CDAnet Standard 2.4 to Retire in February 2024 REMINDER! Most claims processors use CDAnet standard version 4.2 to process dental benefit claims, but a limited numberof claimsprocessorsarecurrentlyupgrading their systems to meet the upcoming February 1, 2024, retirement deadline for version 2.4. Practice management software in dental offices will need to have the settings for some insurance companies updated to ensure claims are no longer sent in version 2.4. CDA will send out communications explaining when to make changes, as some claims processors may be ready before the deadline. After February 1, all claims processors settings should be set to version 4.2. Retiring version 2.4 will have benefits for dentists, claimsprocessorsandsoftwarevendors, including: Save time and money With version 4.2, more types of claim transactions are available for dental offices and claims processors to improve patient claim services. Dental software vendors and claims processors will no longer need to develop their systems to support both versions. Increase coordination of benefits claims Retiring version 2.4 will simplify the coordination of benefits (COB) process. Many claims processor systems cannot accept version 2.4 explanation of benefits (EOB) in a COB claim, but this limitation will be resolved in version 4.2. Dental offices will be able to send more COB claims for their patients, increasing claims for existing COB claims processors, and claims processors who invest in adding the COB transaction will also see a quicker return on investment. More opportunity for attachment transactions Claims processors upgrading to version 4.2 will now have the ability to add accepting attachments to messages for their members. This will increase efficiencies for both the dental office and the claims processor. Data accuracy After February 1, all claims processors will be accepting version 4.2. And remember that your practice management software will need to have the claims processor settings updated to ensure claims are no longer sent in version 2.4. Streamlined support Dental software vendors, networks and claims processors will only need to support version 4.2 systems and processes. CDA is prepared and ready toworkwith theCDAnet community to ensure a smooth transition to the new CDAnet version 4.2. Version 2.4 of the Message Formats and Standards for Electronic Dental Claims for CDAnet, also known as the CDAnet Standards, will be retired effective February 1, 2024. LOOK FOR MORE DETAILS IN 2024! 13 Issue 6 | 2023 |
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