DentalXChange Attachment

Attachments can be sent electronically through the DentalXChange (ClaimConnect) clearinghouse.

In the Edit Claim - Attachments Tab, click the DXC tab.

Enable the DentalXChange Attachment service in ClaimConnect E-Claims prior to sending attachments.

Adding Attachments

Click Add Attachment to open the Claim Attachments window. A warning will appear to ensure all changes to the claim have been saved first. The Edit Claim window will be closed.

Note: For a new Claim, clicking Send or OK in the Edit Claim window will validate the claim. If an attachment is required by DentalXChange and/or the insurance carrier, the user is prompted to add the attachment.

  • PDF files are not supported by the DentalXChange Attachment Service.
  • If no Image Category is selected for Attachments, a warning will appear stating the first image category listed will be used.
  • Users can add as many attachments as needed. If the service times out, attachments will be sent one at a time until all have been sent.

As each image is added, the following window will appear:

Is xray mirror image: Determines the image orientation.

A preview of the image will display on the right.

OK (and Snip Another): Click to save image information and re-open the snipping tool to snip an additional image. This option will only appear if Snipping Tool was selected in the previous window.

OK: Click to save image information and return to the Claim Attachments window.

Cancel: Click to return to the Claim Attachments window without saving the current image.

Note: After completing a snip (screenshot), any modal windows (e.g., graphical perio chart) open in Open Dental will automatically be closed before the Image Info window opens.

Once attachments have been sent, return to the Edit Claim window and send the claim. If Save DXC Attachments to Images Module is checked in ClaimConnect Clearinghouse Setup, any attached images or documents are automatically saved to the patient's Imaging Module. Text entered into the Narrative box is not saved to the Imaging Module.

Resending a Claim

If a claim must be resent due to a missing attachment, do the following:

If insurance provided a reference ID number:

  1. Add the attachment to the original claim.
  2. In the Misc Tab of the claim, add the Original Reference Number.
  3. Change the Correction Type to Replacement.
  4. Resend the claim using the Resend button
  5. Select The claim was accepted and I need to replace it with updated information when prompted.

If insurance did not provide a reference ID number.

  1. Add the attachment to the original claim.
  2. Resend the claim using the Resend button.
  3. Select The claim has not been accepted yet and I need to resend it when prompted.


I get the following message when I click the Snipping Tool button

Windows Snip & Sketch tool could not be launched on the workstation. Instead, copy the image and use the Paste Image button. Alternatively, save the image to a folder and import it using the Add Image button.