Accurate
Estimates insurance expect based on historical remittance and adjudication behavior by payer and plan.
Dynamic
Intelligent real-time solution accesses hundreds of primary sources to quickly and accurately respond with the answers providers need.
Efficient
Replaces the need to contact payers or visit their website, helping reduce overhead costs.
Developer resources
Dental Benefits Advisor API
Search Patient Eligibility and Coverage information in Details, and provides a treatment focused, procedure specific response, as opposed to a full plan breakdown.
- Technical Assistance Email: chcdentalproductservices_DL@ds.uhc.com
All calls to Optum APIs are encrypted over HTTPS OAuth2 Authorization using TLS version 1.2 or higher. Access to Optum APIs is controlled via OAuth2 using the client credentials grant. This is secure authorization workflow that allows consumers to obtain a short-lived (one hour) access token that must be transmitted with subsequent API requests.
Brochure
Gain connectivity and flexibility with electronic claims transactions
While many service providers lack the connectivity, scale, support, stability and information security standards to adequately meet providers’ needs, we position providers to meet the demands of today’s and tomorrow’s environment.
Q: Does Dental Benefits Advisor replace Real-Time Eligibility?
No. These are two separate API calls and should be adapted to the practice workflow accordingly.
Q: Does the enhanced eligibility response provide any specific detail if or when benefits cannot be estimated?
Yes. There are several micro-services designed to determine if any plan limitations or exclusions apply. When a procedure code is subject to a limitation, a message will be returned to indicate the limitation applied.
Q: As a dental provider, do I have to be enrolled in ERA?
No. However, it is recommended that each provider be enrolled to optimize the solution.
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