EDS Status Updates

We’re doing everything we can to submit claims for you. But processing those claims and remitting payment is up to the payors, and requirements vary from payor to payor. We’re also working with DentalXChange to encourage payors to move as fast as possible, but claim processing and payment from some payors may be delayed depending on payor requirements.

Some payors require special enrollment to process with a new clearinghouse. We’ve set up a special enrollment site to make it as easy as possible for you to enroll with those payors. The U.S. Department of Health and Human Services is also urging these payors to ease administrative burdens. Read the full letter issued by the Department.

We want to help you get paid as fast as possible, so we’ve developed a few claim tips you can use to help avoid rejections. The tips outlined here represent the most common reasons we’re seeing for claim rejections right now. Use the information in this document to adjust your claims to help them get to the payors faster.

When claims are rejected, there is often a code and message given that can be difficult to interpret. Below are some common rejection messages, what they mean, and what you should do to resolve them:

• A3:21 Dental Duplicate exact
  • The message can mean that a duplicate claim was sent. Verify whether the claim was already processed and paid. This may be why the claim was rejected. But sure and read the full rejection message as it can often give clues to why the claim was rejected.
• A7:24 Claim connect is unable to submit claims to this payer
  • Claims with this message will need help from customer support to resolve,
• A7:489 Claim validation failed
  • Claims with this message will need help from customer support to resolve,
• A7:126 Please ensure that you are using a valid USPS zip code
  • Refer to this document (item #2) for additional information regarding address ZIP codes on claims.
• A7:33 Rejected Member ID must be 9 characters (Subscriber)
  • The Subscriber ID/Member ID used on the claim is too short/invalid. Double-check the ID, re-enter it as needed, and resubmit the claim.

Be sure you have looked up the claim in the EDS bridge or portal to see if you have missed a rejection.

If you have checked both the EDS bridge and portal and you don’t see a rejection, you will need help from customer support to resolve it.

Processing claims through a new Trading Partner won’t impact the way payers send or deposit your payment. You may see payment delays because this incident is a major disruption for the industry generally.

If you’re using ERAs, those have been affected and you can complete visit our website to complete special enrollment forms. Click Payer Lists and then ERA Enrollment Forms to see a list of payers with special requirements. If you accept ERAs from any of these payors, download the form(s) for the payor(s) you work with and follow the instructions in each form.

We recommend you contact the payers who send you EFTs and request paper checks in the mail.

Please be aware that some of your EFTs may have been in process with Change Healthcare when the outage occurred, and payers who process paper checks with Change Healthcare may be unable to send checks at this time. We’re working with Change Healthcare to identify these payers, and we’ll work with the payers to explore alternative options for paper check processing.

To help you bridge this temporary gap in service, we worked with our partners at Henry Schein Financial Services to establish short-term financing for Henry Schein One customers. Please visit https://hsfs.bhgchoice.com/activate-business-loan to apply.

We've set up a multi-payer ERA Enrollment Service powered by DentalXChange and Zentist at no additional cost to you.

1. Visit the enrollment page and click Enroll in ERAs. Fill out the online form to start your ERA enrollment process.
2. Wait for an email from a Zentist team member. There's a 3-to-5-day processing time after you submit the online form. You'll hear from a Zentist rep after that time.
3. Contact Zentist with questions and enrollment status checks by emailing hsone@zentist.io. In your email, include the name of your dental group, the practice(s) your inquiry pertains to, and the best phone number to reach you.

Please note these important items:

• Each payor has a different turnaround time for processing ERA enrollments, which in some cases is up to 30 business days. This timeline is set by the payor. It's important to start your enrollment as soon as possible.
• To help you get enrolled as quickly as possible and ensure all information is complete, all of the forms will be managed by Zentist. You must work with Zentist to submit your enrollment information. Zentist will be managing the communication between your office and the payors.
• This ERA enrollment doesn't change the way you receive payments. You'll still need to work with payors directly to set up EFT payments.
• Once your enrollment is complete, DentalXChange will deliver ERAs to your Henry Schein One practice management system multiple times a day. You'll receive ERAs the same way you received them previously.

Each payor has a different turnaround time for processing ERA enrollments, which in some cases is up to 30 business days. This timeline is set by the payor. It's important to start your enrollment as soon as possible.

To help you get enrolled as quickly as possible and ensure all information is complete, all of the forms will be managed by Zentist. You must work with a Zentist rep to submit your enrollment information. Reps from Zentist will be managing the communication between your office and the payors.

Once your enrollment is complete, DentalXChange will deliver ERAs to your Henry Schein One practice management system multiple times a day. You'll receive ERAs the same way you received them previously.

Electronic remittance advice, or ERAs, are an important part of your claim cycle that we can quickly help you resume.

Insurance companies require enrollment to receive ERAs. To help expedite the process, we’ve set up a no additional cost, multi-payor ERA Enrollment Service powered by DentalXChange and Zentist. We’ve partnered with Zentist for fast, accurate, and scalable ERA enrollment automation.

1. Visit the enrollment page and click Enroll in ERAs. Fill out the online form to start your ERA enrollment process.
2. Wait for an email from a Zentist team member. There’s a 3-to-5-day processing time after you submit the online form. You’ll hear from Zentist after that time.
3. Contact Zentist with questions and enrollment status checks by emailing hsone@zentist.io. In your email, include the name of your dental group, the practice(s) your inquiry pertains to, and the best phone number to reach you.

Enrollment is required to start receiving ERAs with EDS. Visit the enrollment page and click Enroll in ERAs. Fill out the online form to start your ERA enrollment process.

Once your enrollment is complete, DentalXChange will deliver ERAs to your Henry Schein One practice management system multiple times a day. You’ll receive ERAs the same way you received them previously.

This ERA enrollment doesn’t change the way you receive payments. You’ll still need to work with payors directly to set up EFT payments.

Each payor has a different turnaround time for processing ERA enrollments, which in some cases is up to 30 business days. This timeline is set by the payor. It’s important to start your enrollment as soon as possible.

After you have enrolled for ERA’s, wait for an email from a Zentist team member. There’s a 3-to-5-day processing time after you submit the online form. You’ll hear from Zentist after that time.

Contact Zentist with questions and enrollment status checks by emailing hsone@zentist.io. In your email, include the name of your dental group, the practice(s) your inquiry pertains to, and the best phone number to reach you.

Eligibilities are back online with other Trading Partners. You can check eligibilities as you normally would.

EDS has a few payers that are experiencing some issues due to the Trading Partner migration, and we are working to get this resolved.