What is CDHAnetTM?
CDHAnetTM is the network managed by CDHA to transmit electronic claims
from independent dental hygienists to the insurance carriers. It is the only network
that is configured to accept electronic dental hygiene claims.
What do I need to bill through EDI (CDHAnetTM)?
To be eligible for CDHAnetTM, you must be a member of CDHA’s Independent
Practice Network (IPN), have an active UIN, internet access and practice management
software.
What are my software options?
TELUS and Instream are the network messaging services that CDHAnetTM uses to send
your claims to insurance companies for processing. When choosing a software, you
will need to consider which network messaging service supports your preferred
software. Both options listed below access all insurance companies who accept EDI
claims from independent dental hygienists. Please note there is an additional annual
registration fee for Option 2.
- OPTION 1: CCDWS COMPATIBLE WITH TELUS & INSTREAM
No cost and no additional registration associated with the network. However, you
must have "CCDWS" certified software.
- OPTION 2: ICA INSTREAM ONLY
Register and pay a $180 annual subscription fee through Instream. You must have
Instream compatible software.
What insurance companies accept EDI claims from independent dental
hygienists?
Over 40 insurance companies accept EDI claims from independent dental hygienists,
including Sun Life, Manulife, Canada
Life, and Green Shield Canada. See our e-claims support document for further details.
What is Express Scripts?
While some insurance companies process their claims directly, others use a
third-party claims adjudicator, such as Express Scripts Canada. Express Scripts
Canada is the third largest health care claims adjudicator in Canada and facilitates
electronic claims from independent dental hygienists, including real-time processing
and electronic funds transfer (EFT) (direct deposit) for the following insurance
companies:
- Benecaid
- Cowan Insurance Group
- Desjardins Insurance
- GMS Insurance Inc
- GPM
- Group Medical Services
- Humania Assurance Company
- Johnson
- SFMM
Express Scripts Provider Manual
Express Scripts Enrolment Letter
Steps to set up EDI billing (CDHAnetTM)
- Join the Independent
Practice Network (IPN). An additional $81 fee applies.
This membership must be renewed annually by October 31.
- Submit the UIN Application Form.
UIN applications are processed once a week, on Tuesdays. Only completed
applications received by Monday, 12:00 pm ET
will be included in Tuesday’s processing. Those received after will be
processed the following week.
- Choose a software.
- Submit the CDHAnetTM Application Form.
CDHAnet™ applications are processed once a week, on Tuesdays.
Completed applications must be received by Monday, 12:00 pm ET to be
included in Tuesday’s processing. Those received after will be processed the
following week.
- You will be assigned and sent a CDHAnetTM office number (###H) by
email along with next steps for software set up.
- Submit Express Scripts Application Form with a void cheque or
bank letter.
Express Scripts applications are processed once a week, on Tuesdays.
Completed applications must be received by Monday, 12:00 pm ET to be
included in Tuesday’s processing. Those received after will be processed the
following week.