EOB question

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ODNovice
Posts: 10
Joined: Thu Mar 28, 2024 11:22 am

EOB question

Post by ODNovice » Fri Feb 21, 2025 2:47 pm

I have data extracted out of EOB from a backend system and I would like to post this information to the Open Dental database. Which APIs should I be using? If there are multiple APIs then please let me know.
I have the following fields from the backend system

InsuranceCompanyName
InsuranceCompanyAddress
InsuranceCompanyWebAddress
InsuranceCompanyPhone
FormType
ProviderId
ProviderName
ProviderOfficeAddress
ClaimNumber

SubscriberId
SubscriberName
PatientName


PatientDateOfBirth
PatientType
PlanGroup
PlanSubGroup
PlanName
PlanNetworkName
PlanGroupName
PlanSubGroupName
PlanProductName
NetworkType

IssueDate





ToothNumber
Surface
DateOfService
ProcedureCode
ProcedureDescription
SubmittedAmount
ApprovedAmount
AllowedAmount
NetworkSavingsAmount
DeductibleAmount
CoveragePercentage
PatientOwesAmount
PlanPaymentAmount

Notes
TotalSumittedAmount
TotalApprovedAmount
TotalAllowedAmount
TotalNetworkSavings
TotalDeductibleAmount

AppealComments

justine
Posts: 284
Joined: Tue Dec 28, 2021 7:59 am

Re: EOB question

Post by justine » Fri Feb 21, 2025 3:30 pm

ODNovice wrote:
Fri Feb 21, 2025 2:47 pm
I have data extracted out of EOB from a backend system and I would like to post this information to the Open Dental database. Which APIs should I be using? If there are multiple APIs then please let me know.
I have the following fields from the backend system

InsuranceCompanyName
InsuranceCompanyAddress
InsuranceCompanyWebAddress
InsuranceCompanyPhone
FormType
ProviderId
ProviderName
ProviderOfficeAddress
ClaimNumber

SubscriberId
SubscriberName
PatientName


PatientDateOfBirth
PatientType
PlanGroup
PlanSubGroup
PlanName
PlanNetworkName
PlanGroupName
PlanSubGroupName
PlanProductName
NetworkType

IssueDate





ToothNumber
Surface
DateOfService
ProcedureCode
ProcedureDescription
SubmittedAmount
ApprovedAmount
AllowedAmount
NetworkSavingsAmount
DeductibleAmount
CoveragePercentage
PatientOwesAmount
PlanPaymentAmount

Notes
TotalSumittedAmount
TotalApprovedAmount
TotalAllowedAmount
TotalNetworkSavings
TotalDeductibleAmount

AppealComments
Hello ODNovice,

The following API endpoints correspond to your list of fields:

https://www.opendental.com/site/apicarriers.html
https://www.opendental.com/site/apiproviders.html
https://www.opendental.com/site/apipatients.html
https://www.opendental.com/site/apiinsplans.html
https://www.opendental.com/site/apiclaims.html
https://www.opendental.com/site/apiclaimprocs.html
https://www.opendental.com/site/apiclaimpayments.html
https://www.opendental.com/site/apieobattaches.html

Thanks!

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