CDAnet certified claims can be sent in Canada using the ITRANS claim service from Continovation, Inc. You must be a member of CDA to use ITRANS. Website: http://www.continovation.com/itrans_services/itrans_claim_service.html
There are three steps to using ITRANS.
Also see CDANet Letter.pdf.
Claim Export Path: Enter the UNC path of the iCA Directory folder specified when installing the ITRANS application. This directory must be shared on the network and the everyone user should have full control under the permission section and security section.
Use Claim Export Path: When checked, will save sent claims to export path.
Automatically enter payment amounts for EOB responses: When checked, will automatically enter payments on sent claim.
Launch Client Path: You must enter a path to an exe because the field is required. However, the path will not be used to launch ITRANS.
Files being sent from Open Dental to ITRANS will be named input.### (i.e. input.000, input.001, etc...) and will be placed in the C:\iCA folder on the server by default. To prevent the iCAService from processing input before the input file is finished writing, a temp file is first written in format tempinput.###, then the file is renamed to input.###. File names are cycled through until they reach 999 and then start over at 000. The purpose of the file name incrementing is to prevent transactions of different client machines from colliding while they are being adjudicated. The iCAService first renames the input.### file to _nput.### to prevent the file from being processed more than once. The iCAService then sends the _nput.### file data via a secure SSL connection to ITRANS. The reply comes back in under two minutes as output.### in the same folder. The output.### file is immediately imported into Open Dental, then the output.### and _nput.### files are deleted by Open Dental. If for some reason, you choose to use a different folder to send and receive messages, you must copy ack.tmp and msg.tmp into the new folder. Those two files are used by iCA.
ITRANS certificate expiring: If you receive a notice that your ITRANS certificate is expiring, it must be replaced with CDA Digital IDs and the ITRANS software (iCA) must be upgraded.
For troubleshooting information, see ITRANS Troubleshooting.
RAMQ: ITRANS is not capable of submitting to RAMQ insurance, therefore Open Dental cannot submit claims to RAMQ at this time.
Alberta Blue Cross (ABC): Older versions of iTrans did not allow for sending electronic claims to ABC. To send claims to ABC, go to Setup, Family / Insurance, Clearinghouses. Double click on Claimstream and remove the payor ID from the bottom.