Three-tier verification runs automatically 48 hours before every appointment. Electronic eligibility first, AI voice agent second, intelligent troubleshooting third. Writes back to your PMS.
If electronic fails, AI calls. If the call fails, troubleshooting takes over. You always get the answer.
Instant electronic eligibility check covering every major dental payer — PPO, HMO, Medicaid. Returns annual max, remaining, deductible, coverage %, frequency limits, and waiting periods.
When electronic fails, the AI dials the payer's hotline, navigates the phone tree, answers the rep's questions, and retrieves the missing benefits. Works nights and weekends.
Edge cases get handled automatically — retry schedules, payer-specific workarounds, and the few cases that need a human get flagged for review instead of silently failing.
You wake up to a morning huddle dashboard showing verified benefits for every patient on today's schedule. No fire drills at the front desk. No patient surprises at checkout.
Verification is just the start. End-to-end insurance automation included at $149/mo.
2,000 checks per month included. Auto-verified 48 hours before each appointment.
Submit claims directly from your PMS without a third-party clearinghouse fee.
See claim status as it moves through the payer system. No more calling to check.
When a claim is denied, AI analyzes the denial code and auto-resubmits with corrections.
Explanation of benefits parsed and posted to the patient ledger automatically.
Every verified benefit writes back to Dentrix, Eaglesoft, Open Dental, and 50+ other PMS platforms.
Tier 1 runs an instant real-time electronic eligibility check against every major dental payer. If the payer doesn't respond cleanly or the data is incomplete, Tier 2 dispatches an AI voice agent that calls the payer's hotline, navigates the phone menu, answers the rep's questions, and retrieves the missing benefits. If something edge-case blocks the call, Tier 3 is an intelligent troubleshooter that handles exceptions automatically — retry schedules, payer-specific workarounds, and the few cases that need a human get flagged for review.
Automatically 48 hours before every appointment on your schedule. You wake up to a morning huddle dashboard showing verified benefits for every patient that day. No manual triggers, no fire drills at the front desk.
Annual maximum, remaining benefits, deductible status, coverage percentages for every CDT code category, frequency limitations, waiting periods, and any payer-specific notes. Writes back to your PMS and appears on the patient chart.
Direct bidirectional writeback to 30+ practice management platforms — Dentrix, Dentrix Ascend, Eaglesoft, Open Dental, CareStack, Curve Dental, tab32, and more. Benefits appear on the patient's insurance tab before their appointment. Every other PMS still receives benefit summaries as formatted PDFs via email.
Yes. The Insurance Suite includes electronic 837D claim submission, real-time 277CA status tracking, AI-powered denial repair and resubmission, and EOB auto-posting back to the patient ledger. End-to-end insurance automation, not just eligibility.
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