Insurance Eligibility & Benefits Verification
Before treatment, we verify active coverage, plan limitations and available benefits so your team has better information for treatment estimates and fewer claims are submitted against inactive or incorrectly configured insurance.
Claim Submission & Claim Accuracy
We prepare and submit claims through your existing Open Dental clearinghouse workflow. Before submission, we review available claim information, procedure codes, narratives and required attachments to help catch avoidable issues before the claim leaves the system.
Denial Management & Appeals
When a claim is denied, reduced or placed in review, we identify the payer's stated reason, determine the appropriate next step and handle correction, resubmission or appeal when supported by the available documentation.
We also monitor recurring denial patterns so your practice can identify problems that may be occurring upstream.
Insurance & Patient Payment Posting
Payments need to do more than get entered into the system. They need to be matched correctly to the appropriate claims, procedures and patient balances.
Our team handles insurance and patient payment posting so your ledger remains current and your reporting reflects what has actually been collected, adjusted and remains outstanding.
Accounts Receivable Follow-Up
We work outstanding insurance and patient balances according to an agreed follow-up process. Claims and balances are reviewed systematically rather than waiting until aging becomes a larger problem.
The goal is to identify recoverable revenue, address unresolved claims and prevent avoidable balances from continuing to age.
Reporting & Ongoing Communication
You receive visibility into billing activity, claim status, denial trends and outstanding balances, along with a consistent point of contact for questions and follow-up.
When something requires your attention, we explain what happened, why it matters and what action is needed.