Every payer has unique requirements and coverage rules. From plan frequencies to pre-authorization mandates, missing even one detail can impact your revenue and frustrate patients.
Insurance Verification / VOBs
Verification of eligibility (PPO, HMO, Medicaid, FFS)
Co-pays, deductibles and annual maximums validation
Benefit frequency limits waiting periods, and missing tooth clauses
Pre-authorization and referral checks
Alternate benefit and downgrade detection
Dental history information for preventive and restorative services