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Request benefits in family module
Posted: Tue May 09, 2023 7:24 pm
by beacondental
Within family module, open dental has "Request benefits" - is there a way to get an API for request benefits feature and retrieve results of the 271 normal response from Dentalxchange. This is to see if it's active coverage or not (and maybe benefit information) under 271 normal response.
As of now, this is what I see.
https://www.opendental.com/site/apifamilymodules.html and
https://www.opendental.com/site/apiinsverifies.html
And in here, there is no elig dates or benefits dates (there is no get function, only put).
And no request benefits feature.
Re: Request benefits in family module
Posted: Wed May 10, 2023 11:00 am
by justine
beacondental wrote: ↑Tue May 09, 2023 7:24 pm
Within family module, open dental has "Request benefits" - is there a way to get an API for request benefits feature and retrieve results of the 271 normal response from Dentalxchange. This is to see if it's active coverage or not (and maybe benefit information) under 271 normal response.
As of now, this is what I see.
https://www.opendental.com/site/apifamilymodules.html and
https://www.opendental.com/site/apiinsverifies.html
And in here, there is no elig dates or benefits dates (there is no get function, only put).
And no request benefits feature.
Hello beacondental,
Are you referring to information found within the form seen here?
https://www.opendental.com/manual/ebenefits.html
Also, there is a
Benefits GET, which you may find helpful.
Re: Request benefits in family module
Posted: Wed May 10, 2023 11:35 am
by beacondental
Yes, we are talking about eBenefits under "Request benefits." Is there a way to do an API call and request results from the 271 response.
As well as, is there a way to GET and POST for eligibility date verified and benefits date verified.
Re: Request benefits in family module
Posted: Wed May 10, 2023 12:09 pm
by justine
beacondental wrote: ↑Wed May 10, 2023 11:35 am
Yes, we are talking about eBenefits under "Request benefits." Is there a way to do an API call and request results from the 271 response.
Hello beacondental,
You can get the results from the 271 response in the etransmessagetext table.
While it is not possible to make an electronic benefits request via the API, it is possible to view previous electronic benefit requests using
PUT queries/ShortQuery. This information is stored in the
etrans and
etransmessagetext tables.
We can add GET etrans and GET etransmessagetext to our development list, if you'd like.
beacondental wrote: ↑Wed May 10, 2023 11:35 am
As well as, is there a way to GET and POST for eligibility date verified and benefits date verified.
We will add GET insverifies to our development list.
Re: Request benefits in family module
Posted: Wed May 10, 2023 12:18 pm
by beacondental
Please do add GET etrans, GET etransmessagetext, and GET insverifies to your development list.
Re: Request benefits in family module
Posted: Wed May 10, 2023 1:03 pm
by justine
beacondental wrote: ↑Wed May 10, 2023 12:18 pm
Please do add GET etrans, GET etransmessagetext, and GET insverifies to your development list.
Great! We have added GET insverifies, GET etrans and GET etransmessagetext to our development list.
New requests are completed in the order in which they are received.
There are requests ahead of you. Completion is estimated at 6 weeks.
We will update this thread when new methods are complete with their version number and documentation.
Thank you!
Re: Request benefits in family module
Posted: Thu May 11, 2023 11:26 am
by beacondental
I guess the question outstanding is the following:
Is there a way for the api to ping "request benefits" to see if a plan is active and not get results that a staff member clicked "Now"
When you put Getinsverity, then you are just getting the info a staff member manually modified by clicking now or you are getting the results from scheduled processes. I would like to ping directly to request benefits without staff or scheduled processes to get information on active coverage or not. And then, to get the PUT function to change the dates of eligibility and benefits. Is that better explanation?
Re: Request benefits in family module
Posted: Thu May 11, 2023 1:05 pm
by justine
beacondental wrote: ↑Thu May 11, 2023 11:26 am
I guess the question outstanding is the following:
Is there a way for the api to ping "request benefits" to see if a plan is active and not get results that a staff member clicked "Now"
When you put Getinsverity, then you are just getting the info a staff member manually modified by clicking now or you are getting the results from scheduled processes. I would like to ping directly to request benefits without staff or scheduled processes to get information on active coverage or not. And then, to get the PUT function to change the dates of eligibility and benefits. Is that better explanation?
No. You cannot ping "request benefits" via the API. Do you still want GET etrans and GET etransmessagetext?
Re: Request benefits in family module
Posted: Thu May 11, 2023 1:54 pm
by beacondental
Yes, please do add GET etrans, GET etransmessagetext, and GET insverifies to your development list.
Re: Request benefits in family module
Posted: Tue May 16, 2023 7:49 am
by beacondental
As an additional request on API benefits tab, we would like to get the GET, POST, DELETE for Adjustments to Insurance benefits.
https://opendental.com/manual/adjinsbenefits.html
Re: Request benefits in family module
Posted: Tue May 16, 2023 2:59 pm
by SLeon
You probably want to use our
ClaimProcs PUT InsAdjust method.
Re: Request benefits in family module
Posted: Tue May 16, 2023 6:29 pm
by beacondental
In this method "ClaimProcs PUT InsAdjust", it does not allow DELETE and GET fuction.
Re: Request benefits in family module
Posted: Wed May 17, 2023 8:57 am
by SLeon
ClaimProcs GET is an existing method. You can use the PatNum parameter to filter your results by a single patient.
ClaimProcs PUT InsAdjust will create, modify, or delete insurance adjustment claimprocs depending on the situation. From our documentation, emphasis added:
This adds or changes a claimproc that is acting as an insurance adjustment. PatPlanNum is required. You can obtain the PatPlanNum from FamilyModules GET Insurance. "date" is optional and defaults to today. It should be a date within the benefit year that you are interested in. Any adjustment that is created will also use that date. Either insUsed or deductibleUsed is Required. Pass in the total insurance and/or deductible used. The logic will take into consideration existing paid claims. For example, if payments of $200 are already entered into Open Dental, and you pass in insUsed of $300, then it will result in a $100 adjustment so that it will properly show the $300. If the insUsed passed in exactly equals payments already in Open Dental, then any existing adjustment will be deleted. The calculations do not distinguish family or lifetime benefits.
Re: Request benefits in family module
Posted: Wed Oct 18, 2023 9:48 am
by justine
beacondental wrote: ↑Wed May 10, 2023 12:18 pm
Please do add GET etrans, GET etransmessagetext, and GET insverifies to your development list.
Good morning beacondental,
Etranss GET is complete and is available in version 23.2.7.
EtransMessageText GET is complete and is available in version 23.2.11.
Insverifies GET is complete and is available in version 23.2.23.