advantica

     

    YES

    Not supported

    Aetna

    Aetna DMO

    Aetna Medicare

    Coventry Health Plan

    Southwestern Bell Exec - Custom Care

    Choice Plus

    FlexCare

    Mail Handlers Benefit Plan - MHBP

    Marriott

    Preferred Dental Organization (PDO)

    Prudential Administered by Aetna

    TWR

    Varian Health Care Plan

    Bell Atlantic

    YES

    https://www.dentalxchange.com

    AFLAC

     

    YES

    https://providerportal.aflac.com

    AFLAC New York

     

    YES

    https://providerportal.aflac.com

    Aliera Health Care

     

    YES

    Not supported

    Allegiance Benefit Plan Management

     

    YES

    Not supported

    Allsavers Life Insurance Company

     

    YES

    Not supported

    Altus Dental

     

    YES

    Not supported

    Ambetter

     

    YES

    Not supported

    Americhoice

    United Healthcare Community Plan

    APIPA (United Healthcare)

    EverCare of New Mexico (United Healthcare)

    United Healthcare Arizona Physicians IPA

    United Healthcare of the Midwest

    YES

    Not supported

    Amerigroup

     

    YES

    Not supported

    Amerihealth District of Columbia

     

    YES

    Not supported

    Ameritas Life Insurance Corp

     

    YES

    Not supported

    Ameritas Life Insurance Corp of New York

     

    YES

    Not supported

    Anthem

     

    YES

    Not supported

    Administrative Services Only (ASO)

    ASONET

    Correction Captains

    Council of Supervisors and Administrators

    Doctors Council Benefit Fund

    New York City Retirees

    NYC Municipal Plumber/Pipefitters

    Organization of Staff Analysts Welfare Fund

    Painter Local 155 Welfare

    Painting Insurance Fund DC9

    Sanitation Officers Local 444

    SIDS (Self Insured Dental Services)

    Suffolk County Municipal Employees Benefit Fund

    YES

    Not supported

    Blue Cross Blue Shield of Alaska

     

    YES

    Not supported

    Blue Cross Blue Shield of Alabama

     

    YES

    Not supported

    Blue Cross Blue Shield of Arkansas

     

    YES

    Not supported

    Blue Cross Blue Shield of Arizona

     

    YES

    Not supported

    Blue Cross of California

     

    YES

    Not supported

    Blue Cross of California Dental

     

    YES

    Not supported

    Blue Cross Blue Shield of Colorado

     

    YES

    Not supported

    Blue Cross Blue Shield of Connecticut

     

    YES

    Not supported

    Blue Cross Blue Shield of Delaware

     

    YES

    Not supported

    BlueDental FEP

     

    YES

    Not supported

    Blue Cross Blue Shield of Florida

    Florida Blue

    YES

    Not supported

    Blue Cross Blue Shield of Georgia

     

    YES

    Not supported

    Blue Cross Blue Shield of Hawaii

     

    YES

    Not supported

    Blue Cross Blue Shield of Iowa

     

    YES

    Not supported

    Wellmark Blue Cross Blue Shield of Iowa

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    Not supported

    Blue Shield of Idaho Regence

     

    YES

    Not supported

    Blue Cross Blue Shield of Illinois

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    https://www.dnoaconnect.com

    Blue Cross Blue Shield of Indiana

     

    YES

    Not supported

    Blue Cross Blue Shield of Kansas

     

    YES

    Not supported

    Blue Cross Blue Shield of Kentucky

     

    YES

    Not supported

    Blue Cross Blue Shield of Massachusetts

     

    YES

    Not supported

    Blue Cross Blue Shield of Maine

     

    YES

    Not supported

    Blue Cross Blue Shield of Michigan

     

    YES

    Not supported

    Blue Cross Blue Shield of Missouri

     

    YES

    Not supported

    Blue Cross Blue Shield of Kansas City (MO)

     

    YES

    Not supported

    Blue Cross Blue Shield of Mississippi

     

    YES

    Not supported

    Blue Cross Blue Shield of Montana

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    https://www.dnoaconnect.com

    Blue Cross Blue Shield of North Carolina

     

    YES

    Not supported

    Blue Cross Blue Shield of North Dakota

     

    YES

    Not supported

    Blue Cross Blue Shield of Nebraska

     

    YES

    Not supported

    Blue Cross Blue Shield of New Hampshire

     

    YES

    Not supported

    Blue Cross Blue Shield of New Jersey

    Horizon

    YES

    Not supported

    Blue Cross Blue Shield of New Mexico

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    https://www.dnoaconnect.com

    Blue Cross Blue Shield of Nevada

     

    YES

    Not supported

    Blue Cross Blue Shield of New York (Empire)

    Empire Blue Cross and Blue Shield

    Wellchoice of NJ

    YES

    Not supported

    Blue Cross Blue Shield of Ohio

     

    YES

    Not supported

    Blue Cross Blue Shield of Oklahoma

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    https://www.dnoaconnect.com

    Blue Cross Blue Shield of Oregon Regence

     

    YES

    Not supported

    Blue Shield of Pennsylvania Dental Plus

     

    YES

    Not supported

    Blue Cross Blue Shield of Rhode Island

     

    YES

    Not supported

    Blue Cross Blue Shield of South Carolina

     

    YES

    Not supported

    Blue Cross Blue Shield of Tennessee

     

    YES

    Not supported

    Blue Cross Blue Shield of Texas

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    https://www.dnoaconnect.com

    Blue Cross Blue Shield of Utah

     

    YES

    Not supported

    Blue Cross Blue Shield of Virginia

     

    YES

    Not supported

    Blue Shield of Washington Regence

    Regence of Washington Health

    YES

    Not supported

    Blue Cross Blue Shield of Wisconsin

     

    YES

    Not supported

    Blue Cross Blue Shield of Wyoming

     

    YES

    Not supported

    Blue Cross Dental

     

    YES

    Not supported

    Blue Cross of Idaho

     

    YES

    Not supported

    Blue Cross Medicare Advantage

     

    YES

    Not supported

    Blue Advantage

     

    YES

    Not supported

    Boon Chapman

     

    YES

    Not supported

    Bright Benefits

     

    YES

    Not supported

    CareFirst

     

    YES

    Not supported

    CareSource

     

    YES

    Not supported

    Cooperative Benefit Administrators

     

    YES

    Not supported

    Cigna

    Connecticut General (CIGNA)

    Continental Dental

    Equicor / Equitable

    Healthsource Provident

    Provident

    UFT Welfare Fund

    Banner Health and Dental

    YES

    https://cignaforhcp.cigna.com

    CompBenefits

    Humana CompBenefits Federal Plan Dental

    Humana Specialty Benefits Florida Healthy Kids Dental

    YES

    Not supported

    Coresource

    Trustmark Health Benefits

    YES

    Not supported

    Delta Dental Ins - Alabama

     

    YES

    https://www.deltadentalins.com

    Delta Dental of Arkansas

     

    YES

    https://dentalofficetoolkit.com

    Delta Dental Ins - Arizona

     

    YES

    Not supported

    Delta Dental of California

     

    YES

    https://www.deltadentalins.com

    Delta Dental of Colorado

     

    YES

    https://www.deltadentalco.com

    Delta Dental of Connecticut

     

    YES

    Not supported

    Delta Dental of Washington DC

     

    YES

    Not supported

    Delta Dental of Delaware

     

    YES

    https://www.deltadentalins.com

    Delta Dental Ins - Florida

     

    YES

    https://www.deltadentalins.com

    Delta Dental Ins - Georgia

     

    YES

    https://www.deltadentalins.com

    Hawaii Dental Service

     

    YES

    Not supported

    Delta Dental of Iowa

     

    YES

    Not supported

    Delta Dental of Iowa - Dental Wellness Plan

     

    YES

    Not supported

    Delta Dental Ins

     

    YES

    https://www.deltadentalins.com

    Delta Dental of Idaho

     

    YES

    https://www.deltadentalid.com/

    Delta Dental of Illinois

     

    YES

    deltadentalil.com
    [Newly Supported]

    Delta Dental of Indiana

     

    YES

    https://dentalofficetoolkit.com

    Delta Dental of Kansas

     

    YES

    deltadentalks.com 
    [Newly Supported]

    Delta Dental of Kentucky

     

    YES

    https://dentalofficetoolkit.com

    Delta Dental Ins - Louisiana

     

    YES

    https://www.deltadentalins.com

    Dentist Direct LLC

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    Not supported

    Delta Dental of Massachusetts

     

    YES

    Not supported

    Delta Dental of Maryland

     

    YES

    https://www.deltadentalins.com

    Delta Dental of Michigan

     

    YES

    https://dentalofficetoolkit.com

    Delta Dental of Minnesota

    3M Dental Services

    YES

    https://dentalofficetoolkit.com

    Delta Dental of Missouri

     

    YES

    deltadentalmo.com
    [Newly Supported]

    Delta Dental Ins - Mississippi

     

    YES

    https://www.deltadentalins.com

    Delta Dental Ins - Montana

     

    YES

    https://www.deltadentalins.com

    Delta Dental of North Carolina

     

    YES

    https://dentalofficetoolkit.com

    Delta Dental of North Dakota

     

    YES

    Not supported

    Delta Dental of Nebraska

     

    YES

    https://dentalofficetoolkit.com

    Delta Dental of New Jersey

     

    YES

    https://www.deltadentalnj.com

    Delta Dental of New Mexico

     

    YES

    https://dentalofficetoolkit.com

    Delta Dental (Northeast - ME, NH, and VT)

     

    YES

    Not supported

    Delta Dental Ins - Nevada

     

    YES

    https://www.deltadentalins.com

    Delta Dental of New York

    32 BJ

    YES

    https://www.deltadentalins.com

    Delta Dental of Ohio

     

    YES

    https://dentalofficetoolkit.com

    Delta Dental of Oklahoma

     

    YES

    Not supported

    Delta Dental of Oregon [New Carrier]

     

    NO

    deltadentalor.com

    Delta Dental of Pennsylvania

     

    YES

    https://www.deltadentalins.com

    Delta Dental of Puerto Rico

     

    YES

    https://www.deltadentalins.com

    Delta Dental of Rhode Island

     

    YES

    Not supported

    Delta Dental of South Carolina

     

    YES

    Not supported

    Delta Dental South Dakota [New Carrier]

     

    NO

    southdakota.deltadental.com

    Delta Dental of Tennessee

     

    YES

    https://dentalofficetoolkit.com

    Delta Dental - Tricare Retiree

     

    YES

    Not supported

    Delta Dental Ins - Texas

     

    YES

    https://www.deltadentalins.com

    Delta Dental Ins - Utah

     

    YES

    https://www.deltadentalins.com

    Delta Dental of Virginia

     

    YES

    https://www.deltadentalva.com/

    Delta Dental of Washington

     

    YES

    Not supported

    Delta Dental of Wisconsin

     

    YES

    Not supported

    Delta Dental of West Virginia

     

    YES

    https://www.deltadentalins.com

    Delta Dental of Wyoming

     

    YES

    Not supported

    DeCare Dental Health Insurance

     

    YES

    Not supported

    DeltaCare

     

    YES

    Not supported

    Dentaquest
    [NEW PRO PORTAL SUPPORT]

    Dentaquest - TennCare

    Dentaquest - University of Arizona Health Plans

    Dentaquest - WI State Employees

    Dentaquest - Affinity Health Plan

    Dentaquest - Atlantic Dental Inc

    Dentaquest - California Dental Network

    Dentaquest - Grady Healthcare

    Dentaquest - Maryland Physicians Care MCO

    Dentaquest - PhysiciansCare MCO

    Dentaquest - TrumanCare

    Dentaquest - Cimmaron Health Plan

    Dentaquest - Lovelace Community Health Plan

    Dentaquest - Presbyterian Salud

    Dentaquest - Xantus Health Plan

    Dentaquest - Medicaid of Virginia, HealthKeepers Plus

    Dentaquest - Medicaid of Nebraska

    NO

    dentaquest.com

    DMBA

    Deseret Mutual Benefit Administrators

    YES

    Not supported

    Emblem Health

     

    YES

    Not supported

    EMI Health

     

    YES

    Not supported

    Envolve

    Envolve - WellCare

    Envolve - Ambetter

    Envolve - Ascension

    Envolve - Magnolia Health

    Envolve - Bridgeway Health

    Envolve - Cenpatico

    Envolve - Health Net Access

    Envolve - Sunshine Health

    Envolve - Peach State

    Envolve - IlliniCare Health

    Envolve - Meridian

    Envolve - Hoosier Care Connect

    Envolve - Hoosier Healthwise

    Envolve - Sunflower

    Envolve - Magnolia

    Envolve - Western Sky

    Envolve - Trillium

    Envolve - Superior Health Plan

    Envolve - Louisiana Medicare

    Envolve - Nevada Medicare

    Envolve - New Mexico Medicare

    Envolve - Illinois Medicare

    Envolve - Kansas Medicare

    Envolve - Missouri Medicare

    Envolve - Pennsylvania Medicare

    YES

    Not supported

    Everence

     

    YES

    Not supported

    Excellus Blue Cross Blue Shield of New York

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    Not supported

    First Reliance Standard

     

    YES

    Not supported

    GEHA

    Government Employee Hospital Association

    YES

    Not supported

    GEHA Connection Federal

    GEHA Texas

    YES

    Not supported

    Guardian

    Managed Dental Care Network

    Dental Guard Preferred

    YES

    https://www.guardianlife.com

    Great-West Healthcare

    Canada Life Assurance Company

    ONE Health Plan

    YES

    Not supported

    Health Choice of Arizona

     

    YES

    Not supported

    Health Choice of Oklahoma

     

    YES

    Not supported

    Healthgram

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    Not supported

    Health Partners

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    Not supported

    Healthplex

     

    YES

    Not supported

    HealthSmart Benefit Solutions

     

    YES

    Not supported

    Healthcare Management Administrators

     

    YES

    Not supported

    Horizon New Jersey Health

    Horizon NJ Medicaid

    NJ FamilyCare

    YES

    Not supported

    Humana

    TDC (The Dental Companies)

    Emphesys

    EHI, EHIC

    Employers Health Insurance of Wisconsin

    YES

    Not supported

    InnovAge

     

    YES

    Not supported

    Kaiser NW Dental

     

    YES

    Not supported

    Liberty

     

    YES

    Not supported

    Lifemap

     

    YES

    Not supported

    Optum Medical Network (Lifeprint network)

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    Not supported

    Lincoln Financial Group

     

    YES

    Not supported

    Loomis Company

     

    YES

    Not supported

    Managed Care of North America (MCNA)

     

    YES

    Not supported

    Medicaid of Alaska

     

    YES

    Not supported

    Medicaid of Alabama

     

    YES

    Not supported

    Medicaid of Arkansas

     

    YES

    Not supported

    Medicaid of Arizona

     

    YES

    Not supported

    Medicaid of California - Medi-Cal

    Denti-Cal

    YES

    Not supported

    Medicaid of Colorado

     

    YES

    Not supported

    Medicaid of Connecticut

     

    YES

    Not supported

    Medicaid of District of Columbia

     

    YES

    Not supported

    Medicaid of Florida

     

    YES

    Not supported

    Medicaid of Georgia

     

    YES

    Not supported

    Medicaid of Iowa

     

    YES

    Not supported

    Medicaid of Idaho

     

    YES

    Not supported

    Medicaid of Illinois

     

    YES

    Not supported

    Medicaid of Indiana

     

    YES

    Not supported

    Medicaid of Kansas

     

    YES

    Not supported

    Medicaid of Kentucky

     

    YES

    Not supported

    Medicaid of Massachusetts

     

    YES

    Not supported

    Medicaid of Maryland

     

    YES

    Not supported

    Medicaid of Maine

     

    YES

    Not supported

    Medicaid of Michigan

     

    YES

    Not supported

    Medicaid of Minnesota

     

    YES

    Not supported

    Medicaid of Missouri

     

    YES

    Not supported

    Medicaid of Mississippi

     

    YES

    Not supported

    Medicaid of Montana

     

    YES

    Not supported

    Medicaid of North Carolina

     

    YES

    Not supported

    Medicaid of North Dakota

     

    YES

    Not supported

    Medicaid of New Hampshire

     

    YES

    Not supported

    Medicaid of New Jersey

     

    YES

    Not supported

    Medicaid of New Mexico

     

    YES

    Not supported

    Medicaid of Nevada

     

    YES

    Not supported

    Medicaid of New York

     

    YES

    Not supported

    Medicaid of Ohio

     

    YES

    Not supported

    Medicaid of Oklahoma

     

    YES

    Not supported
    Medicaid of Oregon

    [New Carrier]

     

    YES

    Not supported

    Medicaid of Pennsylvania

     

    YES

    Not supported

    Medicaid of South Carolina

     

    YES

    Not supported

    Medicaid of Tennessee (Tenncare)

     

    YES

    Not supported

    Medicaid of Texas

     

    YES

    Not supported

    Medicaid of Utah

     

    YES

    Not supported

    Medicaid of Vermont [New Carrier]

     

    YES

    Not supported

    Medicaid of Virginia

     

    YES

    Not supported

    Medicaid of Washington

     

    YES

    Not supported

    Medicaid of Wisconsin

     

    YES

    Not supported

    Medicaid of West Virginia

     

    YES

    Not supported

    Medicaid of Wyoming

     

    YES

    Not supported

    Medical Mutual

     

    YES

    Not supported

    Medico

     

    YES

    Not supported

    Meritain

     

    YES

    Not supported

    MetLife

    Metropolitan

    YES

    https://www.metdental.com

    Mutual of Omaha

     

    YES

    Not supported

    Nippon Life

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    Not supported

    Pacific Source

     

    YES

    Not supported

    Public Employees Health Plan

     

    YES

    Not supported

    Physicians Mutual

     

    YES

    Not supported

    Premera Blue Cross

    Blue Cross of Washington

    LifeWise Health Plan of Washington

    YES

    Not supported

    Principal

    J. F. Molloy and Associates

    YES

    Not supported

    Reliance Standard Life

     

    YES

    Not supported

    Renaissance Life and Health

     

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    Not supported

    Scion Dental

     

    YES

    Not supported

    SelectHealth

    Select Health Utah

    YES

    Not supported

    Sierra Health and Life

     

    YES

    Not supported

    Standard Insurance

     

    YES

    Not supported

    Standard Insurance Co. of New York

     

    YES

    Not supported

    SunLife
    [NEW PRO PORTAL SUPPORT]

     

    NO

    dentaquest.com

    Teamcare

    Central States Health and Life

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    Not supported

    United Concordia

    Florida Combined Life

    United Concordia - Dental Plus

    Blue Cross of PA - Highmark

    YES

    https://www.unitedconcordia.com

    United Healthcare

    Pacific Union Dental

    Dental Benefit Providers

    National Pacific Dental

    USHealth Group

    Freedom Life

    YES

    Not supported

    UMR

     

    YES

    Not supported

    Unicare

     

    YES

    Not supported

    Unum

    Colonial Life

    Due to issues with ChangeHealthcare, we have temporarily lost EDI access.

    https://unumdentalpwp.skygenusasystems.com/

    UPMC Health Plan

     

    YES

    Not supported
  • Demo Videos

    View our demo videos below for additional guidance on every step of the onboarding process! 🎬
    • In this video we will dive into starting the onboarding process and setting up an insurance identifier as a payer. 

    • Check out this demo to see how to link an insurance identifier to a existing connected payer.

    • Watch this demo for a quick overview of setting up an insurance identifier as an indicator of auto self pay. 

    • See the video below for a tutorial of provider setup.

    • In this demo we will cover how to edit your PMS Sync settings. 

Download our "Insurance Verification Best Practices" resource for additional guidance!
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