Revenue Cycle Management
Revenue cycle management is where many avoidable losses occur in dental practices. Submission errors, delayed denial follow-ups, and slow or incorrect manual payment posting reduce revenue.
Claim Creation and Automated Scrubbing
PMS-integrated claim creation
Claims are created from completed treatment and fee entries in your PMS, then scrubbed before submission to catch missing tooth numbers, code issues, missing docs, and eligibility mismatches.
Real-time scrubbing feedback
Scrubbing errors are shown to the billing team with detailed descriptions and suggested fixes, allowing quick resolution before the claim is submitted.
Clean claim rate tracking
Clean claim rates are tracked by location, provider, and procedure code, highlighting which submission patterns most often cause rejections.
Electronic Claim Submission and Tracking
Clearinghouse integration and acknowledgment
Claims are sent electronically through your clearinghouse with real-time acknowledgment, letting teams know within hours if a claim is accepted, rejected, or pending.
Claim status tracking by payer
Claim status is tracked by payer in one view, with inactive claims automatically flagged when no response arrives within the payer's normal turnaround time.
Secondary claim submission automation
When a primary claim is paid, the system auto-generates and submits the secondary claim using the primary EOB, removing the manual step most practices still do.
Denial Management and Resubmission
Automated denial categorization
Denied claims are auto-categorized by reason: coding, eligibility, documentation, or timely filing and routed to the correct workflow, ensuring the right team member gets proper context.
Resubmission and appeal automation
For denials with clear resolutions, the system automates resubmissions, generating corrected claims, attaching documents, and creating appeal letters for complex cases.
Denial trend analysis
Denial patterns are tracked by reason, payer, provider, and location, revealing systemic coding, documentation, or eligibility issues causing recurring denials.