Electronic Attachments

Except for DentalXChange (see below), attachments to Claims and Preauthorization must happen outside of Open Dental. Contact your clearinghouse for their preferred attachment method. Below are some known solutions.


DentalXChange (ClaimConnect) has their own attachment service directly integrated into Open Dental. See DentalXChange Attachment for instructions on adding attachments.

NEA FastAttach

For NEA FastAttach registration and download see: http://www.nea-fast.com/. For a list of compatible clearinghouses see: https://nea-fast.com/partners/approved-partners/.

NEA with ClaimConnect: Have NEA running in the background. Send your claims through Open Dental. If ClaimConnect determines that the carrier requires an attachment for the claim, they will notify NEA FastAttach.

  • ClaimConnect sends the claim info to the NEA server and receives back an NEA#. The NEA# is inserted into the claim.
  • The next time you open the NEA client program, it syncs with the NEA server and displays a list of claims that are awaiting attachments. You then need to upload the attachments to the NEA client program.

NEA with other clearinghouses: NEA can be used with other clearinghouses but you will often have to double enter claim information. After uploading the images, copy/paste the NEA# into the Claim Note field on the Claim (enter the number first e.g. NEA#1234532 other notes go after the number.)

  • You must set up the patient in NEA FastAttach in order to receive notifications.
  • Attachments are managed at the clearinghouse level if required by the carrier. If you are not notified that an attachment is needed, contact the clearinghouse or carrier. Open Dental is only a place to record attachment information.

Referencing Attachments in Open Dental

To note an attachment to a claim for information purposes, open the claim in Open Dental. You will see an Attachment Tab. This tab is for informational purposes only.