Carriers

In the Main Menu, click Lists, Insurance Carriers.

Carriers are automatically added to the master list when you enter carrier information on an insurance plan, but you can also add carriers that are not attached to any plan

The number of plans a carrier is attached to is indicated in the Plans column. To narrow or sort the list of carriers, enter filter criteria:

To update carrier information, double-click it.

If multiple entries for the same carrier exist due to data entry errors, you can combine them. See Combine Carriers.

Add a Carrier

Carrier ID: A system generated unique identifier that is useful for third party reporting.

Name, Phone, Address, Address2: Carrier name and mailing address.

Electronic ID: The electronic ID used when submitting e-claims. Insurance companies will provide you with the correct number.

Send Electronically: Determines the carrier's default setting for Send Electronically on the Insurance Plan.

Send Paid By Other Insurance At: Determines how primary paid amounts are sent to secondary insurance claims.

ERA Automation: Determines how ERAs for this carrier are processed.

Consolidate Ortho Ins Payments: Option to set plan level preference for Consolidate Ortho Ins Payments, or use Global Preference. See Ortho Setup.

Carrier Group: Only visible if carrier group names exist in Definitions: Carrier Group Names. Select a carrier group to associate to the carrier. Useful for queries.

Hidden: Hide this carrier so it is no longer available as a selection.

Is trusted for real-time eligibility: Check to enable to automated import of Electronic Eligibility and Benefits when using Scheduled Processes for this carrier.

Appt Text Back Color (black=none): Background color for the carrier's name in the appointment box when Insurance Color is added to the appointment view. See Appointment View Edit. Click None to clear current color selection.

Note: Selecting the color black is equivalent to having no color selected.

Import Benefit Coinsurance: When importing benefits using Electronic Eligibility, select how Open Dental imports received carrier benefit information. This affects insurance estimates.

Ins Plan Subscribers: Indicates how many insurance plan subscribers use this carrier. Click the dropdown to see all subscribers.

Delete: You can not delete a carrier that is in use, but you can combine carriers.