Instream Claims Support

Questions Answered

Downloads & Links

On June 30, 2026 the Canadian Dental Association is retiring ITRANS 1.

Offices with only Hygienists and or Denturists that are using Instream Claims, and do not have any Dentists in the office, do not need to take any action.

Offices with Hygienists and or Denturists that are using Instream Claims, and also have Dentists, and are all using the same piece of Practice Management Software, must ensure they contact their Practice Management Software Vendor, or IT Specialist in order to complete the steps listed in the linked document to ensure their ability to send electronic Claims is not interrupted.

Instream Claims Office with Dentists ITRANS 2 Instructions

See all instream Carriers including their important transaction information here.

Company NameProduct NameEnvironment
ABELDent Inc.
Additional Contact Information & Website
ABELDent Inc.
ADSTRA SYSTEMS INC.
Additional Contact Information & Website

ADSTRA Management™
Akitu One
Additional Contact Information & Website

Akitu One
Bridge Network Inc. (The)
Additional Contact Information & Website

Tracker
BRS Computing
Additional Contact Information & Website

DOM for Windows, DOM Enterprise
Cerebra Inc.
Additional Contact Information & Website

ExcelDent
ClearDent™ by Prococious Technology Inc.
Additional Contact Information & Website

ClearDent
Le Groupe DMB inc. (AD2000)
Additional Contact Information & Website

AD2000
Curve Technologies Inc.
Additional Contact Information & Website

Curve DMS
DentiMax LLC
Additional Contact Information & Website

DentiMax
Dentrix Canada (formerly Byte Dental)
Additional Contact Information & Website

Dentrix
Dialog Medical Systems
Additional Contact Information & Website

Dialog
Domtrak Systems
Additional Contact Information & Website

Domtrak
Enterprise Dental Management Systems
Additional Contact Information & Website

Enterdent
Power Practice
Additional Contact Information & Website

Power Practice
Gaargle Solutions Inc.
Additional Contact Information & Website

Dovetail
Gold Dental Management Systems
Additional Contact Information & Website

Gold Dental Management
Henry Schein Practice Solutions
Additional Contact Information & Website

DentalVision Enterprise,EndoVision,OMSVision,PerioVision
Intersoft Automation
Additional Contact Information & Website

Quadra Dental Software
LiveDDM
Additional Contact Information & Website

LiveDDM
Logic Tech Corp.
Additional Contact Information & Website

Paradigm
Logiciels INFO-DATA Inc.
Additional Contact Information & Website

Click
NetConseil informatique inc.
Additional Contact Information & Website

Maximus
Novologik inc.
Additional Contact Information & Website

Dentonovo
Open Dental Software, Inc.
Additional Contact Information & Website

Open Dental Software
OptiMicro Technologies Inc.
Additional Contact Information & Website

DentalWare
Patterson Dental Canada Inc.
Additional Contact Information & Website

EagleSoft
Progident Inc.
Additional Contact Information & Website

Progident Clinique
Progitek Dev Inc.
Additional Contact Information & Website

Dentitek
Sense Incorporation
Additional Contact Information & Website

SENSE
Specialized Office Systems
Additional Contact Information & Website

Denturist Office Manager (DOM)
Timeshift Solutions Inc.
Additional Contact Information & Website

Autopia
TDO
Additional Contact Information & Website

TDO - The Digital Office for Endodonsitst
Windent Inc.
Additional Contact Information & Website

Windent

Frequently Asked Questions

Pre installation Checklist

  1. The iCA works in conjunction with your practice management software. Please consult your practice management software vendor before installing the iCA to ensure proper operation
  2. Uninstall any version of the iCA older than 2.4.1.1 before installing the iCA
  3. If you intend to use the iCA’s CCDWS support to send to Alberta Blue Cross install the CCDWS before installing the iCA and take note of the installation path

Installation Steps

  1. Download the iCA from here
  2. Run the iCA_setup.exe file
    • Windows smartscreen may detect the application as “unknown”, users may need to click on “Run Anyway” or “More Info” then “Run Anyway”
  3. Click Next
  4. Accept the License agreement if you agree and click on Next
  5. Read the important information and click on Next
  6. Select the folder where you would like the iCA to be installed and click on Next
  7. Select the folder you would like set as the iCADirectory and click on Next
  8. Select if you would like to run the iCA as a Tray Application, or Service
  9. If being installed as a Tray Application please refer to the “Tray Application Instructions” below If being installed as a service please refer to the “Service Instructions” below.

Tray Application Instructions

  1. Check the box if you would like to launch the iCA at startup
  2. Check the box if you intend to send to Alberta Blue Cross and would like to enable the iCA’s CCDWS support
  3. Click on Next
    • If CCDWS Support was selected set the CCDWS ABC folder value and click on Next
  4. Review the installation details and click on Install

Service Instructions

  1. Enter the username and password for the account that has the instream CLAIMS Digital Certificate that will be used to launch the iCA Service
  2. Check the box if you intend to send to Alberta Blue Cross and would like to enable the iCA’s CCDWS support
    • If CCDWS Support was selected set the CCDWS ABC folder value and click on Next
  3. Click on Next
  4. Review the installation details and click on Install
  • Step 1: Add instream as a trusted site
    • In the Windows search “internet options” and launch it.
    • Click on the “Security” tab on top.
    • Click on the “Trusted Sites” icon.
    • Click on the “Sites” button.
    • Type “https://www.continovation.com” in the “Add this website to the zone” dialog box.
    • Click on “Add”.
    • Click on the “Close” button.
  • Step 2: Add internet explorer mode
    • In Edge Click on “Settings” or the 3 horizontal dots located in the top right corner (ALT+F).
    • Click on “Settings” in the dropdown menu.
    • Search for “internet explorer compatibility” in the search dialog bar on the top left corner.
    • Set the setting for “Allow sites to be reloaded in Internet Explorer mode (IE mode)” to “Allow”.
    • Click on “Add page” under “Internet Explorer mode pages” section the following two links:
    • https://www.continovation.com/csicerts/instream/certificate_cda_form.aspx?type=2
    • https://www.continovation.com/csicerts/instream/certificate_cda_form.aspx?type=3
    • Close the tab.
  • Step 3: Install the instream Root Certificate
    • Click here to download the instream root certificate.
    • Click on “Open” in the dialog box that appears.
    • Click on the “Install Certificate…” button.
    • Click on “Next”.
    • Select the “Place all certificates in the following store” radio button.
    • Click on the “Browse” button.
    • Select “Trusted Root Certification Authorities” From the list
    • Click on “OK”.
    • Click on the “Next” button.
    • Click on the “Finish” Button.
    • Click on “Yes” for the Security Warning
    • Click on “Ok” to the “Import was successful.” message.
    • Click on “Ok” or simply close the Certificate Information box.
  • Step 4: Install your personal certificate
    • Click on “Support” on the top navigation bar
    • Click on “instream Digital Certificate” from the dropdown menu
    • Select the Practitioner Type
    • Fill out the E-Mail Address, Password, Provider ID & Site ID
    • Scroll down to the bottom of the page and click on “Submit to instream”
    • Click on “Yes” to all the warning prompts that will come up
    • After 3 warning prompts you should get the following message “Congratulations your instream Digital Certificate was successfully issued and installed!”


Step 1: Add instream as a trusted site

    • In the Windows Internet Explorer Click on “Tools” or the Gear icon located in the top right corner.
    • Click on “Internet Options” in the dropdown menu.
    • Click on the “Security” tab on top.
    • Click on the “Trusted Sites” icon.
    • Click on the “Sites” button.
    • Type “https://www.continovation.com” in the “Add this website to the zone” dialog box.
    • Click on “Add”.
    • Click on the “Close” button.
  • Step 2: Add instream in Compatibility View
    •  In the Windows Internet Explorer Click on “Tools” or the Gear icon located in the top right corner.
    • Click on “Compatibility View Settings” in the dropdown menu.
    • Type “www.continovation.com” in the “Add this website” dialog box.
    • Click on “Add”.
    • Click on the “Close” button.
  • Step 3: Install the instream Root Certificate
    • Click here to download the instream root certificate.
    • Click on “Open” in the dialog box that appears.
    • Click on the “Install Certificate…” button.
    • Click on “Next”.
    • Select the “Place all certificates in the following store” radio button.
    • Click on the “Browse” button.
    • Select “Trusted Root Certification Authorities” From the list
    • Click on “OK”.
    • Click on the “Next” button.
    • Click on the “Finish” Button.
    • Click on “Yes” for the Security Warning
    • Click on “Ok” to the “Import was successful.” message.
    • Click on “Ok” or simply close the Certificate Information box.
  • Step 4: Install your personal certificate
    • Click on “Support” on the top navigation bar
    • Click on “instream Digital Certificate” from the dropdown menu
    • Select the Practitioner Type
    • Fill out the E-Mail Address, Password, Provider ID & Site ID 
    • Scroll down to the bottom of the page and click on “Submit to instream”
    • Click on “Yes” to all the warning prompts that will come up
    • After 3 warning prompts you should get the following message “Congratulations your instream Digital Certificate was successfully issued and installed!”
  • In the Windows search “internet options” and launch it.
  • Click on the “Content” tab on top.
  • Click on the “Certificates” button below.
  • Click on the “Personal” tab.
  • Under “Personal” you should now be able to see the Dental Provider’s name including the expiry date.
  • 1. Windows Internet Explorer
    • In the Windows search “internet options” and launch it.
    • Click on the “Content” tab on top.
    • Click on the “Certificates” button.
    • Click on the “Personal” tab on top.
    • Select the the certificate you would like to remove.
    • Click on the “Remove” button.
    • Click on “Yes” to the warning that appears.
  • 2. Windows Firefox
    • Click on “Tools”
    • Click on “Options”
    • Click on “Advanced”
    • Click on “Encryption”
    • Click on “View Certificates”
    • Click on “Your Certificates”
    • Under “CSI CA” click on the doctors name
    • Click on “Delete…”
    • Click on “OK”
  • 3.  OSX Firefox
    • Click on “Firefox”
    • Click on “Preferences…”
    • Click on “Advanced”
    • Click on “Encryption”
    • Click on “View Certificates”
    • Click on “Your Certificates”
    • Under “CSI CA” click on the doctors name
    • Click on “Delete…”
    • Click on “OK”
  • Depending on the practice management software vendors implementation of the iCA; either the iCA.exe, iCAService.exe or vendor application.exe will open an outbound tcp connection on port 9650 and 9660 to site1.continovation.com and site2.continovation.com.

Please note that Instream only supports Windows operating systems. If you use a different operating system, we recommend using a cloud-based software to continue using Instream CLAIMS. See the Practice Management Software section for details.

Error Code Details