Services Offered
Insurance Verification Management
We tailor our verification service to match your practice's workflow—no service tiers, no upgrades, or "premium" packages. Every practice gets access to all verification types as needed:
- Standard Verification (returning patients seen within the past month): Active coverage, remaining max/deductible, frequency limitations, and service history for scheduled procedures
- Comprehensive Verification (new patients, new insurance, or monthly): Everything in Standard plus network status, plan type, coverage percentages, waiting periods, and detailed exclusions and insurance plan build-out
- Same-Day Verification (completed within 3 hours)*: Quick eligibility check for urgent scheduling needs
Simple, volume-based pricing—one rate based on how many verifications we complete daily, not which type you use.
*Same-day verifications are the only exception and are billed separately.
Dental Claim Submissions Management
We submit claims within 48 hours of treatment—giving your clinical team time to complete thorough chart notes and the rendering provider time to review and approve before submission.
Before every claim goes out, we:
- Audit treatment codes against clinical documentation to catch errors
- Attach all necessary supporting materials—radiographs, narratives, perio charts, intraoral photos—formatted to each carrier's specific requirements
- Verify everything matches to minimize rejections and resubmissions
The result: cleaner claims, faster payments, and significantly fewer denials that waste your team's time.
Insurance Aging Management
We don't let claims sit and age. Our systematic follow-up protocol targets outstanding claims at 15, 30, and 45+ day intervals—catching issues before they become write-offs.
Our approach:
- Proactive tracking of all outstanding claims by age bucket (30/60/90+ days)
- Strategic escalation when carriers stall or deny payment
- Thorough documentation of every call, email, and follow-up
- Professional persistence that protects your relationship with both the carrier and patient
The result: Faster collections, improved cash flow, and significantly fewer claims aging past 90 days. Your team stays focused on patient care while we recover the revenue you've already earned.
Insurance Claim Denials & Appeal Management
We turn denied claims into collected revenue through strategic appeals and root cause analysis.
When denials happen, we:
- Identify the specific issue—eligibility, coding, documentation, or policy interpretation
- Prepare detailed appeals with supporting documentation and policy language specific to each carrier
- Follow persistent escalation protocols until we reach resolution
- Track every appeal systematically so nothing falls through the cracks
Beyond individual appeals:
We analyze denial patterns across your practice to prevent future rejections. If we're seeing repeated denials for a specific code or procedure, we fix the submission process—not just the claim.
The result: Recovered revenue from denials that most practices would write off, plus fewer denials over time as we eliminate root causes.
Payment Posting Services
We post all payments to your practice management system within 48 hours of receipt—insurance EFTs, paper checks, and credit card payments—keeping your financial records current and accurate.
What sets us apart:
- Every EOB is reconciled against submitted claims to catch underpayments, incorrect adjustments, and improper bundling
- We flag discrepancies between expected and actual reimbursement, creating opportunities to challenge shortchanged payments
- Payments are allocated precisely to the correct procedures and patient accounts
The result: Real-time visibility into your practice's financial position, cleaner books, and ensures you're collecting every dollar you've earned .
