Health First Colorado & DentaQuest: Adult Benefits Without a Cap
CHP+ and the Child Health Plan Plus Billing Distinction
Delta Dental of Colorado’s Dominant Network Footprint
DSO Growth and the Front Range Competitive Landscape
Billing companies are typically either fully manual or heavily automated. TransDontics uses a combination of both. Our RPA handles high-volume, repetitive tasks like eligibility checks, claim scrubbing, DentaQuest portal submissions, and status tracking, while our billing specialists handle anything requiring clinical or contractual judgment.
Every payment is reconciled against your contracted rate, line by line, across every payer. When Delta Dental of Colorado or any commercial payer pays below the agreed fee on a specific plan type, we flag it and file the appeal within 14 days. Most practices only catch outright denials because that is where the process stops. We go further.
Before every Health First Colorado or CHP+ claim goes out, we confirm DentaQuest eligibility, format to submission protocols, and attach required prior authorization documentation. When a procedure triggers pre-payment review instead of PA, we include the clinical documentation at submission; exactly where most vendors stumble.
Claims processed within 48 hours of receipt. No setup fee, no monthly minimum, no long-term contract, and no hidden costs buried in the fine print. Our fee is a nominal percentage of what we successfully collect from payers on your behalf. We only earn when you get paid, which means our incentives are aligned with yours from day one.
TransDontics is not a clearinghouse or a claim-submission portal. We are your complete outsourced dental revenue cycle management department handling every step from eligibility verification to final payment posted to your ledger.
Expert CDT coding, clean claim submission, and aggressive denial management by specialty-certified billers. 98% first-pass rate, compared to the industry average of 82%.
No claim goes 48 hours without follow-up. We pursue every outstanding balance across all payers until it is paid, appealed to exhaustion, or written off with documented reason.
Get in-network faster. We handle all payer paperwork, CAQH maintenance, renewals, and compliance tracking so you start seeing insured patients sooner.
Robotic process automation eliminates manual repetitive tasks. Eligibility checks, reminders, and daily reports run without human intervention, 24/7.
Full revenue cycle coverage from patient registration to final payment. We manage every financial touchpoint, close every gap, and maximize what your practice collects on every claim submitted.
We review your last 12 months, find your top 3 revenue leaks, and show you exactly what we would fix. Most practices discover $30K to $80K in recoverable revenue, no strings attached.
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Most billing companies are a service. TransDontics is a system: RPA catching what humans miss at volume, experienced billers catching what automation cannot judge. The result is a first-pass acceptance rate that consistently holds between 98%.
We connect directly to Dentrix, Eaglesoft, or your existing PMS. No migration, no new systems, no disruption.
Three steps. No disruption. No risk.
We review your claims, A/R, and denial patterns at zero cost. Most practices find 5–10% in hidden revenue leakage.
We connect directly to Dentrix, Eaglesoft, or your existing PMS. No migration, no new systems, no disruption.
We don’t publish named case studies because most clients prefer to keep billing performance private. What we can share is what the numbers look like across practices with comparable payer profiles.
Based on aggregated results across dental practices in comparable payer environments.
| Metric | Before TransDontics | After TransDontics |
|---|---|---|
| Average Denial Rate | 8–12% | Under 2.3% |
| First-Pass Clean Claim Rate | 70–80% | 98% |
| A/R Over 90 Days | 30–40% of Total AR | Reduced by 30%+ |
| Average A/R Resolution | 45+ Days | 18–25 Days |
| Claim Turnaround | 3–5 Days | 48 Hours |
| Revenue Growth (120 days) | Baseline | 5–12% Increase |
Dental coverage for children and pregnant women above Medicaid thresholds with an annual maximum, $1,000 for medically necessary services, and orthodontic coverage up to $1,500. We manage CHP+ as a distinct billing workflow, preventing underpayment and balance-billing errors from treating CHP+ and Medicaid claims identically.
Every Colorado practice qualifies. If your city isn’t listed, it’s coming. Reach out now and we’ll onboard your practice without delay.
Every state has its own payer rules, Medicaid structure, and billing landmines. TransDontics expertly navigates all of them.
All patient data is encrypted end-to-end, satisfying HIPAA Security Rule technical safeguards and Colorado’s patient records access requirements under C.R.S. § 25-1-801. Every data transmission meets the highest applicable standard, not just the minimum.
Only credentialed TransDontics personnel can access your practice data, eliminating the internal access vulnerabilities that turn in-house billing into a compliance liability most Colorado practice owners do not realize they are carrying until it is too late.
Our AICPA SOC 2 Type II certification is independently audited and renewed annually. Everything is documented and third-party verified, providing proof of our security posture. Your Colorado practice’s liability exposure is measurably reduced from day one of our partnership.
Customized billing solutions based on your specialty
Average Colorado salary
*Salary benchmarks based on Colorado BLS/ZipRecruiter data. Results vary by practice size and payer mix.
Our Complementary audit covers denied claims, MCO routing errors, and underpayments, no obligation, no pitch.
RPA handles DentaQuest eligibility checks, claim scrubbing, status tracking, and payment posting automatically. Billing specialists manage appeals, EOB reconciliation, pre-payment review documentation, and prior authorization follow-up. That combination drives a consistent 98% first-pass acceptance rate neither layer achieves alone.
No setup fee. No monthly minimum.
Cancel anytime.
Response within 24 hours.
HIPAA-compliant from day one.
Pay only a percentage of what we collect for you
