20+ Hours/Week on Phone Calls
A full-time staff member spent most of their day on hold with insurance companies. Real-time electronic verification reduced per-patient verification from 35 minutes to 12 seconds.
Front desk staff spent 4+ hours daily on hold with insurance companies. We built a real-time eligibility engine that verifies coverage in 12 seconds — saving 20 hours per week and eliminating post-treatment denials.
Get StartedA solo practitioner in Florida had one full-time staff member whose primary job was calling insurance companies. Hold times averaged 22 minutes per call, and half the time the information was incomplete. Verification delays pushed treatment starts out by 2+ weeks.
After implementing the real-time eligibility engine, verification happened in seconds during patient registration. The staff member was reassigned to patient care coordination, and claims denied for eligibility issues dropped from 30% to 4%.
Front desk staff spent 4+ hours daily on hold with insurance companies verifying oral appliance therapy (OAT) coverage. Each call averaged 22 minutes of hold time, and half the time the information received was incomplete or inaccurate.
Verification delays pushed treatment start dates out by 2+ weeks. Patients who were ready to begin therapy were stuck waiting, and many lost motivation or sought care elsewhere during the gap.
30% of claims were denied due to eligibility issues discovered after treatment had already begun — meaning the practice had invested chair time, materials, and lab fees into cases that would never be reimbursed. Annual losses from post-treatment denials exceeded $95K.
A full-time staff member spent most of their day on hold with insurance companies. Real-time electronic verification reduced per-patient verification from 35 minutes to 12 seconds.
Claims were denied after treatment had already been delivered because coverage was not properly verified upfront. Auto-flagging of ineligible patients before treatment planning eliminated this blind spot.
Patients waited weeks for verification to complete before treatment could begin. Instant eligibility checks at registration compressed this to same-day treatment starts.
Revenue lost to post-treatment denials was a silent drain on the practice. By catching eligibility issues before the first appointment, annual losses dropped from $95K to under $8K.
The practice needed more than a simple eligibility check — they needed a system that understood the nuances of dental sleep medicine billing, including OAT-specific benefits, cross-coding requirements, and prior authorization rules.
The eligibility engine understands oral appliance therapy coverage — not just generic dental or medical benefits — surfacing the exact information the practice needs.
Insurance cards are scanned and parsed instantly, eliminating manual data entry errors that led to rejected claims downstream.
The entire daily schedule can be batch-verified in one click, ensuring no patient arrives without confirmed eligibility.
For dual-coverage patients, the system recommends the optimal billing pathway to maximize reimbursement.