For Canada users, claims can be submitted directly to the TELUS and Instream networks using Claimstream.

  • Open Dental is now certified for CDA Digital IDs and is also backward compatible with the old certificates.
  • Quebec users should not install Claimstream.
  • Open Dental support is required to install the CCDWS service that Claimstream runs on.
  • Install Claimstream / CCDWS

    Claimstream uses the CCDWS service to send claims. See CCDWS Service for installation instructions. Uninstall old versions of Claimstream via the Control Panel before installing any new versions.

    Setup the Claimstream Clearinghouse

    In the Main Menu, click Setup, Program Links, Family/Insurance, Clearinghouses. Double-click Claimstream to edit.

    1. Set the Claim Export Path to \\ServerName\ccd.
    2. Set the Report Path to \\ServerName\ccd.
    3. Set the Launch Client Program to \\server\ccd\ccdws.exe.
    4. Ensure Use Claim Export Path is checked.
      Note: The claim export path and the client program should be shared folders on the network if more than one workstation will be sending claims.
    5. Set your Explanation of Benefits (EOB) options:
      • Do Not Download EOBs: Do not automatically download EOBs.
      • Download EOBs, Do Not Auto Receive: Automatically download EOBs but do not automatically receive claim procedures.
      • Download EOBs and Auto Receive:Automatically download EOBs and receive claim procedures using the information provided by the carrier.
    6. Click OK to save.

    Technical Details of Upload

    Open Dental checks the claim export path (usually C:\ccd on the claim server) for the existence of OPENDENTAL.pem and automatically creates the OPENDENTAL.pem file if it does not already exist. Files being sent from Open Dental to Claimstream will be named input.### (i.e. input.000, input.001, etc...) and will be placed in the C:\ccd folder on the server by default. To prevent the CCDWS service from processing input before the input file is finished writing, a temp file is first written in format tempinput.###, then the file is renamed to input.###. File names are cycled through until they reach 999 and then start over at 000. The purpose of the file name incrementing is to prevent transactions of different client machines from colliding while they are being adjudicated. The CCDWS service first renames the input.### file to _nput.### to prevent the file from being processed more than once. The CCDWS service then sends the _nput.### file data via a secure SSL connection to Claimstream. The reply comes back in under two minutes as output.### or utput.### in the same folder. The output.### file is immediately imported into Open Dental, then the output.### and _nput.### files are deleted by Open Dental.