DentalXChange Attachment

Attachments can be sent electronically through the DentalXChange (ClaimConnect) clearinghouse.

In the Edit Claim - Attachments Tab, click the DXC tab.

Enable the DentalXChange Attachment service in ClaimConnect E-Claims prior to sending attachments.

Adding Attachments

Click Add Attachment to open the Claim Attachments window. A warning appears to ensure all changes to the claim have been saved first. The Edit Claim window is closed.

Note: For a new Claim, clicking Send or Save in the Edit Claim window validates the claim. If an attachment is required by DentalXChange and/or the insurance carrier, the user is prompted to add the attachment.

Images to Send: Lists all images added to this claim attachment. Double-click a row to edit details.

Add Image: Attach an existing image from the File Explorer.

Snipping Tool: Opens Windows Snip & Sketch or Snipping Tool to take a screenshot. The Image Info window does not automatically open when using this option. Instead, double-click the image from the list to add information.

Paste Image: Paste an image currently copied to the clipboard.

  • PDF files are not supported by the DentalXChange Attachment Service.
  • If no Image Category is selected for Attachments, users are warned and the the first image category listed is used.
  • Users can add as many attachments as needed. If the service times out, attachments are be sent one at a time until all have been sent.

Narrative: Enter a narrative (optional). Allows up to 2,000 characters.

Claim Validation Status: Lists any errors or validation notes received from DentalXChange for the claim or attachments.

Click Save to add the attachment information to the claim. If an Attachment ID already exists (i.e., previous attachments were added), it is replaced with a new one.

Image Info

As each image is added, the Image Info window opens:

Is xray mirror image: Determines the image orientation.

A preview of the image is displayed on the right.

Save (and Snip Another): Add the current image information to Images to Sendand re-open the snipping tool to snip an additional image. This option only appears if Snipping Tool was selected in the Claim Attachments window.

Save: Add the current image information to Images to Send or maintain changes and return to the Claim Attachments window.

Note: After completing a snip (screenshot), any modal windows (e.g., graphical perio chart) open in Open Dental are automatically closed before the Image Info window opens.

Once attachments have been sent, return to the Edit Claim window and send the claim. If Save Attachments to Imaging Module is checked in ClaimConnect Clearinghouse Setup, any attached images or documents are automatically saved to the patient's Imaging Module. Text entered into the Narrative box is not saved to the Imaging Module.

Resending a Claim

If a claim must be resent due to a missing attachment, do the following:

If insurance provided a reference ID number:

  1. Add the attachment to the original claim.
  2. In the Misc Tab of the claim, add the Original Reference Number.
  3. Change the Correction Type to Replacement.
  4. Resend the claim using the Resend button
  5. Select The claim was accepted and I need to replace it with updated information when prompted.

If insurance did not provide a reference ID number.

  1. Add the attachment to the original claim.
  2. Resend the claim using the Resend button.
  3. Select The claim has not been accepted yet and I need to resend it when prompted.

Note: If attachments were included in the original claim, they must be reattached, along with the missing attachment(s), to be included with the new claim Attachment ID.


I get the following message when I click the Snipping Tool button

Windows Snip & Sketch tool could not be launched on the workstation. Instead, copy the image and use the Paste Image button. Alternatively, save the image to a folder and import it using the Add Image button.