Summary: Henry Schein One introduces Eligibility Essentials and Eligibility Pro for Dentrix platforms to simplify insurance eligibility verification, providing accurate and detailed benefits data directly within Dentrix to enhance patient care and administrative efficiency.

  • Eligibility Essentials and Pro streamline access to insurance data, reducing manual verification efforts and enhancing practice efficiency.
  • These tools foster trust between dental practices and patients by minimizing insurance surprises and supporting accurate treatment planning discussions.

Henry Schein One today announced Eligibility Essentials and Eligibility Pro, two tools designed to simplify the insurance eligibility process for dental practices, available for Dentrix and Dentrix Ascend.

Streamlined Access to Insurance Data

Eligibility Essentials 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 Pro, an advanced option, 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.

Eligibility verification has traditionally been a time-consuming process, with dental staff members spending valuable time logging into patient portals and calling payors for eligibility data one patient at a time. The standard Electronic Data Interchange (EDI) connections may not deliver responses from many payors, and when they do, the information may be incomplete. This forces staff to call helplines or access payor portals for required coverage data.

Benefits of Eligibility Essentials and Pro

Eligibility Essentials reduces administrative burden by offering fast, accurate coverage insights all within Dentrix. 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 consistency makes it easy to find and use the necessary information for treatment planning.

Eligibility Pro unlocks more benefits data by delivering information from payor portals in addition to the EDI data provided by Essentials. This includes patient history, frequency limitations, procedure-level coverage percentages, remaining benefits, and network coverage.

“Dentrix Eligibility Essentials and Pro help foster trust between dental practices and patients by minimizing insurance surprises,” said Ryan Hungate, DDS, MS, chief clinical officer, Henry Schein One. “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.”