Industry sign banking hawaii claim mobile
[Music] 10 a.m. Pacific Standard Time I hope it's a great day for you all it's my pleasure to have here with us today Liane Morris and Ozzie Ferrell from dental exchange the dental exchange team Leon introduce yourself tell us a little bit about yourself hello good morning good afternoon wherever you might be I am Liane Morris and the vice president of business development at endless stage I started my life as a pillar like many of you who are on the call many many years ago and I have been with dental exchange for now I just celebrated my twelve years so I look forward to presenting and answering all your questions and helping you extremists a challenging time of crisis back to you Kathleen thank you so much land and Ozzie Ozzie Ferraro also with dental exchange thank you too so much for being here always behind the scenes helping out our customers talk a little bit about yourself Ozzie as you forever been with they'll exchange 14 years since 2007 and starting customer service customer implementations currently vip account managers so managing dental offices from you know I have five ten offices - you know 300 400 groups so pretty much take care of anything and everything count creations trainings you know troubleshooting clean tracing etc been working in hand-in-hand with LeAnn ever since 2009 I believe so got the the to punch knockout team here and ready to take on any questions you guys my house perfect Thank You Ozzy so exactly we have the crane follow-up experts here today alrighty so the webinar format 45 minutes of presentation 15 minutes of Q&A note you're all on you but you can ask questions how in the question section of the GoToWebinar s if you want to play around with the ax men you items you'll see there's an area where you can click and type in questions so go for it start doing it as soon as you'd like Linda flower of Planet DDS welcome Linda we'll be monitoring your questions while the dental exchange dental exchange team presents the topic so feel free to enter questions we'll probably address them at the conclusion of the presentation speaking of presentation today's topic dental exchanges tips and tricks for getting your claims paid during a downtime covers a very important aspect of claim management in clay management reimbursement which is the claims in dental exchange once the claims electronically submitted from Danny Kahn gets what it goes to dental exchanges portal and that's where dental exchange is going to look at that claim if there's any issues challenges and problems it's going to hold it for you so you don't send a dirty claim so to speak right and it's going to give you the heads up or what the issue is so it's really important to your workflow that you log into dental exchange to review the claims for what they call validation errors in order to ensure that any issues with the claims are fixed and then you can get set you can send them for payment real important right they're not sent while they have a validation error so the dental exchange team is here to show you some tips and tricks on validation errors show you how to increase your insurance collections yay how to maximize the services provided by dental exchange thank you're going to show you some cool stuff there and a dental exchange is your partner in getting claims paid yay so thank you so much for that now before we move forward as always I'm going to do a couple of quick polls just to get to know you see who's here tell us all about your first one is was the size of your general organization so thank you for being here everybody love it if you don't participate in the poll this way we'll understand who's hanging out with us here today and kind of a feel for where are you coming from are you a solo are you so multi location brick and mortar are you a multi location mobile dental group okay I'll give you a couple more seconds to participate in the poll real easy just click if you're e all of the above click on the one that you identify most lit thank you so much we got great participation 80 percent voting excellence and so how about I count it down with a five four three two one alrighty I'm going to close that poll and then I'm going to share the poll I'll give you five more seconds how about another five four three two one thanks again everybody all right closing the poll boom shall I share absolutely alrighty so we have 66 percent or multi-location brick-and-mortar multi location Oh welcome thirty percent are the solo practice thank you so much for being here solos and yes we have four percent of the multi location mobile dental group excellent so everybody is represented glad to have you here all of you are submitting claims this is going to be a good webinar RIT so now the second poll done put it on what is your role in the dental office organization so let me launch that one this one's all about you how about you who are you now we're doing this webinar about claim follow-up and getting payment during the downtime and we're suspecting and last webinar we found out that it's true what we suspected that since people might be furloughed are the people that are still working maybe people that have never submitted a claim electronically never followed up on an insurance claim don't really know too much about claim follow-up because it wasn't your primary job so we're going to you know answer some of your questions and make sure this is new to you that you'll be able to help follow up on those claims by the time your team comes back everything will be fine alrighty so I'm going to do the little bit of a countdown let's get it over 80% please Thank You yay got it and then I'm going to do a little countdown so the five before the three of the two and the one alrighty so let's see what we got here let me close the poll thank you again for participating and then let me go ahead and share the poll I still people are voting good for you thank you thank you thank you we're getting to the 90% good for you guys thank you all righty bye four three two one alrighty closing that poll and then let me share it alrighty so starting with 42% here our office administrators make sense for you twenty-eight insurance builders of course absolutely 14% corporate staff makes sense that's right 10% clinical team Bravo Bravo clinical team that's right you should be aware about insurance claims processing and getting paid why not everybody's here to help and 6% are the clerical the front desk the call center good news so yes I'm getting paid and and money in our our liras banks is good for us to pay us so thank you for being here and trying to learn a little bit about claims in dental exchange thank you alrighty and then the final poll this is the one just to see what's going on the last poll is have you ever logged in to dental it dental exchanges portal let me launch that have you ever logged into dental exchanges portal just want to get a feel for you know noobs never been there help me be be gentle or bad been there done that but hey would love to learn some tips and techniques why not so good alrighty so then let me do the same thing once we get to over 80% and we're almost there thank you I will close the poll RT so let me count it down this is easy with a 5 and a 4 and a 3 and a 2 and a 1 alright thank everybody for participating let me close that poll and let me share the results boom and so the results are 85% of you have logged into the dental exchange portal excellent 13% of you have not no worries going to show you what's going on over there in that portal why it's important for you to be aware of what's going on in the portal and particularly what to do once you go into dental exchanges port so thank you everybody for participating alrighty so let me pick it up here for you boom ID so I'm here at the good old Newport Beach Denny Kahn office and it's time for me to submit my claims electronically so to do that you would go to the utilities menu you would go to batch claims processing now you might already have claims here and these are claims that you created one at a time from the patient's ledger and if anyone has been trained by me and how long have I been doing this since 2003 what planet DDS I make you solemnly swear I solemnly swear that I will click the Create batch claims button even if I'm creating one claim at a time due to OCD I'm like that's fine you can create one claim at a time but you got to promise me you're going to click on this create batch claims button so this will flush out any claims that represent a patient that had services rendered that had insurance attached to them at the time but a claim didn't get created so it's smart Denny Khan's got your back so when you do that voila voila voila claims will appear here uh-huh that you didn't click and create the claim so it's just a fail-safe method awesomesauce but guess what these are claims created not since so they're doing you no good sitting here so you need to come here and transmit those claims once you click on this button boom will people be blue broke through the power of the internet the mystery of the internet or all these claims will disappear why because you transmitted - dental exchange now as soon as you do that and send all of these claims to dental exchange by clicking here the very next thing you want to do is you want to go to dental exchange you want to take a look at those claims and dental exchange and get the gossip get the Intel get the 401 one so the next thing you would do is go to utilities and you click here equines management now I'm not willing to dental exchange but the theory would be once you do that it will invoke your username your password that logs you into dental exchange and the next thing you know there you are safe and sound in the hands of dental exchange so what do you do once you get there so that's what Leanne is going to go over with us today so lean without further ado and did I share did I share that poll I think I did okay good let me share that poll just in case they didn't give you the results and let me find you Liam there you are and now let me make ye the presenter thumb set it on and let me hide that okay good there you go in okay so Kathleen please confirm you can see my gentle exchange landing page not yet okay I am waiting for the prompt from you to say that I will share my screen okay so let me let me do something kind of slick and then up there it is I can see it pump it up um okay so you can see my gentle exchange landing page now yeah yes I can excellent well let's get started so first and foremost thank you very much for everybody for joining our webinar today I personally am very impacted with the cove of 19 industry challenges that we have and anything we can do please reach out to us we are all in around say say you know we're all in it together but for the dental industry we are all in it together so practice management systems clearing out payers and all of our staff are here to help you so I want to start with a little bit of some tricks of the trade on what to do if you were in a situation which we all are is to increase cash flow and to get the claims out the door and do the best you can well as possible that your staff have been furloughed laid off you might be a dentist that is possibly supporting some claims tracking and submission there is I believe 30% that normally don't have a normal role in coming this dental exchange so please ask your questions as I'll be shared Ozzy is one part or the most senior Account Manager with dental exchange and we can manage a problem from a single provider to a office group that has 400 locations it doesn't matter if you have 400 locations or if you have one location your problem is still the same it just means that you might have 400 times the same event that occurs but all of the issues and challenges are the same for us so first and foremost anybody that is working with Jenna Khan or with them to exchange needs to assure that you make sure within your practice or process that you come in to central exchange each and every day now when you process claim with pentacon you just don't push the buttons and they magically appear at the payer there is this processes and validations and rules and workflows that are performed that most of you are aware of so what I did is I'm going to show you just some reminders to make sure in this time that everything's addressed then you get your claim in the hands of the player so you can get paid and with that I want to start with right here alerts this is your most important process right now besides pushing the claim to submit to dental exchange you can see I have ten problem claims okay you can click up click on problem claims so you can click on search but we'll go here to problem plays this is the most important again the most important section that we want you to make sure you address we don't want any claim sitting here that can possibly be paid I talked to one of the largest national players in the nation and they said they are ramping up and putting as many staff as they can on adjudicating claims to make sure that the turnaround time for claims processing such as fast as possible so you can get your money now when we talk about all of these different categories for some of you it's repetitive for some of you it's going to be new and some of you you might have been trained a long time ago and it might not be your role but it is now because somebody used to do this is possibly not working until you wrap back up and open up the doors so I'm just going to do a quick overview and that is claims of validation errors and it could click you can open it up and it will give you a list of claims with validation errors and these are claims that have come in the door that are missing pertinent information okay certain information a subscriber ID does not meet the requirements date of birth any information that is required okay now all of you should know how to fix your validation errors this is not basic training its tricks of the trade what I want to talk about is validation is when you go to a validation air and you find that they're not enrolled I'm going to talk about that if the validation error says that they are not enrolled I want you guys to and I'm going to go into it want you to make sure you run eligibility either within data con and I don't have the Benetton application I'm going to show you how to do it within gentle exchange okay the number one reason for claims to be rejected as for this reason you're going to get a lot of fat now because somebody could have been insured months ago and are not insured today because they've been laid up so I want you guys to all start checking eligibility so I'm not I'm going to jump over to eligibility right now okay now this is real data we all know in HIPAA you are not allowed to and I'm going to stop talking for a minute so it then had many more questions on eligibility please create a request to Linda and Auggie and myself will respond but the most important part of getting a claim out the door is making sure you come in here so for the 30 percent of attendees who are not been in claim connector don't do this on a normal basis duplicate claims that is if a claim has been processed in our system within seven days so this is very important for you guys who are running and reviewing your old a are attached to one group practice and she says oh my gosh Leanne we started going through the AR we've done the easy one now we're doing the hard one so what we're going to do is they're going to start refitting claims now if you resubmit a claim within seven days it could reject but you always have to keep ability to manually override that duplication say I have chosen to resubmit a duplicate claim and when that applies is possibly on Monday when the claim went in queue is not eligible but on Wednesday there is eligibility you can resubmit the Clinton rejected claims now this is my dummy account so I don't have any rejected claims because this is real time as you see when I did at eligibility so rejected claims is a very very important place to correct claim in advance before you get a payer yo B so if the payer is going to duck deny a claim they possibly could have gotten the claim in on Monday and process the claim in
our or five days later and maybe the enrollment records of the insurance of B excuse me the employer was updated to the insurance carrier and they're no longer receiving benefits or insured that would be a pay or reject so a parent would say I'm sorry no longer insured jump on these claims okay jump on them so you can get them resubmitted you can reach out to the patient immediately and get them rebuilt okay I'm going to go to attachment this is one of our favorites because attachments are not naughty plane they're not problem claims they're perfect process and that is to make sure your claims get in the door exactly how the insurance company wants them okay so know the logic for you for everybody is attachment has a validation scheduled or ruled by plan and the payers change them throughout the year throughout the month and whenever they wish now at this point in time you can say hey how do I find out what the rules are okay now there's multiple ways you can find out the rules but the easy way is to go here to our failure list you can see this is what you call a hamburger and you can search you can tabs just like Amazon or you can come up to the top and you can say I want the A's and you can see Aetna dental plans and you click on the hamburger and it will show you the attachment rules okay now a little trick if you are expecially and you know that a specialist does not require say an attachment for 2543 you managed wolf you want to add a rule and you can also view all the rules and you can hover over them and see when they were created so compliments to Edna's they have just uploaded their current rules of January 29th 2020 okay so I want to add a rule let's say I have talked to Liberty dental or I talked to Sigma or whoever my failure is and I found out that I do not need to do attachments for a certain procedure I want all payers I want a specific provider you add your provider and let's say what your choice is is let's say during this code nineteen issue I want every claim Altidore regardless of attachment that I want it out the door and I'm going to wait for them to ask because you know that the payers have an auto adjudication process that processes claims and then their auditors go into the repository into attachments later on or during the attack during the claims payment processing so you can retire a requirement attachment for all claims so you can bypass we are putting the complete control of your attachment rules in your hands for Bob Jones let's say that you guys are hiring and defenses and credentialing it's not finished yet and you would like to create the claims do you want to hold them in a certain bracket area you can require it claim at an attachment for all claims okay so you need help on creating the rules let us know but you can find how to do the rules online as well as you can edit rules and you can find information okay we're going to go back to the most important right claims needing submissions claims needing attachments claims pending go into attachment now we do have a little helpful process if I may so for the corporate staff what happens if your staff go on maternity leave somebody gets laid off and they forget to go into claims needing attachment and your claims keep building and building and building and somebody forgets to go there well we have a fail-safe measure that says if the claim sit here for longer than 14 days we will release the claim because we know that a high percentage of the claims will process and get approved so we want to support if somebody forgets to do this we will release the claims so that is not the preferred method that is a safety net for us so you can see here again this is real data this is LeAnn Morris and I have three plants that need attachments and I am going to click on the claim so now again this is all dummy data that I have worked on before and I see I've got a crown this morning and man do I hurt but we're going to go in and we're going to manage attachments and we do have the capability to edit the claim or delete the claim cetera on the bottom we're going to go and manage attachments we all have a second capability to view the rules if you want to right here for deco manage attachment okay so now we have this clown I previously added some attachment that's all I did is I launched a capture image most of you should know how to do this and then it allows you to highlight an image for the sake of time I preload it up so we can look at them and let's see here I want to preview my attachment so here is the image and here is our dental x-ray okay we close that the other attachment and you can see here we have a cartoon okay you can double check and we have dental model and then we're load-in floating now and this is my favorite dental model for some of you we have an item in Orange County I live it's outside the city and I am the only person I know that has goats this is hardly Davison and Louis Vuitton so there is our dental models of fennel exchange so now let's say your office is closed and you're only running in for emergencies so let's say how do I communicate to the player let's add a narrative okay being able to add in their shapes gives you 2,000 characters so it's unlimited pretty much say oh sorry on my cellphone okay I'm going to save this narrative this is a perfect place for you to add to say hello I'm working out of my home office I'm available on my cell phone I am remote our office is closed for emergencies only and please know that this narrative will be listed directly above any image that your payer looks at to process your claim okay so now one trip if you want to see what your payer see we're going to quit here to the fifth screen and this button right here is edit another clip and this is actually the payers viewer as they pay off when they you to get your claims so they can zoom in and you can see the quality now I am sure that this x-ray is not the quality that you would deliver and we are on a webcast as well but this is how you can see what they're paying off ok so if you want to look at what kind of x-ray and how its displayed for the payer you can always go quick and you will be able to view that of course you can update information here and I'm going to close it ok for this example I have this is a TLB that was sent out and then had asked me for attachments after the claims had been received and you can see that the claim submit solicited attachment now I'm going to go back to my attachment list and we're going to go into another one you can see here the pH art is required again if your claims do not get in the door to the payer you will never get paid okay now let's say for example you don't have a stereo chart and you don't know the x-ray because the opportunity to mediclaim without an attachment and make sure you get it in the door okay get it for the player you can always correct the claim and do it later it's not a preference that I would suggest six months ago it's the preference and choice that each office has the flexibility to process your claim so what do you wish and we do not control your process okay you also have the capability to proceed without an attachment at this time and then you can move forward okay so now remember capture image narrative archives if there's other a previous x-rays or images for LeAnn Morris and you will be they'll be sitting in archives so now we went through just to review let's go let's go one more step let's say we can't get this done today okay sighs I do not have the x-rays and I don't want it to sit in my to-do stack okay do not mark this as a result marking is resolved means that you are killing the claim in the process of the clearinghouse means that I marked it as results as I prepare with myself okay if you mark this pending and you put a note and you save it we will now move it to a second category which is pending okay so this ending is a workflow that you can move them out of the attachments section it also protects you from the 14-day relief so if you don't want the clean relief move on the pending it's very easy and it will be the same process and it works just like the other category of pending attachments you just simply click your claim you roll down to the bottom sorry to make you dizzy and you manage your attachment you still have the same capabilities the misc claims about attachments you could mark it as a result and you can release it from pending when you release it from sending it is going to revalidate to make sure that everything on the claim is correct okay so we did eligibility we did claims meeting attachment we talked about releasing attachments after 14 days you have to capability to edit those rules if you wish let's do one quick benefit to make sure and this is true that came in just last night I did a central state audit for them and they said oh my gosh Leon I'm getting so many paper claims it takes longer if the claim has to be scanned we have errors and why is this happening so once the situation of seeing is is that Kathleen can talk to you about it every time you have a payer in your den diccon system make sure it is going electronically with declaim central states just went bastard with electronic with us we had been printing their claims for while so many providers will say okay if central state doesn't support electronic neither does say operating engineers you are printing them in your office the problem with that is as soon as Central States goes live with electronics we immediately move all those claims from paper to electronic if you don't update your system you do not have the capability to do so okay it will then unless you're cleaning your insurance ex dictionary all the time you will not know that central space team care is now electronic and currently I have hundreds and hundreds of providers that when I reach out they say oh I didn't know central states supported electronic claims now okay so make sure everybody does DDI under insurance dictionary another benefit of dental exchange was clear I can use operating engineers let's go real climbs attachments and we're going to search and it will tell you everybody that does attachment now difference than any a gentle exchange actually does attachments for prints there so Operating Engineers is a good client of ours located here in Pasadena and Operating Engineers and Welfare they actually have the capability to give it catchment but they didn't do EDI they were very small for a long time so if they were still paper we would actually be able to support it Cashman and the claim would go out the door paper with an attachment so even if you have a claim for a payer again that you think does not support EDI make sure you're setting up the dental change there's also a benefit of validation so to make sure that claim the claim that the claim is clean and then as well as soon as claims go electronic it will convert them over and get them out the door and keep the paper off of your printer we also send our paper claims priority and they will get scanned and processed faster because we are sending fifty a hundred two hundred many claims in a process workflow that has been designed by the payer who has not moved forward with the capability of doing EDI okay so I want to do it for the sake of time I live one more thing and then I'm going to send it back to Kathleen and that is credentialing and credentialing is an area that gentle exchange has launched if you are in the state of billet fees Delta Dental of Colorado Delta Dental of Arizona Delta Dental of Missouri South Carolina health dental of New Jersey Connecticut and soon-to-be Hawaii you are using the dental exchange credentialing application process it is able to be supported all payers as well but right now what I want to kill you is two things one this user profile is free to you and every one of you so where do you currently set your information on coolest credentials and who is not are you credential with Delta Dental of California Colorado etc so this here is Steven Johnson I'm going to just click here and you can actually add a provider but I'm just going to show you a quick quick trick is somebody instead of storing all of the supporting documents that's used for credentialing start using this right here where you could upload a document and keep all of your information for no charge we will actually send you reminders of the user on the account that certain supporting documentation is expiring also where do you put who are you credentialed West is it on a notepad is around bulletin board go here and add status it is simple as player very approved status and then you would save so I believe this would be a benefit to everyone instead of using file folders and if you're in any of the space and we have as well as your first and Marylyn going into implementation and we have a payer in Idaho as well as Virginia this is a great place to put this information so what is trying to do your application it is wizard logic and it will grab all of this information and populate and you will not have to do any data entry for it okay so with that being the case Kathleen I'm going to turn it over to you and if you want to refer to audience see if we missed any of our pertinent information back to you oh so great information especially the paper I think that's really important to mention that if you're printing claims now there really no reason for you to do it you're going to save time and money and you got you got a resource you got dental exchange there they got your back because they will print the claim for you now I'll show you how to define that and I can show you how real-time eligibility works into any comms but we have a lot of questions land that I want to make sure our valued customers get answered that that our dental exchange questions I can't answer myself Linda do you want to take some of them or would you like me to feed them out sure I can read that for you faith has a great question and you may have covered it and I missed it and apologies I did she says for the eligibility search in dental exchange what if the patient was active during the time of service but they're turned now unfortunately eligibility is real time so it is effective as of the time it hits the computer system at that point in time if you have this life to find out if they are el Table two weeks ago three weeks ago you would need to call you would call the payer like I showed you a Delta Dental of California it would show in a skit which means they're not insured today but you would need to call them on half eligibility that's you and that awesome thank you so much we have another question from April and her question is regarding when you are submitting those attachments from the dental exchange site is there an area where you can save your common narratives I will share with you there is a comment actually for the archives for previous x-rays and images to save a common narrative is a great suggestion I was like Ozzie I know that you're listening what I would like to do is they're just possibly having a default narrative so I'm going to take that back I have never been asked that as it right now you will just need to copy and paste copy and paste so if you have a narrative that you use regularly pretty funny that's what you would need to do but thank you very much I believe that from April I am definitely going to see if we can have a default where you can set your own narrative - oh you think so I'm apologies go ahead I was just gonna suggest maybe maybe saving that narrative if it's a commonly used narrative saving it may be like a a notepad on Desktop and then just having it there to easily copy paste just so they don't have to like no comb through then encanta find that narrative just have it there easily available in their desktop as a notepad file just a quick suggestion maybe it's great ideas so just wondering how she can know if the eligibility action is available for all carriers I believe the question is are they available here is the list this is everybody that supports eligibility at Rice's second if I would have added a payer an hour ago this is instant and real-time that will update you also have the capability to go to the payer list and find out if they are supported by a click and a
search and it will give you all of the eligibility carriers and you can see here and you can tab over great thank you so much just another question for you and it looks like it's regarding an attachment number she says when she calls an insurance carrier to follow up on claims sometimes they're reporting that they haven't received an attachment and they asked her for the attachment number or information is that information that is within the claim if you want me to go to claims awaiting submission every attachment has completed is gonna have the DXE number there that's the tracking number for the attachment itself if they do ask for the attachment ID that would be the one that they want to provide every single one of them has it so I mean yeah yes it's like Danny a Exe right awesome thank you so much now please note that there's only two players right now that exchange files all of the rest of payers that if an attachment has a DSP member they just go to a repository and access that information so they say they don't have the image it's because they have to log in and view the image that's why they're asking you for the DSP number thank you wonderful thank you so much now it looks like April has one more question for you and she's the one that had the great suggestion for you she says that when they submit the cement crown code they get a validation error until they remove that code from the claim do you have any recommendations regarding why that particular code B could be giving them a validation error if it's specific to and if I may that will need some information is we can make sure we have April's information what we will do is we will go and actually perform a single entry claim and type of claim in real time we will perform it with the code specific if it is directed to a specific payer then we will test it with the payer and determine the event or if it is could be the example has been to look another procedure code that has a conflict we would need examples I have not been told that over the uiz have you heard any of this Linda this is just specific to the code itself triggering a validation error not necessarily that it's just a code itself having a validation error correct that's the information that April's given us maybe it would be best for her to reach out to dental exchange directly with information just from just from the what the information we have it could be that that procedure code is no longer valid okay so we do recommend always checking the most current CDT book I'm oftentimes yes often times codes are deleted and staff continue using all their codes I don't know if you guys have that information within Dyna con that would be accessible to them we sure do we have there's a release note it was posted on probably October November of last year with the new 2020 CDT codes so they can search there's the release note or the help portal for that information now thank you so much perfect yeah and the contact is there with any additional examples if that doesn't answer the question okay awesome now let's see faith has another question she wants to know pardon me I clicked on the wrong one there can you have dental exchange bypass the denial and still submit the claim yes okay so are you talking about for a validation or validations you can serve for attachment right here you can submit without an attachment okay you can override it you can also do a duplicate claims as well if there was a people that claim it will allow you to override and send it regardless backcombing thank you so much question Thank You Kathleen can you grab the next question in the line if you don't mind which one it is Lindo I've got a lot of questions there there is a question about we know some claims are requiring attachments when you're in the dental exchange site without the one from mumming zone it is thank you yep so let's kinda he has a few but I think there is so the first one was hey how do you know some claims submitted or soliciting attachments there is no warning on dental exchange dashboard and I think that there most certainly is so hold on and let me get a couple of things out there because there should be right it was the very first screen you come to when you log in and then he says how to add attachments to claims which do not normally require attachments by attachment rules before we send our acclaimed so there is part two to that so so there you go and so as soon as you log in to dental exchange right there where Leanne is where she clicked on search for claims it's kind of the gossip right right there welcome to claim connect alert you have nine problem claims to review so yet thank you answer she's clicking on the nine what's the problem and there you go here are your challenges and as she had shown you there is a subsection of your problem plane called claims needing attachments specifically but of course you want to address all of those now on the other hand so yeh so hopefully that's good okay there it is now Leanne how about you know it's appropriate I want to send an attachment it's not it's not requested it's not giving me a validation error for that is there such a thing do you recommend that I'm not sure why um you know you'd want to send an attachment maybe you just want to make sure it gets played or you're getting ahead of this any theories on flash on that yes it does address all products so I you do manage your own rules as I share and you click manage rules now let's say you want to stop a claim if all you have to do is to pay for specific payer a specific provider or all providers and you can require you can bypass or you can require an attachment for any of the procedures now you could say you're going to do that for 6 months 3 months 1 month just today you can create your own rules so note that when the system of dental con hips dental exchange it actually is hitting a specific account for you so when you create custom rules it will stop your claim for custom rules ok thank you that answered the question on how you can stop a plane for an attachment if it is not a already set attachment validation by the payer it's all in your hand back to you calculator Linda thank you so much Jessica wants to know and I believe you may have touched on this earlier if the credentialing tab is available for the state of Texas and can they keep documents in that section for other clinical staff such as dental assistants yes you may so this is your vote for one credentialing is available for any provider or group that using dental exchange and you can see here these are just users so like for the hygienist you can qualify the user as a hygienist you can qualify the user as they can only look at it so for example if you have somebody in the office that has an access to dental exchange you only want them to be able to look at the information but not edit it these are the rules so you have a high dentist that you would like to support documentation when you add the provider you would then classify I see there's general Dennis or a high status and then you can see here okay if there is a classification that you would like to add I would be glad to entertain that and I can give you another classification if you're just using it for internal only then you can classify it as you wish then it is also this is for your new only okay thank you awesome nicole has a really great question for secondary claims in addition to the primary EOB if the x-ray was attached for the primary do they need to do anything for the secondary or is it still available do they need to reattach the claim the x-ray or documentation again okay I will share with you Amendment turn it over to Ozzy but the actual information is still available on the attachment product we have that archive the archive section that says make it to it here sorry jumping subjects kind of hard so we have an archive teen Street but that is the archive for LeAnn Morris related to the specific player so now if you're switching payers traditionally secondary insurances do not require supporting documentation Ozzy can you attest to that most of them just submit the EOB for the secondary and do you find that they traditionally support x-ray in my experience I haven't been asked that I wouldn't know how to answer the x-ray question most of them I've seen that just out of the EOB as well Thank You Linda thanks so much uh let's see I know our time we're over our time limit so I want to try to get as much information out there as possible before you need to go faith wanted to know and I believe I thought you answered this does the credentialing feature work for all carriers it does not work for every carrier there is certain carriers that support only online especially couple of the Medicaid but you can see an example here of all of the payers that accept information from our online application you can also if you would like to inquire you can then pick a state such as California hold on one second I have to add a provider credentialing and then you will be able to find information regarding the payer list back to you great thank you so much um I we did have a question about denti-cal can denti-cal patients be verified through the eligibility service or is that just for private payors okay let me get out of I'm sorry here just before whoever absolute which payers are covered you would go here to Texas and then I'll jump over to the payer list can you can see here these are all the payers if there's a payer on here that you wish to have that's all you do is present to us and what we do is reach out to the payer and we map and tags the application so going back repeat the question Linda I'm getting added potentially going back on the plain side thank you so much your list and then Sekou let's see here boom no no sir I'm medical of California so dedicate fort eligibility they do not support online eligibility some of the government's are definitely some of the challenges because of the federal requirements of releasing data back to you thank you so much I hope that we answered the questions that April had asked and and I have Angelina sure is is texting me so to speak back and forth giving me some hey Jenni Colin can do that so thank you so much she's absolutely correct so I wanted to just answer April your question about pre-saved narratives and so you can create narratives within Denny Khan actually so if you can do it right now in dental exchange and that becomes a fantabulous feature request and thank you for you April for asking that dental exchange for perhaps having that why not within Denny Khan you can do that as well as see if I can become the presenter where is everybody attendees here we go let me go to more whoopsie and I'll show you how to do that not my webcam but make me presenter yay show my screen yay let me move this out of the way so question was how do I get the narratives so you know I say the same thing over and over and over again so what I mentioned was here it's set up notes macros we usually use this for progress notes but guess what you can define any category that you want to and there is one that I've created and should be already in your system called insurance why did I do that exactly for that reason right oh the decay broken cusps of failing restoration etc etc etc so I've created my own little very teeny tiny itsy-bitsy narrative so to speak that I would want to appear on a claim so you can just take that narrative whatever it might be just copy it and then paste it into that narrative section within within the claim whether you're in Denny Khan or in dental exchange and also forming though you asked how do I get that x-ray and so I wanted to let dental exchange to speak to that but also within Danny call we have a new feature and the new feature is that you can attach x-rays etc etc to claims before you even send them to dental exchange so this will let you know is it required yes or no but if you I don't care if it's required I want to send it then you can just right come here to this button and you can either put in your narrative you can upload an image you can add a pareo chart or if you already have an image that's already up on your screen you can do this you can go to that image copy it ctrl C and then come over here and do a good old control V and paste piece that image so that's another way of getting an x-ray a narrative a pareo chart whatever the image might be into Danny Khan to go to dental exchange or like you said land create the rule awesomesauce another thing that people had asked was are you going to record this how do I get a copy of this so and the good I'll help help portal we put our webinars here you'll get a copy of it actually it'll be emailed to you but if you want to share this with somebody else you don't even have to worry about copying it you can just come here go to videos this is where we all have our webinars it starts with the very first one we did in 2015 so it's in order of oldest to newest and then you can just scroll down to page two and here will be the the most current that was that was a few weeks ago April 10th we'll put this one in in a few minutes it'll be the 43rd webinar so there it is you don't have to find it in your email you don't have to share what you can just tell people go to the help help portal and Danny comm click on videos go to the second page and that's where you'll see on the latest one there was also question regarding hey how much there real-time eligibility cost this sounds like a really cool feature and so if you would mind putting the ticket since that is build on that dental exchange services billed through Danny Khan and while we're here I'll just show that real quickly if you are in at any con and you have real-time eligibility services you're going to see that in your appointment book yeah so when you're in your appointment book today looking at two days from now appointment or three days from now is appointment and that's something you're going to set up you'll see an extra icon and this little extra icon for P for primary and or s for secondary is doing a real-time eligibility interaction dental exchanges getting you the gossip and it's feeding that information into Danny Kahn into your appointment book so when you're prepping today for two days from now or three days from now appointments one of that prep is going to be well are they eligible so we got everything you know together by the time the patient comes in this green P is going to tell you yeah they're eligible if it's not green for primary that means either they're not eligible or there's an issue that carrier doesn't support real-time eligibility if it's an emergency patient well that's great counseling if they're on the appointment book what happens if they walk in there an emergency they want this slot right here then what do I do no worries you would simply find that patient search for that patient into any con you come here in search for that patient or come over here patient search for the patient get to that patient however it is and then you can click here and that's how you're going to check real-time eligibility right now okay they're not in the appointment book right now they're going to come in in a couple of hours because we have you know on opening how do I verify you don't have to go to dental exchange you most certainly can especially if they're a new patient you haven't even seen them right you could do that as well otherwise you can click here click that eligibility button be people through the power of the Internet you're going to get all that information that LeAnn showed of course I'm not attached this general it's fictitious I don't really have you know a Jeremiah Miller attached to to Aetna but if you click on that button that's what it would do it would feed that dental exchange information directly here which is great and speaking of which if you are using real time eligibility and you want to know well how do I tell it how many days ahead it should check my appointment book you go to set up offices mm-hmm that's something you set of per location so if you've got multiple locations and you want dental exchange to start sweeping through your appointments five days from now but the other office wants it three days from now and
somebody else wants it two days from now is it here under advance I kind of forget let's see here it is number a day so set up uh-huh offices aha click on the Advanced tab aha scroll down a little bit why because you want to go here number of days before appointment to check eligibility mine has two so today I can look at the appointment book two days from now and dental exchange is already peepee poo-poo boop boop told me who is and who is not eligible so I can then do my individual follow-ups there and then April April asked how can I look at dental exchange and any cons side by side so what I told her to do is to get sighs the screen so she can kind of do something like this right so now I kind of size this and then I can see the other screens right I can size the screens I can also do all tab so let's say I've got this screen open or I'm over here at the patient because I think we're talking about the address etc etc etc you can hit your alt tab that's going to tab you through all of the screens that you have open so if let's say this is the screen that you're in and then this is the dental exchange screen you can let go and you're doing whatever you need to do and dental exchange and you did it and now you can alt tab and get back to the last screen that you are on you can go find the next patient clip do whatever you and an econ alt-tab boom you're back to let's say the dental exchange screen you're doing whatever you need to do so those are a couple of different ways and as I mentioned or size don't maximize your screen minimize or or you know so you can kind of you know play it play around with it like like that okay and then the last question for you April when I read your specific question you said note to CD peacoats you think hey you're getting uh you know denials and the CDT code has a zero dollar all over the world on hold on so thank you for that bit of information so you ask one more question is we use the correct CDT code for Samantha crown good for you but it always holds up our claim so zero dollars are going to hold up your claim so my question would be April why would you submit a recent four zero so I might tailed any con you know what don't submit that procedure to dental exchange so is that true Aussie Leigh Ann that when a claim is submitted and the fee is zero you guys get a little cranky well I have to say is payers across the nation have rules that have and that we are actually just relaxing many of the players do will reject claims for zero dollar amount unless it is an encounter and it is on the claim of self its basis in an encounter go ahead tell it dentistry launch of a lot of our services we are relaxing zero dollars to be able to support that instead of going pay or by player by player by payer we just launched some code across all plans that says be flexible to obsess zero dollar flying items my question would be why are you the only one that here is supporting a procedure code that should have a dollar amount that being the case possibly we could test it you can reach out to Ozzy put a dollar amount in send it to a plan and we can follow it and see if that is the reason why you can't get your your procedure out there you go so let's narrow it down April if the reason its cranking it's getting tonight is it's because of $0 then let's go ahead and test it you know put put in a dollar amount and see what happens I'll give you a den econ answer I'm going to assume that's it so yep with $0 and what we submit it just to let them know we're doing Arisa meant I'll show you with in Danni call what I would recommend I'd go to that procedure code you know whatever it is be twenty seven fifty let's pretend that's the reason alder here we go let's go to this one crown delivery d-27 let's pretend that's the reason then code I would tell Danny Khan you know what do me a favor don't don't submit that to insurance it just gives me heartache so you can go to set of procedure codes go find your code aha click at it alright and then what do i do come to this area over here insurance billing order so how do you want me to build this asks Danny Khan and you can tell it oh yeah bill dental insurance you're going to get it held up you might want to say you know what do not fill it to insurance so that's another workaround so let's find out why you're getting that claim rejected is it because it's a $0 then like Leanne said put in a dollar amount and see what happens even if it's a buck I don't know how you do that but put it put in a dollar amount see if that's why it's getting kind of cranky I'm otherwise it is because it's zero dollars just told any Content Billa to to insurance so that that's a theory that's a thought there all righty Wow so 1122 Pacific Standard Time we weren't really long on this one I hope it was worthwhile for you all thank you so much dental exchange for your time great information and if we didn't answer your question at least if you think maybe we can help you out if you wouldn't mind one last time did you show I apologize if I was answering questions how can the Denny Kahn customers get in touch with good old dental exchange can I make you present a one last time LeeAnn one last time okay so let me hold on one second let me get a document kit let's see here let's go contact us good it's great place to start you can send that you could put in the description I was on the gun on presentation I'm looking for LeeAnn you could do that and send a request that will get to me or I will type my email is Brianne Morris at dental exchange comm you can support that as well as Ozzy can be reached at v.i.c support at dental exchange calm but contact that will allow you to come in it will also they will look at your accounts find out if there's anybody assigned to your account if it is a VIP account manager if its customer service or if it's myself but here is contact information and here's contact us for regular information I hope that helps and we of course appreciate the opportunity and we spend everyone the best do it during this crisis please make sure you do all your credentialing all your housekeeping and be ready for your bounce back when those words open and that weeks ahead exactly let's blend it end it on that positive no Oprah will all be back back in business and will be busier than ever so thank you everybody for being here we care about you we're feeling you we are so in tune to you our dental customers and we hope that you'll be able to be back where you belong which is treating and taking care of your valued patients have a great day everybody we'll see you soon thanks again dental exchange really appreciate it thanks thank you very much [Music]
