Oregon’s 16 CCOs each carry distinct credentialing and prior authorization requirements. Oregon Dental Service operates as Delta Dental of Oregon. Regence BCBS Oregon is a Cambia plan, not Anthem. TransDontics’s 1,100+ specialists manage your complete revenue cycle effectively, so that you can focus on your practice.
No two Oregon CCOs operate identically. Delta Dental serves as both the dominant commercial carrier and CCO dental administrator through ODS Community Dental. Regence BCBS Oregon runs on Cambia-specific protocols. Nine federally recognized tribes generate IHS crossover complexity.
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 Tribes & Multi-State IHS Crossover Billing
TransDontics’s 1,100+ in-house dental billing specialists are supported by RPA automation engineered for Oregon’s dental billing environment. Every process is designed around the actual payer rules, fee schedules, and documentation standards your claims will face.
Our RCM automation handles OHP CCO eligibility verification, Delta Dental EOB reconciliation, claim scrubbing, and status tracking while specialists manage CCO prior authorizations, 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 go further.
Before every OHP CCO claim goes out, we confirm CCO assignment, verify eligibility, and format documentation to that CCO's prior auth requirements. CareOregon, Health Share, Jackson Care Connect, Trillium, and Columbia Pacific each authorize differently. We use the right workflow.
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.
Expert CDT coding, clean claim submission, and aggressive denial management by specialty-certified billers. 98% first-pass clean claim rate.
No claim goes 48 hours without follow-up. We pursue every outstanding balance across all payers until it is paid, appealed or written off.
Get in-network faster. We handle all payer paperwork, CAQH maintenance, renewals, and compliance tracking so you start seeing insured patients.
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.
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An in-house biller knows your practice; not Health Share versus Jackson Care Connect timely filing differences, ODS versus Delta Dental PA differences, or Regence Cambia COB workflows. Ours doesn’t reset.
Most billing companies submit claims. They won’t reconcile EOBs against CCO rates, catch credentialing gaps, manage IHS crossover under 42 CFR 136.61, or chase uncollected revenue. TransDontics does all of it.
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 of 98%.
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 |
A Portland practice came to us with an 11% denial rate and a third of A/R past 90 days; commercial Delta Dental enrollment without separate ODS Community Dental CCO credentialing for Health Share, their highest-volume OHP population, denying for months.
Our specialists handle Oregon claims daily knowing every CCO’s credentialing, fee schedule nuances, and timely filing deadlines. National billing companies miss Oregon’s CCO distinctions. We don’t.
Whatever dental insurance your practice accepts, we ensure you get paid. TransDontics’ billing experts navigate the complexities of every major dental insurance network to maximize your revenue.
We handle Oregon claims daily; knowing ODS CCO versus commercial Delta Dental differences, Regence Cambia-specific portal requirements, and Health Share’s tri-county billing precision demands.
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.
Oregon practices carry HIPAA obligations alongside ORS 679, OAR Chapter 818, OAR 818-012-0070 patient records requirements, and OHP CCO documentation standards. TransDontics is independently HIPAA certified and SOC 2 Type II compliant statewide.
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, CCO routing errors, and underpayments, no obligation, no pitch.
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
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. 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.
Denied OHP claims. CCO credentialing gaps. Regence BCBS rejections. IHS crossover claims that never paid. TransDontics recovers it. Most Oregon practices find 5–10% in hidden leakage during the audit. Start there, we review your claims, A/R aging, and denial patterns.
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
