OHP's CCO Model: 16 Organizations with 16 Rule Sets
Delta Dental Oregon's Dual Role as Insurer & CCO Administrator
Oregon’s Veterans Dental Program and COFA Dental Program
Oregon’s 9 Federally Recognized Tribes and IHS Crossover Billing
TransDontics deploys both automation and specialist judgment deliberately. Our RPA handles OHP CCO eligibility verification, Delta Dental EOB reconciliation, claim scrubbing, and status tracking. Our specialists manage CCO prior authorization follow-up, IHS crossover coordination, Regence Cambia appeals, and COFA and Veterans Dental Program eligibility checks.
Every payment is reconciled against your contracted rate, line by line, across every payer. When Delta Dental of Oregon, Regence, or any other carrier 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. We keep going past the denial to the underpayment.
Before every OHP CCO claim goes out, we confirm CCO assignment, verify eligibility, and format documentation to that CCO's prior authorization requirements. CareOregon, Health Share, Jackson Care Connect, Trillium, and Columbia Pacific each authorize differently. We use the right workflow for each patient, every time.
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.
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Three steps. No disruption. No risk.
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 |
Every Oregon 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 Oregon’s patient records requirements under OAR 818-012-0070. 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 Oregon practice owners don’t realize they’re carrying until it’s too late.
Our AICPA SOC 2 Type II certification is independently audited and renewed annually. Your Oregon practice’s liability exposure is measurably reduced from day one of our partnership.
Customized billing solutions based on your specialty
Average Oregon salary
*Salary benchmarks based on Oregon BLS/ZipRecruiter data. Results vary by practice size and payer mix.
Our Complimentary audit covers denied claims, MCO routing errors, and underpayments, no obligation, no pitch.
We confirm every member’s CCO assignment at eligibility verification and apply that CCO’s specific contracted filing window; not just the state baseline. Claims approaching a CCO threshold are flagged and prioritized immediately. We track both OAR 410-120-1300 and OAR 410-141-3420 frameworks simultaneously.
Yes, including IHS eligibility verification, tribal compact benefit coordination, and crossover claims when tribal members carry secondary commercial or CCO coverage. Under 42 CFR 136.61, IHS is payer of last resort, not third-party liability. Applying a standard COB template to these claims produces incorrect processing every time.
Yes. OAR 818-012-0070 requires patient records retained for seven years, including informed consent, full treatment descriptions, radiographic and perio charting, drug records, and implant documentation. A 2024 amendment added implant-specific CE requirements. CCO prior auth reviews and commercial audits require this documentation; claims without it cannot survive review.
TransDontics charges a percentage of collections only, no upfront fees, no retainers, no hidden charges. If your practice doesn’t collect, we don’t earn. Our compensation is directly tied to your revenue performance, which means our financial incentive is always aligned with yours.
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
