Frequently Asked Questions

How do I access the Production APIs?

For the Benefit Estimation API, the endpoint is:

https://apis.optum.com/dentalnetwork/eligibility/v2/BenefitEstimation

Eligibility also offers a Healthcheck API, with which you can check the operating status of the cloud-based API engine:

https://apis.optum.com/dentalnetwork/eligibility/v2/healthcheck

Does Dental Benefits Advisor replace Real-Time Eligibility?

No. These are two separate API calls and should be adapted to the practice workflow accordingly.

Does the enhanced eligibility response provide any specific detail if or when benefits cannot be estimated?

Yes. There are several micro-services designed to determine if any plan limitations or exclusions apply. When a procedure code is subject to a limitation, a message will be returned to indicate the limitation applied.

As a dental provider, do I have to be enrolled in ERA?

No. However, it is recommended that each provider be enrolled to optimize the solution.