Eligibility errors are the number one cause of denied claims.
Portals miss deductibles, maximums, and prior authorizations.
Benefit surprises cost you patients, not just revenue.
We confirm remaining deductibles, annual maximum utilization, frequency limitations, waiting period status, co-insurance percentages, and plan-specific exclusions or downgrades — thorough enough to anchor your treatment plan conversation.
Verified benefit information enters your PMS directly — no spreadsheets, no front desk relay. If verification reveals a coverage gap, we prepare the benefit summary so your team can have that conversation before the patient arrives.
The moment a patient books an appointment in your PMS, we identify the active payer, confirm plan and group numbers, locate the subscriber record, and flag insurance profile discrepancies before touching a portal.
If any scheduled procedure requires pre-authorization, we identify it and initiate the process immediately with enough lead time to receive approval before the visit. Practices that skip this step file claims they have no contractual right to collect on.
Every eligibility-related denial is tracked back to its verification record. Payer disputes are escalated with documentation. Monthly reports cover verification volume, benefit accuracy rates, pre-auth turnaround times, and eligibility-related denial patterns.
Customized billing solutions based on your specialty
Are you ready to combine AI speed with the persistence of human expertise? Start with a complimentary 12-month billing audit; no strings attached.
Expert CDT coding, clean claim submission, and aggressive denial management by specialty-certified billers. 98% first-pass clean claim rate.
Get in-network faster. We handle all payer paperwork, CAQH maintenance, renewals, and compliance tracking so you start seeing insured patients.
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 all claims, close every gap, and maximize your collections.
Strategic oversight of your practice’s operational and financial performance. We track collections, payer mix, and productivity metrics
Complete front office billing support covering patient billing inquiries, insurance comms, prior auth, and appointment-linked verification.
HIPAA-compliant dental transcription delivered fast and accurately. Clinical notes, procedure documentation, and patient records are transcribed.
We review your last 12 months, find your top 3 revenue leaks, and show you exactly what we fix. Practices often discover recoverable revenue.
Verification Timing
Accuracy Rate
Benefit Breakdown Detail
Pre-Auth Identification
Denial Prevention
Rescheduling Waste
PMS Integration
Staff Burden
Same-day scramble or skipped
~82% industry average
Basic: active/inactive status only
Missed in 40% of cases
Eligibility denials = #1 denial reason
Avg. 3–5 reschedules/month per provider
Manual data entry; error-prone
3–5 hours per front desk staff per day
24–48 hrs before appointment
98% verified benefits
Full includng deductibles, co-pays, etc.
Flagged on every applicable procedure
Eliminates eligibility-driven denials
Near-zero — confirmed before chair time
Native in 18+ systems — zero extra steps
Fully offloaded — staff focus on patients
No setup fees, no retainers, no contracts. Eligibility verification is included in our complete RCM service; we earn only on what we collect. Practices switching from manual verification typically recover the equivalent of one full-time salary within the first year..
Whatever dental insurance you accept, we’ve got you covered. Transdontics billing experts navigate every major dental insurance network with 15+ years of payor expertise.
Yes. TransDontics is HIPAA-certified, ISO 27001 certified, and SOC 2 Type II compliant. Every practice receives a signed BAA before data access begins. All transmissions are encrypted, access is role-controlled and activity-logged, governed by the same enterprise-grade protocols applied across our complete RCM operations.
Specific, verified outcomes, not generic praise. Every metric sourced from client data.
In the first 60 days, TransDontics recovered $18,400 in claims our team had written off as uncollectable. They caught 47 denied claims we had given up on. The Dentrix integration was seamless as they were billing the same day.
General Dentist · Austin, TX
I was spending 3 hours a day chasing orthodontic claims. TransDontics took over and our denial rate dropped from 22% to under 4% in three months. The multi-visit treatment plan billing alone recovered $31K we had been losing annually.
Orthodontist · Los Angeles, CA
We run 3 oral surgery locations on Eaglesoft. The OMS anesthesia cross-coding was a mess; TransDontics cleaned it up in week one. Collections are up 11% across all three locations.
Oral Surgeon · Dallas, TX
Join 500+ dental practices that trust TransDontics to verify every patient before every appointment, so that claims go out clean, patients arrive informed, and your team spends their time on care instead of insurance portals. Start with a complimentary eligibility audit and find out exactly where your verification process is costing you.
12-month front office revenue audit
Top 3 verification failure patterns identified
Custom protocol for your specialty and PMS
Pre-auth gap analysis for your top procedure codes
