Insurance operations · Open Dental practices · New England
Benefits verified two days ahead. Claims checked against them before they go out. Posting, follow-up, and appeals handled after.
Problems get caught before the claim leaves — not six weeks after it bounces.
MARTINEZ, ELENA
DELTA DENTAL PPO · GRP 4471190 · 07/23 10:40AILLUSTRATIVE RECORD. NOT A REAL PATIENT.
Verify the benefits. Build and send the claim. Post the payment when it comes, chase it when it doesn’t, and appeal it when they say no.
A large group staffs a billing office for all of this. In most practices it’s one person, working between phone calls.
So things slip. The quote is off by $400 and now it’s an awkward conversation. A crown pays $650 against a $720 contract and nobody has time to notice. It’s 4:40 and your coordinator is on hold with Delta of Massachusetts while a patient waits at the desk.
None of this is money you might have earned. It’s money you already earned — the crown is seated, the work is done — leaking out through five jobs nobody has time to do properly. It never arrives as one loss. It arrives as a hundred small ones, every month.
Anything the payer won't confirm is marked, with the reason. Never a blank field, never a guess.
Your team’s part: check in patients and handle the few things we flag.
Every morning, a brief you can read before your first patient. Every month, one page that says whether the number moved. Not a dashboard to log into.
MORNING BRIEF
THU 07/23 · 7:02A · IN YOUR INBOXSCORECARD — JULY
ONE PAGE · FROM YOUR OPEN DENTAL DATAILLUSTRATIVE NUMBERS. NOT A REAL PRACTICE.
Most verifications and status checks run electronically against the payer. Nothing is written to Open Dental that the payer didn’t confirm.
Some payers only answer phones, so a person sits on hold — ours, not yours. Appeals are written by someone who has read the chart.
We correct it the same day and trace what caused it — the payer or us. You’ll know because we’ll tell you: it’s in the Morning Brief too.
We only work with Open Dental practices in New England. That’s not a limitation we apologize for — it’s the reason the work is good.
Not sure which side you're on? Email us the shape of your practice — we'll tell you if it isn't worth it.
We pull your last 90 days of eligibility denials from your own Open Dental data — read-only, and you approve every step.
You get a report, not a pitch: which denials were preventable, what each one cost, and what would have stopped it. The report is yours to keep whether or not we ever work together. And if we do, it becomes the baseline the guarantee is measured against — your numbers, from your system, visible to both sides.
We onboard two practices a month, so audit slots are limited.
Here’s the arithmetic that matters. A crown that pays $650 against a $720 contract is $70 nobody had time to notice. A denied claim that ages out is the whole fee, written off. A quote that’s $400 wrong is a discount you never meant to give. Per-verification services charge $4 to $12 a head — and stop at verification, leaving the other four jobs on your coordinator’s desk.
How much of the fee does that add up to in your practice? That’s exactly what the free audit counts — and if your number doesn’t make the case, don’t hire us.
| Tier | Size | Monthly |
|---|---|---|
| Solo | Usually one dentist | $2,500PER MONTH |
| Practice | Two to three dentists | $4,000PER MONTH |
| Group | Four or more, or multi-location | Quoted |
No setup fee, no per-claim charges, no rush fees. Month to month — no long-term contract, cancel anytime.
The audit comes first, and it’s free. You see exactly what your denials cost — from your own Open Dental data — before you pay for anything.
If eligibility-related denials haven’t dropped by half within 90 days, we keep working free until they have.
How it’s measured, in plain English: the free audit sets your baseline — your last 90 days of denials, from your own Open Dental data. Ninety days in, we count again, same method, same system. Both sides look at the same numbers, and the numbers are yours.
A guarantee is only as good as the incentive behind it, so here’s ours: we onboard two practices a month. Few enough that we cannot afford a single one where this doesn’t work.
Through Open Dental's own API — no screen-sharing, no borrowed logins. For the audit: read-only access to claims and denial history, and you approve every step. For the service: read access to the schedule, write access to patient records, nothing else. A BAA is signed before any of it.
Because depth is the product. We live in one system instead of being shallow in six, and we work one region's payers — Delta of Massachusetts, Northeast Delta Dental, and the Blue Cross plans your coordinator already knows. If you're on different software or outside New England, we're the wrong choice, and we'll tell you so.
Keep them — and give them their afternoons back. We take the hold music, the posting, and the appeals backlog. They keep the judgment calls, the patient conversations, and the parts of the job that need someone in the room. Practices with a good coordinator get more from this, not less: flags get handled the same hour.
No. Nothing to install, no logins for your team, no change to how anyone works. Results appear on the patient record you already open.
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.
We correct the record the same day it’s reported, and we trace what caused it — whether that was the payer or us. Every miss gets a root cause, not an excuse.
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.
Yes — that's the point. Every engagement starts with verification, because bad benefits data is where most denials begin. The rest of the cycle runs on the same system.
Tell us your payer mix and roughly how many patients a day. If you're on Open Dental in New England, we'll set up your free 90-day denial audit — read-only, and the report is yours to keep either way. Every email is read and answered by a person, and if it isn't a fit, we'll say so and tell you why.