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 can be used with some 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.