eFile a Claim in Tops Ortho


Here's how to send an eClaim in Tops Ortho!

STOP AND READ: To avoid possibly submitting duplicate claims, we recommend you only e-file claims generated from this date forward.

  1. Go to Matrix > Claims.
  2. The default view of this report reflects Unsent Ready-to-File Claims, for All Offices, All Submission Values, and Open Claims Only; change the filters as desired.
  3. If a claim has no errors and is ready to be filed, it will be listed in Unsent Ready-to-File.
  4. Place a checkmark in the checkbox to the far left of each claim you wish to e-file. If you wish to check all the claims in the list, click the blue checkbox icon on the top left corner of the report.
  5. To uncheck all claims, click the blue checkbox icon with the red cross-out sign over it.
  6. When you have selected all the claims you wish to e-file, click e-File Checked Claims on the bottom right.
  7. After the claims are sent, they will be removed from the Unsent Ready-to-File Claims view.
  8. To view rejected claims, go to Matrix > Claims > Unpaid Claims. The default status filter will be Rejected by Clearing House.
  9. To view accepted claims, go to Matrix > Claims > Unpaid Claims and update the status filter to Payer Accepted.
  10. If the status of a claim is Payer Accepted, the claim was sent successfully to the payer; you can track its progress with the payer in the DentalXChange portal: https://register.dentalxchange.com/reg/login?0
  11. If the status of a claim is Clearinghouse Rejected, see related article, eClaims With Rejected by Clearing House Status, for further instructions.

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