Insurance verification for dental practices
Benefits, frequencies, and remaining annual maximum — written into your practice management system two days ahead.
Your front desk doesn’t log in and doesn’t call.
MARTINEZ, ELENA
DELTA DENTAL PPO · GRP 4471190 · 07/23 10:40AILLUSTRATIVE RECORD. NOT A REAL PATIENT.
You quote $180. The claim comes back and they owe $600. Now it’s an uncomfortable phone call, a write-off, or a patient who tells people about it.
It’s 4:40 on a Thursday, your coordinator is thirty minutes into hold music with Cigna, and there’s a patient at the counter waiting to schedule.
Eligibility and registration are the single largest source of claim denials — 26.6% by Change Healthcare’s count, 24% by Optum’s.
Two days before each appointment, the verification is on the patient's record — the same fields your coordinator would have filled in, in the same place she'd have put them.
Anything the payer won't confirm is marked, with the reason. Never a blank field, never a guess.
Read access to your schedule, write access to patient records. About an hour of your office manager's time.
Every appointment two days out gets verified — electronically where the payer allows it, by portal or phone where it doesn't.
No portal to check, no PDF to open. Your team opens the chart and it's there.
Your team's remaining job: review whatever got flagged. Usually a handful a week.
Not sure which side you're on? Ask on the call. I'll tell you if it isn't worth it.
One rate, whatever the plan. Most services bill per verification — $2.75 to $12.50, depending on how hard the plan is to pin down. We don’t charge more when it’s complicated.
Included in every tier
An insurance coordinator costs about $50,000 a year loaded. This is a fraction of that, and it doesn’t call in sick or quit in March.
| Tier | Volume | Monthly |
|---|---|---|
| Solo1 DENTIST | UP TO 250 VERIFICATIONS A MONTH | $1,200PER MONTH |
| Practice2 DENTISTS | UP TO 500 VERIFICATIONS A MONTH | $2,200PER MONTH |
| Group3–4 DENTISTS | UP TO 900 VERIFICATIONS A MONTH | $3,600PER MONTH |
No. Nothing to install, no logins for your team, no change to how anyone works. Results appear on the patient record you already open.
[ Straight technical answer — bridge, API, or remote access, whichever is accurate. Office managers ask this, and vagueness reads badly. ]
Yes. A BAA is signed before any patient data moves. Encrypted in transit and at rest, access logged, minimum necessary data only — the schedule and the fields required to verify benefits.
Eligibility runs electronically against the payer. Where a payer doesn't expose data electronically, we retrieve it by portal or phone, using automation for routine calls. Anything automation can't resolve goes to a person. Nothing gets written to your system that the payer didn't confirm.
Tell me and I'll fix it the same day, and tell you what caused it. [ Add a concrete remedy if you'll stand behind one. ]
Verification reflects what the payer reported at the time. For appointments booked far out, we re-verify inside the window rather than relying on a stale check.
Different scope. A per-verification rate usually buys an eligibility check, with your team still working the portals, frequencies and exceptions. This is the whole task, ending in your system.
No. Verification only, on purpose. It's the part that breaks everything downstream.
Tell me your practice management system, your payer mix, and roughly how many patients a day. If it's not a fit, I'll say so on the call.