For Office Managers & Insurance Coordinators
Streamline insurance verification, claims management, and treatment coordination with AI insights.
Before appointments, verify eligibility and break down benefits, including co-pays, deductibles, annual maximums, and limitations.
Prepare, submit, and follow up on dental insurance claims for accurate and timely payment.
Collaborate with providers to align treatment plans with insurance coverage, providing accurate estimates to patients.
Manage outstanding claims, resolve denied claims, and assist with collections, ensuring the practice receives maximum reimbursement.
Act as a liaison, answering patient questions regarding coverage and financial responsibilities.
Update insurance fee schedules and patient accounts in PMS, ensuring compliance and accuracy.
Review Daily Patients page. Identify patient's Findings and verify eligibility and provide benefits.
Verify coverage and set clinical team up to proceed with same day dentistry.
For example:
Due for Sealants
Crown → DMF 50%
Crown coverage
Crown replacement frequency
Preventive – Incipient decay
Fluoride Varnish
Curodont
Periodontal Therapy (D4341, D4342, D4910, D4346)
Implant / Abutment / Implant Crown
3rd Molars
PARL
Endo coverage
Retreatment coverage
Provide insight on eligibility and benefits captured.
Use Overjet Vision AI screenshots as supplemental evidence and support for claims.
Note: It is best practice to follow the payer specific guidelines outlined in the review manual which includes the right imaging (including x-ray/photos, where applicable) that is of diagnostic quality that clearly indicates the need of the treatment planned or conducted.
For Office Managers & Insurance Coordinators
Streamline insurance verification, claims management, and treatment coordination with AI insights.
Before appointments, verify eligibility and break down benefits, including co-pays, deductibles, annual maximums, and limitations.
Prepare, submit, and follow up on dental insurance claims for accurate and timely payment.
Collaborate with providers to align treatment plans with insurance coverage, providing accurate estimates to patients.
Manage outstanding claims, resolve denied claims, and assist with collections, ensuring the practice receives maximum reimbursement.
Act as a liaison, answering patient questions regarding coverage and financial responsibilities.
Update insurance fee schedules and patient accounts in PMS, ensuring compliance and accuracy.
Review Daily Patients page. Identify patient's Findings and verify eligibility and provide benefits.
Verify coverage and set clinical team up to proceed with same day dentistry.
For example:
Due for Sealants
Crown → DMF 50%
Crown coverage
Crown replacement frequency
Preventive – Incipient decay
Fluoride Varnish
Curodont
Periodontal Therapy (D4341, D4342, D4910, D4346)
Implant / Abutment / Implant Crown
3rd Molars
PARL
Endo coverage
Retreatment coverage
Provide insight on eligibility and benefits captured.
Use Overjet Vision AI screenshots as supplemental evidence and support for claims.
Note: It is best practice to follow the payer specific guidelines outlined in the review manual which includes the right imaging (including x-ray/photos, where applicable) that is of diagnostic quality that clearly indicates the need of the treatment planned or conducted.