Dental Insurance Eligibility Verification — Automated & Accurate

Eliminate manual errors and reduce insurance-related denials with automated dental eligibility verification.​

Dentistry Automation’s smart, bot-driven tool checks patient coverage in real time, integrates seamlessly with your PMS, and drastically cuts down verification time. Get accurate benefits data before appointments — no phone calls, no portals, no paperwork.

Learn how Dentistry Automation streamlines Insurance Verification for Group Practices, DSOs and Solo Practices.

Supported PMS

A Comprehensive Pricing for Each Tier

Volume-Tiered Per Verification

Monthly Verifications Standard      
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The following CDT codes are included under this plan:

  • D0140 – Limited oral evaluation (problem-focused)
  • D9995 – Teledentistry, synchronous (real-time encounter)
  • D9996 – Teledentistry, asynchronous (store and forward)
  • D0120 – Periodic oral evaluation
  • D0150 – Comprehensive oral evaluation
  • D1110 – Adult prophylaxis
  • D1120 – Child prophylaxis
  • D0274 – Bitewing x-rays (4 films)
  • D0210 – Intraoral full-mouth series
  • D0330 – Panoramic film
Enhanced      
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All dental procedure codes history and limitations:

  • Diagnostic (D0100–D0999)
  • Preventive (D1000–D1999)
  • Restorative (D2000–D2999)
  • Endodontics (D3000–D3999)
  • Periodontics (D4000–D4999)
  • Prosthodontics (D5000–D6999)
  • Oral & Maxillofacial Surgery (D7000–D7999)
  • Orthodontics (D8000–D8999)
  • Adjunctive Services (D9000–D9999)
Rush / <24hr
1–100 $3.25 $5.25 $7.25
101–500 $3.00 $5.00 $6.75
501–1000 $2.75 $4.75 $6.50
1001–4000 $2.50 $4.50 $6.25
>4000 (Enterprise) Custom Pricing Custom Pricing (all codes) Custom Pricing
* Basic fee – $249/mo​
* All pricing excludes write-back functionality.
​ * Rush requests under 24-hour SLA are priced separately.​
* Enterprise pricing applies beyond 4000 monthly verifications and includes dedicated support, reporting dashboards, and API integrations.

Ready to Elevate Your Eligibility Verification Process With Automation?

Download and share us the signed copy of the document to get started.​

How Our Insurance Verification Works

Our RCM automation system pulls insurance data from payor portals and major clearinghouses. It extracts key patient coverage details, writes them back to your Practice Management System (PMS), and delivers real-time eligibility insights to your front desk — all in just a few clicks.

1.

First, we use the PMS credentials provided to us by our clients to extract the data.

2.

The bots then extract the PMS data of the patient who has an appointment, as a scheduled job overnight.

3.

The patient data that we get is from the payor’s portal.

Key Features & Benefits

90% Automated Data Extraction

Our bots extract patient insurance details including plan type, co-pay, deductible, and coverage limits directly from portals.

PMS Write-Back
Integration

Verified insurance data is written directly into your PMS for a fully integrated workflow — no double entry required.

70% Reduction in Manual Work

Cut front-desk workload and eliminate delays caused by phone-based or manual verifications.

HIPAA-Compliant
& Secure

We prioritize security and compliance. Your patient data is encrypted, stored, and transferred under HIPAA standards.

Support major Payors and Clearinghouses

Get consistent, reliable access to eligibility data from the most-used insurance portals in dentistry.

Operational Reporting & Insights

Track verification performance, measure staff efficiency, and optimize your front-office workflows with actionable reports.

What Our Client Says

A Detailed Report

To make it easier for dental practices and DSOs, our automation tool offers a detailed report on Eligibility verification. This report includes patient details like:

  • Insurance status
  • Payor details
  • Patient’s Coverage
  • Insurance coverage date
  • Limitations on age
  • Details on deductibles
  • Patient’s history on services
  • Expenses made by a patient on procedure code
  • Patient details from the PMS
  • Eligibility status (whether eligible, partially eligible, or not eligible)

Customize the insurance workflow to match it with your organizational workflow.

A detailed report of the eligibility verification of a patient is available in PDF format (Eligibility Verification pdf of an individual patient record can be attached to the PMS).

Report icon
Customize the insurance workflow to match it with your organizational workflow.

Results You’ll Notice

accuracy icon

Increased accuracy.

paperwork icons

Minimal paperwork.

roi icons

Substantial increase in revenue with huge ROI.

savings icons

Approximately $3M-$4M per year in annual savings.

efficiency icons

Expect 80% improved efficiency at your practice/DSO.

Why Automated Insurance Verification Matters

Manual insurance verification wastes time, creates bottlenecks, and leads to claim rejections due to incorrect or outdated patient coverage. Our automated eligibility verification software for dental practices ensures accurate, up-to-date insurance info — before the appointment.

FAQ's

Are Dentistry Automation’s tools and services HIPAA complaint?

Yes,   Dentistry Automation’s tools and services are HIPAA compliant and we make sure that there is no breach of data. We only provide information to authorized users who follow all the guidelines from HIPAA.

What changes do I have to make with my PMS to use Dentistry Automation’s Eligibility verification tool?

There are absolutely no changes in terms of integration as our tool is PMS agnostic. It can integrate with almost any  PMS without having to update or change your practice management system.

How does Dentistry Automation’s Eligibility verification tool help us?

Dentistry Automation’s eligibility verification tool will automate most of your manual processes like extracting data from PMS, checking for patient eligibility for the next 7 days, writing patient data back into the PMS, providing a detailed report on payors, insurance status, and many other things. So, you’ll basically save a lot of time and improve your dental practice or DSO’s efficiency.

My DSO operates multiple practices in multiple locations. So, do I have to use a separate tool for each location?

No. Dentistry Automation’s eligibility verification tool works for multiple practices from multiple locations —  Dentistry Automation’s provides a single dashboard to check the data of PMS from various locations regardless of where you are using the software.

How many times do I have to check for Eligibility verification of a patient?

Dentistry Automation’s eligibility verification tool automatically checks for Eligibility verification multiple times before the appointment date. It checks the patient’s eligibility status 3 times before the scheduled appointment. The first time it checks 5 days before the appointment, then 3 days before the appointment, and finally the day before the appointment date.

How do I get started with Dentistry Automation's tools and services?

To start using our services, we first need access to all kinds of PMS credentials (Desktop and Cloud) and understand your business requirements. You can book a demo or contact us through our mail: hello@dentistryautomation.com to get a quote and discuss details.

What types of insurance plans can you verify?

All

Do you provide full breakdowns or eligibility only?

Yes we provide both

How accurate are the automated breakdowns?

100%

Can IV results be pushed directly into my PMS?

Writing back into the notes section of the pms

What PMS fields do you update with Insurance Verification data?

Notes section

How out on the schedule can you go on the verification?

2-3 days  in general, but in some situations we can do same day (if there’s a change in schedule)

Can you handle same-day or emergency verifications?

Yes we can

Can our team customize the Insurance Verification template format?

We can

What reporting and analytics do you provide for Insurance Verification?

Dashboards on our portal which talk about eligible breakdowns, full detailed analytics

Do you offer a free Insurance Verification trial?

We can do a limited trial – without wb , if they can give us info we can generate pdf and give them info on their masterform

What information do you require from the practice to run Insurance Verification?

Payor details, clinic details , login info and access to PMS Data

Do you ensure HIPAA Compliance for Insurance verification ?

Yes

What happens if insurance websites block or rate-limit access?

Our IT TEAM CAN REACH OUT TO YOU AND WE WILL HELP YOU RESET. 

Can DA replace our in-house Insurance Verification team?

Absolutely

Are Dentistry Automation’s tools and services HIPAA complaint?

Yes,   Dentistry Automation’s tools and services are HIPAA compliant and we make sure that there is no breach of data. We only provide information to authorized users who follow all the guidelines from HIPAA.

What changes do I have to make with my PMS to use Dentistry Automation’s Eligibility verification tool?

There are absolutely no changes in terms of integration as our tool is PMS agnostic. It can integrate with almost any  PMS without having to update or change your practice management system.

How does Dentistry Automation’s Eligibility verification tool help us?

Dentistry Automation’s eligibility verification tool will automate most of your manual processes like extracting data from PMS, checking for patient eligibility for the next 7 days, writing patient data back into the PMS, providing a detailed report on payors, insurance status, and many other things. So, you’ll basically save a lot of time and improve your dental practice or DSO’s efficiency.

My DSO operates multiple practices in multiple locations. So, do I have to use a separate tool for each location?

No. Dentistry Automation’s eligibility verification tool works for multiple practices from multiple locations --  Dentistry Automation’s provides a single dashboard to check the data of PMS from various locations regardless of where you are using the software.

How many times do I have to check for Eligibility verification of a patient?

Dentistry Automation’s eligibility verification tool automatically checks for Eligibility verification multiple times before the appointment date. It checks the patient’s eligibility status 3 times before the scheduled appointment. The first time it checks 5 days before the appointment, then 3 days before the appointment, and finally the day before the appointment date.

How do I get started with Dentistry Automation's tools and services?

To start using our services, we first need access to all kinds of PMS credentials (Desktop and Cloud) and understand your business requirements. You can book a demo or contact us through our mail: hello@dentistryautomation.com to get a quote and discuss details.

Request a Demo

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