Renaissance E-Claims

In the Main Menu, click Setup, Family/Insurance, Clearinghouses. Double-click on Renaissance.

Renaissance is an E-Claims clearinghouse solution that uses Remote Lite software. Website: www.rss-llc.com.

Contact Renaissance to set up your account and install the RemoteLite program.

Note: Renaissance uses its own unique format for claims (not X-12). We do not recommend using a format that is not X-12 format. No validation is done on claims and not as much information can be sent. For example, Renaissance's unique format only allows sending information that can be printed on a claim form. X-12 format allows for 15 different places of service, but Renaissance only allows 4 particular places of service, which are Provider's Office, Hospital, ECF, and Other. Some insurance companies reject claims if the place of service is not properly set for specific procedure codes. Some offices choose to use Renaissance anyway. Please bear in mind that our support for Renaissance issues is minimal. We do not plan to add additional functionality to the current custom format. Renaissance has indicated that they eventually plan to switch to the standard X-12 format which will resolve these issues.


Set up using above screenshot as a reference, then click OK to save.

Claims

See Send Claims.

When you send a claim to Renaissance from Open Dental, the Remote Lite program will come up with a list of claims that have been created. Click the Send Claims Button at the bottom of the Remote Lite window.

If you see a claim that you don't actually want to send, you can highlight it and click the red X delete button in RemoteLite. Then go back to Open Dental and change the status of the claim back to Waiting to Send.

Note:
  • If you have more than 8 procedures on a claim, the claim will be rejected. Make sure to send two separate claims in that case, with some procedures on each claim.
  • Practice address must be on one line. If address includes a suite or unit number, do not use the field for Address 2 in Practice Setup.


Technical Details

Renaissance only supports four places of service in their custom electronic claims format. Below are the Open Dental settings for place of service, and how they output to Renaissance. If you need to submit claims with a place of service not listed here, we recommend contacting Renaissance.

Open Dental Places of Service Renaissance Output
Office Office
InpatHospital, OutpatHospital Hospital
SkilledNurseFac, CustodialCareFacility ECF
PatientsHome, OtherLocation Other

All other Place of Service codes in Open Dental are not supported by Renaissance and will not output anything to the Renaissance claim.