Completing an Enrollment Application

Updated 9 months ago by Lindsey Schurman

EDI Enrollment is required by a select number of payers in order to submit an electronic claim.

From the Dashboard, select Enrollment.
Under Enrollment, Select New Application.
Select the Provider, Transaction Type, and Payers you wish to complete an application for. Then select Start Application.
Enter the requested information in the form. Different Payers will request different fields be completed. Select Next.
The Payer Enrollment form can be downloaded from this screen, open to review the entered fields then select the next action required by the payer.

In the case that a signature is required, you will be able to upload a copy of the form here.

Review any updates on submitted applications by selecting In Progress, Submitted, or Search Applications. DentalXChange Support will update with approvals and comments for your monitoring.

Frequently Asked Questions:

What is the processing time for the payer?

Refer to the cover sheet for instructions and processing time for approval.

If I have questions about my enrollment, who do I contact?

Please reach out to Enrollment@dentalxchange.com or 800-576-6412 ext 461.

How will I know if I am approved of denied?

You may view the status of your request by viewing any of the subcategories listed on your account.