Our practice just started using NEA Fastattach. We have only been doing this for about a month and a half but claims for some reason aren't being received when we are calling to check and make sure they were sent electronically with the narrative and all necessary attachments. Why does Softdent's clearinghouse not have any available Payer ID's for all the insurance companies when there is an option to click through NEA's online features under the "health plans" category?
Is there a different electronic attachment service we should be using since our software is SoftDent? We were give the idea to get NEA fastattach at the MidWest dental conference and it seems to be working for other offices, so I'm just a little confused as to why Payer ID's are so hard to find!? Any help would be greatly appreciated!!
Sally, Front office associate/ Treatment Coordinator/ RDA
Leavenworth Family Dental
We have been using NEA fast attach with Softdent for 5 years and LOVE it ( some insurances forget to open up the NEA's but that is out of our hands). If you have electronic services you can print list of the payer Id's by going to reports >payer report and it gives you the list of insurance companies and payor Id's. In Softdent when you set up the insurance go to the NEA tab and pick the correct insurance company, then when you submit codes that need attachements it will ask if you want to send electronically check yes> ok. A new prompt pops up and asks if you would like to open NEA or send later. If you open now it will prompt you to sign into NEA and you can add all of your documentation. If you choose to send later it will send information to NEA so when you log into NEA there will be a list of patients that need attention. I hope this helps.
to start with the issue you mentioned about the insurance company not receiving your claims. are you generating your claim status report on daily basis ? this report keep track of what is happening with your claim , if it was accepted or rejected by the insurance company or the clearing house. It will also provide you with the rejection reason.
you can generate that report by going to Insurance > Electronic Services , that will open for you the ECS module, at that point you can click on "Reports" from the right side of that screen, then keep only the claim status report selection checked and specify the date range in that screen to view the received files in that date range. After that, you will need to select a file, then click on Preview file from the same screen so you can check the status of the claims you have sent. You need to repeat that for all files showing on that screen. When viewing the report on daily basis , it will help you keep a track of your claims.
Now to setup a certain Insurance company to be able to receive NEA attachment , that Insurance company should be electronically capable. You can find what companies are capable to receive electronic claims by going to Insurance > Electronic Services , and then click on "Reports" from the left side of the screen and select Payers Report. It will give you all the electronically capable insurance companies withe the Payer IDs that can be used in SoftDent. Please note that we have an internal Payer IDs list and only those payer IDs can be used inside SoftDent.
You can add a payer ID for an insurance company by going to List > Insurance company > Highlight the Insurance company in question and click Edit and there you can enter the payer ID. Once you add the payer ID to the insurance company it will then allow you to click on the NEA tab from the same screen. At that point you will need to select the name of the insurance company from the drop-down list. If you don't see the name of the company listed, that mean it does not support electronic attachments through NEA.
At that point , you should be able to use the "Create NEA Attachment" feature from the outstanding insurance screen. And if you successfully created and sent an NEA attachment, you should see a number presented in the NEA Status field in the Outstanding insurance screen next to the claim in question.
Also here are the steps for the 2 methods that you can use to create NEA attachments
Using the Checkout Process to Create NEA Attachments
Using the Outstanding Insurance to Create NEA Attachments