Change Healthcare Medical E-Claims
Change Healthcare (formerly Emdeon) is the only E-Claims clearinghouse currently available for Medical Insurance e-claims. Open Dental version 12.4.23 or greater is required for Medical E-Claims to work.
For more information about Change Healthcare's services, visit their website at changehealthcare.com or call them at 877-363-3666. To locate payor IDs for carriers that Emdeon/Change Healthcare Medical supports, visit https://access.emdeon.com/PayerLists/.
Medical attachments cannot currently be sent through Open Dental. Most medical payors do not accept electronic attachments. However, it may be possible to send electronic attachments to a few select carriers with a third party application called NEA FastAttach/Vyne Medical. Emdeon Medical is directly integrated with FastAttach. Please call Emdeon Medical and FastAttach support lines for details.
To set up more than one Emdeon Medical account within the same database (e.g. if using Clinics), follow these steps:
Once setup, all claims must be sent as a batch from the Insurance Claims window using the Clinic Filter and the Send E-Claims dropdown (Send Batch Claims). Do not send claims from the Edit Claim window. If you do, those claims may be submitted under the wrong Emdeon Medical account.
Log in to the Emdeon Vision online portal at https://access.emdeon.com/ to see the status of your sent claims. Contact Emdeon Medical for details.
Problem: When I submit e-claims, I get the error message "Medicare Assignment is required."
Solution: There are two known reasons why this error can occur. Either the claims were submitted with an older version of Open Dental, or the Filing Code on the Insurance Plan was not set to the proper Medicare option (the most common option is MedicarePartB).
Problem: I receive an error message in the Emdeon Vision online portal stating "Billing Provider Taxonomy Code: Required; Must be entered for Payer."
Solution: The claim billing and treating provider must be the same for any claim sent to the insurance carrier in question. Most carriers do not require this extra step. However, in some states, Medicare and Medicaid sometimes have this extra requirement.