For Canada users, claims can be submitted electronically through the ITRANS clearinghouse.

The Canadian Dental Association is retiring ITRANS 1.0 and moving all customers to ITRANS 2.0. As of 3/31/2021, all new installations must be done with ITRANS 2.0.
See ITRANS 2.0. Contact Open Dental Support for assistance with the installation.

There are three steps to using ITRANS.

  1. Install provider certificates (You must be a member of the CDA to use ITRANS).
  2. Install ITRANS (iCA service).
  3. Set up the ITRANS clearinghouse in Open Dental.

Install Provider Certificates

Certificates (Digital ID's) are required to submit claims electronically.

See CDA Digital IDs for installation instructions.

Install ITRANS (iCA Service)

The following instructions are for ITRANS

  1. On the Admin Windows account of your server, install the latest version of ITRANS from
  2. Click Windows iCA Version The download will automatically begin.
  3. Open the downloaded file location, right click the iCA Setup and select Run as admininstrator.
  4. Click Next.
  5. Check the radio button for I accept the terms in the license agreement, then click Next.
  6. Take note of the information. When ready click Next.
  7. Click Next.
  8. Click Next.
  9. Select Service as the setup type, then click Next.
  10. Enter the Service User Account (typically named CDANetUser). Then enter the password and click Validate.

    Note: Ensure the domain, user, and password are entered correctly or the service will not install. If not on a domain, enter the server name instead.
  11. Click Install. A status bar will show as the program features are installed.
  12. When installation is complete, a window will notify you. Click Finish.
  13. Share the iCA folder on the network (usually C:/iCA) and set the full control option for the everyone user under the permission section and security section.

Set the ITRANS Clearinghouse

Setup the ITRANS clearinghouse to enable ITRANS claim submission.

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

  1. Set the Claim Export Path. Typically this is \\ServerName\iCA. This directory must be shared on the network and the everyone user should have full control under the permission section and security section.
  2. Ensure Use Claim Export Path is checked. When checked, sent claims will be saved to this path.
  3. Set the Launch Client Program. Typically this is \\ServerName\iCA\iCA.exe. You must enter a path to an exe because the field is required. However, the path will not be used to launch ITRANS.
  4. Set your Explanation of benefits (EOB) options.
    • Do Not Download EOBs: EOBs will display, but amounts from EOBs will not be downloaded into claims/predeterminations.
    • Download EOBs, Do Not Auto Receive: EOBs will display and amounts from EOBs will be automatically downloaded as insurance estimate overrides (claims and predeterminations) and preauth estimates (predeterminations only), but the claim/predetermination will not be marked as received.
    • Download EOBs and Auto Receive: EOBs will display and amounts from EOBs will be automatically downloaded as insurance estimate overrides (claims and predeterminations) and as preauth estimates (predeterminations only), and claim procedures will be received using the same amounts. Claim payment will need to be finalized after receiving payment from the carrier.

Technical Details of Upload

Files being sent from Open Dental to ITRANS will be named input.### (i.e. input.000, input.001, etc...) and will be placed in the C:\iCA folder on the server by default. To prevent the iCAService 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 iCAService first renames the input.### file to _nput.### to prevent the file from being processed more than once. The iCAService then sends the _nput.### file data via a secure SSL connection to ITRANS. The reply comes back in under two minutes as output.### in the same folder. The output.### file is immediately imported into Open Dental, then the output.### and _nput.### files are deleted by Open Dental. If for some reason, you choose to use a different folder to send and receive messages, you must copy ack.tmp and msg.tmp into the new folder. Those two files are used by iCA.

ITRANS certificate expiring: If you receive a notice that your ITRANS certificate is expiring, it must be replaced with CDA Digital IDs and the ITRANS software (iCA) must be upgraded.