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Depending on the level of supported transactions from the carrier, EOBs, Eligibility Acknowledgements, Claim Acknowledgements, and Predetermination Acknowledgements may be received. Review these reports carefully. Below is an image of a sample report, however each report may be formatted differently, depending on the information the carrier supplies.

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Important Notes

• If a Claim Acknowledgement report displays "Payee has changed total payable to dentist," this indicates "Accepts Assignment" was not checked when sending the claim and the patient will receive payment.

• Some claims have multiple reports attached to them, including some generic transaction files. Review all reports attached to a claim.

iTrans recommends that outstanding transactions are checked weekly if not daily. Create a separate Insurance reference with Payer ID 999999 and Carrier Identification # CDANET14. Click on the Provider IDs tab and click the "Outstanding" button to check for outstanding transactions from iTrans.

Reversal

Once a claim is sent, the office has until the 11:59pm the day the claim was sent to send the reversal. If the claim needs to be reversed after this time please contact the carrier for further instructions. 

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