DentalXChange Eligibility Tester

OrthoBerry proof of concept Β· Enhanced Eligibility API

Security: This page never asks for the DentalXChange API Key or Secret. In live mode, requests are sent to your secure backend proxy, which should attach the credentials server-side. Use synthetic patient data until your HIPAA, BAA, and production-security requirements are approved.

New eligibility verification

Enter one patient, one coverage, and one appointment.

Demo mode

Connection

Demo mode uses a realistic local response. Live mode calls your backend proxy.

1. Appointment

Identifiers used for save, run, and result retrieval.

2. Patient Optional

Leave this section blank when only subscriber information is available. If any patient details are entered, complete the patient’s first name, last name, and date of birth. The ZIP code is optional.

3. Insurance coverage

Use either the DentalXChange payer ID or payer name.

4. Subscriber

The subscriber’s name, DOB, member ID, and ZIP are required.

Subscriber address details

5. Provider

Optional in the schema, but NPI and Tax ID are recommended for real payer matching.

Provider address and additional details

6. Procedures

Add CDT codes to focus the test on orthodontic benefits.

Common orthodontic codes

The live flow saves the appointment, triggers eligibility, and then polls for the result.

Verification result

No verification has been run.

1Save appointmentPOST appointments
2Run eligibilityPUT eligibilities/run
3Retrieve resultGET eligibilities/appointments

Ready to test eligibility

Use demo mode to explore the full interface immediately, or configure your secure backend proxy to call the DentalXChange API.

Plan statusβ€”
Eligibility typeβ€”
Payerβ€”
Processing statusβ€”
Orthodontic focus

No orthodontic data found

The summary is derived from orthodontic benefits and maximum records in the API response.

Coverageβ€”
Lifetime maxβ€”
Remainingβ€”

Insurance plan

Core plan and coverage identifiers.

Patient and subscriber

Matched data returned by the eligibility response.

Source statuses

EDI and payer-portal processing results.

SourceStatus
ProcedureCategoryNetworkCoverageCopayAge maxVisit limitLast visitSource

Maximums

Annual and lifetime maximum values.

CategoryNetworkLevelPeriodAmountRemainingNetwork name

Deductibles

Individual and family deductible values.

CategoryNetworkLevelPeriodAmountRemainingNetwork name

LettuceOps insurance verification summary

Only documented DentalXChange API fields are shown. A dash means the field was not returned.

Patient and plan

Member, payer, group, coverage, and policy dates.

Orthodontic benefits

Lifetime maximums, remaining benefits, coinsurance, and documented age limits.

Coinsurance for orthodontics
Orthodontic age limits
Deductibles and plan rules

Deductible records, coordination of benefits, and waiting-period information.

Coordination of benefits
Waiting period

Orthodontic CDT procedure benefits

Documented benefit properties returned for D8090, D8080, D8040, and D8020.

Service dateProceduresTooth details
{}
{}
Waiting for a verification request.