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Electronic Claims Submission


Electronic Claims — A Simple and Easy Way to File Your Claims

Why submit claims electronically? Here's why:
  • Quick claim turnaround time and fast payment
  • No need to send in documentation as is done with traditional paper claims
  • No periodontal charting or X-rays are required. This includes predeterminations and payment requests for periodontal work, fixed and removable prosthesis, extractions and root canal therapy

In addition, your staff saves labor, time and postage.

For more information on electronic claims submission, please call the Professional Relations Department at 1-800-632-3629, or email us at: rayant_dental@rayant.com. If you would like to register for electronic claims submission, please complete the accompanying form and mail to:

Rayant Dental
Three Penn Plaza East, PP-03H
Newark, NJ 07105


For more information on electronic claims submission, go to National Dental EDI Council at ndedic.com on the Web. It includes a method of estimating the savings your office can enjoy by submitting your claims electronically.

And now Rayant is offering Electronic Funds Transfer (EFT) to offices that elect to submit their claims electronically. Using EFT means:
  • Benefits payable to your office will automatically be wired to your office's bank account for instant deposit
  • No more running to the bank to make that deposit
  • You'll receive a paper Explanation of Benefits (EOB) for patient account reconciliation


Use the accompanying form to apply for this exciting benefit.

If you are already submitting claims electronically, here are some helpful hints to ensure that your claims are processed quickly and accurately:
  • Periodontal treatment (scaling/root planing and osseous surgery) must include the area of the mouth treated (i.e., UL, UR, LL, or LR)
  • Offices with multiple locations using the same Tax Identification Number should be assigned a Site Identification Number from their Practice Management System


Electronic Claims Submission Form (5578)

Authorization Agreement for Automatic Deposits (5601)
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In New York, products are underwritten by Rayant Insurance Company of New York. In Pennsylvania, products are underwritten by Rayant Insurance Company of Pennsylvania.
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