Upload X-rays to a Rejected Claim

To enhance the claims processing experience, we’ve recently implemented a new online feature that allows dental offices to upload attachments and/or attachment control numbers (ACNs) to claims that were rejected because of a missing X‐ray. To add x-rays to a rejected claim, log in to the My Patient’s Benefits portal:

1. After clicking on Add X-rays to a Rejected Claim, you’ll be taken to the Account Access page, where you’ll need to log in with your username and password.

2. Once you enter a claim number, click Search. Please note that only rejected claims with a rejection code beginning with the letter “C” can be submitted using this feature.

3. Click Browse to add an attachment.

4. Select the attachment to be uploaded and click Open. A maximum of five attachments can be added.

5. Add the ACN to the Electronic Attachment # field. A maximum of five ACN’s can be added.

6. Then click Review and Submit.

7. Once you click Submit on the summary page, a new claim number will be generated.

8. Click Done to search for another claim.

If you have any questions or need additional information about uploading electronic attachments, please call (866) 445‐5148 from 8 a.m. – 8 p.m. (ET), Monday – Friday.