Who uses OD Real Time Eligibility (ClaimsConnect)?

[spolevoy]

We never really used the OD real time eligibility feature, even though we are with ClaimsConnect and have been paying for it.
The reason was that the import function was so confusing - way too much information.
Instead, we used Trojan to autopopulate percentages, maxes, deductibles, etc.
But maybe we are not doing it right.

Who uses this feature? Do you import it as well?

[rhaber123]

We use it mainly to confirm that the patient still has dental insurance coverage.
When we get the benefits , we do not import it into the patients benefits area, we just keep it in the History. Some times it is too much info, and sometimes not much at all.
We manually modify/import any benefits that we are interested in, mainly annual maximum, deductible and some benefits for in network or out of network provider benefits.

If a family or new patients walk in our office at the same time, this is the fastest way to confirm that they have dental insurance, what the deductible is, and they can get an exam, XRAYS, and a cleaning. Once you enter the patient and the insurance info in OD, just hit submit , and you will get the info right away.
So in few minutes you can confirm that YES the patient has coverage, or NO the patient does not have coverage, without calling the insurance compay

But for detailed benefits, Trojan , or making a call to the insurance company is much better.
I think the cost is an extra $15 per month. It is a safety to confirm that your patients are still eligible.
The receptionist check it the night before the patients appointment. she just hit SUBMIT.

This service covers many dental insurance companies, the main ones, but not all.

[Rickliftig]

duplicate content

[DavidWolf]

We just started using it but unfortunately it does not work for the two biggest companies in our area. BCBS and Delta Dental of MA

[Rickliftig]

We started using it this week.

I agree with David about missing BCBC and Delta of Mass. My front desk is annoyed because the frequency limitations (ie. prophys are only allowed once during the Wolf Moon of November 21st) are rarely listed. And the exceptions (ie. crowns on implants are not covered) are rarely listed. It's a lot better than nothing and a lot better than spending 45 minutes on hold.