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Eligibility clarity–instantly 

Get real-time insurance checks to save time, reduce errors, and prevent lost revenue before treatment. 

How It Works

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Effortless insurance eligibility verification

Instant insurance eligibility verification reduces delays, helps to avoid errors, and boosts treatment acceptance - no calls or portals needed.

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More coverage data from more payors

Connect to hundreds of insurance payors and receive rich, complete benefit data - helping you verify coverage faster and confidently present treatment plans.

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Seamless writeback to coverage tables

Verified insurance benefits automatically populate Dentrix coverage tables, eliminating manual entry, improving estimate accuracy, and helping you move faster on billing and treatment planning. 

See what’s included

Automated insurance verification saves time, reduces errors, and improves treatment plan accuracy by delivering detailed insurance data directly into the patient record.  

Features Description
Deep payor data access Eligibility Pro scrapes 100+ CDT codes, frequency limits, patient history, and procedure-level coverage from 40+ payor portals. Automatically.
Fully embedded in Dentrix Unlike competitors, it’s built natively into the PMS—no separate login, no toggling to a third-party dashboard.
Coverage table writeback It automatically populates deductibles, maximums, and co-insurance directly into the Dentrix coverage tables, helping reduce manual entry and estimate errors.
Standardized, easy-to-read PDF format All eligibility responses are delivered in a uniform format across payors, making it easier to train staff and find what matters quickly.
Visual appointment book status indicators Color-coded “E” icons on the schedule quickly show you which patients are verified, not verified, or in progress, so your front desk quickly knows next steps.

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What our customers are saying

Nancy Chappell Office Manager, Dr. John Andrews' Dental Practice
“Processing claims through the clearinghouse has also been so smooth. We're getting payments within two weeks, and it's a huge difference from when we used to wait 30-60 days on a payment."

Dentrix Eligibility & Claims Processing Suite

Simplify insurance claims and eligibility checks with a solution that requires less administrative work, speeds up payments, and improves patient treatment acceptance.

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