Frequently Asked Questions

How Does Auto ERA Import differ from the manual Import Tool?

Once registered for ERAs, the new import features automatically imports the electronic remittance advises into batch insurance payment window. Previously pulling in the batch insurance information required the purchase of a manual import utility.

Do I have to register for ERAs to use the Auto Import Tool?

Yes, in order to use the new tool, your practice must have eClaims and register for ERAs. Contact henry Schein One sales in order to register for ERAs.

How often does the automated process import ERAs each day?

ERAs are pulled into the Henry Schein One servers once a day but are automatically pushed to our practices with the auto import configured 2-3 times per day.

Do I have to do anything if I am already registered for ERAs?

Yes, using the new automated process requires a short implementation process by support. Please contact support for assistance in configuring this tool.

Is there a cost to use the auto import tool?

No, auto import features is not additional cost, though it requires you to be on version 11.0.2.1047, eClaims subscription and ERA registration

If I have the manual Import tool, does it still work?

If you have already purchased the manual import tool, it will continue to work even if you configure your system to use the automated tool. You can always use this tool to download ERAs at times other than the automated process runs.

What are ERAs?

Electronic Remittance Advice (ERAs) are sent out by an insurance carrier to a dental provider or dental organization explaining what was paid for services rendered to their patients and sent previously as an insurance claim (either printed or sent electronically).

What do ERAs typically include?

• The payee (the provider), the payer (insurance carrier), the insurance subscriber and the patient (if different than the subscriber)
• The service(s) rendered along with the date of service and the name of the provider or place that provided the service
• The dentist’s fee and what the insurer allows (depending on the fees submitted on the claim)
• The amount the patient is responsible for paying
• Adjustment reasons (e.g. downgrades, frequency limitations, age limitations, etc.)

Are there other names for ERAs?

Yes, these names include:

• EOB: Explanation of Benefits (paper version)
• 835: The technical EDI (Electronic Data Interchange) file term
• eEOBs: Dentrix Enterprise ERAs were formerly named eEOBs

Why are ERAs important?

In today’s digital world, ERAs are how business is done. They are part of eClaims, not a separate feature. With ERAs, practices can:

• Sign up for electronic delivery of insurance ERAs
• Reduce manual entry and streamline insurance claim reconciliation by speeding up patient billing and secondary claim submissions
• Improve AR accuracy by automatically posting claims to the practice management software ledger and having those claims closed
• Eliminate stacks of paper ERAs

What are the requirements to register for ERAs in Dentrix Enterprise?

Dentrix Enterprise customers must be enrolled in eClaims in order to register for ERA and 835 Import Utility Tools.

What are the steps to register for ERAs?

For practices that do not have eClaims or Insurance Manger, they should contact a member of the Henry Schein One Sales team at 844.635.0323. For practices with eClaims, they should:

• Go to the Dentrix Enterprise ERA page and click on the Register Now button. After clicking on this button, the practice will need to fill out some additional information like Customer ID, account name, phone number, address, city, state, zip code, and email address. Note: Dentrix Enterprise practices also need to purchase the 835 Remittance Import Utility through a Customer Success Team member.

Once the practice submits their registration, they will receive a welcome letter which includes a username and password to a website managed by Henry Schein One and Change Healthcare (our third-party partner for ERAs) within 24 to 48 business hours after submission.

Once the practice logs into their account on the website, they will be able to register for ERAs with any insurance carrier they submit claims to and who are presently participating in electronic explanation of benefits as listed on the website.

After the practice submits their requests to receive ERAs from each insurance carrier they selected from website, they will receive a response either approving or denying their request. Once an insurance carrier approves the practice’s request for ERAs, they will start to get electronic remittance advice. This process may take up to 30 business days.

Does a practice need to send their claims electronically through Henry Schein One and eClaims?

Yes. In order for Henry Schein One to be able to deliver a practice’s ERAs from the payer to their office, they will need to match their claim to an electronic claim in the Henry Schein One system.

What is the downside of not using ERAs?

• Manual entry into the ledger
• Potential errors that affect the bottom line
• Huge waste of paper and time

Without ERAs, practices can be overwhelmed with paper and will need to constantly check the ledger to make sure all the numbers are accurate. Time and efficiency are being wasted. With ERAs, eClaims handles all the back-end work. From start to finish, a claim is electronically transmitted and the payer response is accounted for. The practice can then confidently bill the patient for the remaining balance.

Are ERAs delivered in real-time?

No. ERAs are delivered to customers in a manner similar to the carrier response reports from eClaims, which are delivered each day from the specific carrier.

Does an ERA deposit funds into a practice bank account?

No. Fund depositing is known as Electronic Funds Transfer or EFT.

Does Henry Schein One have an EFT service?

No. Henry Schein One does not provide an EFT service. However, if the practice has an EFT connection with the payer, we will receive a Trace Route Number (TRN) on the 835 that the office can use to reconcile deposits into their bank. If a practice is interested in EFT payments, they can:

1. Contact the payers directly to see what their setup requirements are
2. Work with a third-party EFT
3. Register for an EFT account with Change Healthcare. If a practice has an ERA account with Henry Schein One, they can activate this service on the Dental Connect site or contact them directly for a standalone account by calling 866.777.0713.

Can a practice receive ERAs for medical claims?

No, the Henry Schein One ERA service is for dental claims only.

Who is Change Healthcare (formerly Emdeon)?

Change Healthcare is a third-party clearinghouse partner of Henry Schein One. They work directly with Henry Schein One to facilitate the transmission of ERA and insurance claims on behalf of Henry Schein One.

If a practice was with Change Healthcare for ERAs, is there anything they will need to do besides completing the registration form for Henry Schein One’s ERAs?

Yes. If a practice has a Dental Connect site with Change Healthcare, they should contact the Henry Schein One eServices Enrollment team at 844.635.0323, Option 4 and ask for an ERA Transfer Form to be sent to them. They may also send an email to accountupdate1@henryscheinone.com and request the same information. This will allow for the practice’s current ERA account and payer connections to be transferred to their new Henry Schein One ERA account.