Eligibility Essentials and Eligibility Pro are designed to elevate insurance verification and patient care, as well as reduce administrative burden.
Designed to streamlines access to accurate, up-to-date insurance data from an extensive network of payors presented in a clear, uniform format directly within Dentrix, Eligibility Essentials is one of 2 new offerings introduced by Henry Schein One today. The company has announced both Eligibility Essentials and Eligibility Pro, 2 powerful tools designed to simplify the insurance eligibility process for dental practices, are available now for Dentrix and Dentrix Ascend.
Eligibility Pro is an advanced option that goes even further by pulling in additional benefits data from payor portals, reducing the time staff spend manually gathering information, and allowing patients to make better-informed decisions regarding treatment, Henry Schein One states. Eligibility verification has long been a time-consuming process, with dental staff members spending valuable time logging into patient portals and calling payors for eligibility data 1 patient at a time. The standard Electronic Data Interchange (EDI) connections often do not deliver responses from many payors, and when they do, the information may be incomplete. These obstacles can force staff to call help lines or access payor portals for required coverage data.
Eligibility Essentials reduces administrative burden, and provides dental practices with fast, accurate coverage insights — all within the trusted platform the dental profession has come to rely on, the company says. Eligibility data from each payor is returned in a standardized PDF format, automatically saved to the document center, and will populate in the patient’s insurance tables. This process is designed to deliver consistency that makes it easy to find and use the necessary information for treatment planning.
Taking insurance verification to the next level, Eligibility Pro unlocks more benefits data by delivering information from payor portals in addition to the EDI data provided by Essentials, according to Henry Schein One. This includes patient history, frequency limitations, procedure-level coverage percentages, remaining benefits, and network coverage. By eliminating the need to log into multiple insurance portals, the dental staff saves time, and treatment plan acceptance may improve since patients better understand their coverage and out-of-pocket expenses.
“Dentrix Eligibility Essentials and Pro help foster trust between dental practices and patients by minimizing insurance surprises,” Dr. Ryan Hungate, Chief Clinical Officer, Henry Schein One, says in today’s press release. “As a care catalyst, Henry Schein One empowers practices with detailed benefit information, enabling accurate discussions about treatment plans and financial responsibilities with patients. This leads to happier, more satisfied patients who are more likely to remain loyal to and recommend the practice. Looking ahead, we'll continue to push boundaries to support our customers in managing insurance eligibility.”
Dawson Family Dentistry, located in Danville, Illinois, recently beta-tested Eligibility Pro. “Eligibility Pro has cut patient processing time in half. Hygienists can check coverage instantly, and the confidence it brings has transformed our workflow,” says Amy Kaminski, business manager at Dawson Family Dentistry. “I have hygienists who will look at the breakdown to find out if they can do fluoride, to know if they can do bite wings, and it saves them from having to message the front-desk team during the day. It's right there for them to check.”
For more information on Eligibility Pro, click here.
Product Bites – January 19, 2024
January 19th 2024Product Bites makes sure you don't miss the next innovation for your practice. This week's Product Bites podcast features new launches from Adravision, Formlabs, Owandy Radiology, Henry Schein Orthodontics, Dental Creations, and Dental Blue Box. [5 Minutes]