Revolutionizing Dental Insurance Verification with Seamless Automation

How we streamlined eligibility checks and saved 15-20 minutes per patient

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Know About Our Client

Managing dental insurance verification manually is time-consuming and prone to errors, creating an administrative burden for dental staff. Our client, a multi-location dental practice, sought a solution to automate insurance eligibility verification, reduce verification time, and eliminate redundant data entry. The goal was to improve workflow efficiency while ensuring accurate insurance validation with minimal human intervention.

Industry: Healthcare

Solution Implementation

To streamline the verification process, we developed a seamless integration between Open Dental and a third-party platform, leveraging the Stedi Open API for automation. Our approach included:

01

User-friendly Portal

A secure, intuitive web portal providing instant access to patient demographics, insurance details, appointment records, and eligibility verification data.

02

Automated & Manual Eligibility Triggers

 Users can initiate eligibility checks manually for walk-in patients, while the system automatically verifies scheduled appointments before the visit, ensuring potential insurance issues are resolved in advance.

03

Real-time Data Exchange with Stedi Open API

 We implemented real-time eligibility verification with structured payer responses converted into JSON, enabling faster processing and improved accuracy.

04

Seamless Data Mapping & Integration

The eligibility data fetched from payers is mapped to Open Dental’s format, ensuring a smooth and structured flow of information.

Technologies We Used

  1. Open Dental API: For seamless integration with patient records.
  2. Stedi Open API: To process real-time and batch eligibility verification.
  3. X12 EDI & JSON: For structured data exchange between payers and Open Dental.
  4. Secure Cloud Database: For storing verification data with HIPAA-compliant security measures.
Automating Dental Insurance Verification

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