Real-time dental eligibility

Know what’s covered
before they sit down.

Manual verification eats 10–20 minutes a patient and still misses exclusions. Eligible answers in two seconds — deductible, annual max, frequency limits, waiting periods — synced straight into Open Dental.

MH
M. HarlanDelta Dental PPO
1.83s
Delta Dental PPO — Plan BActive
$37
Deductible left
Annual max used$1,250 / $2,000
Preventive 100% · Basic 80% · Major 50%
D2740Crown, porcelain1 per 5yr — last 2023Covered 50%
D9972External bleachingCosmetic — not coveredExcluded
1.83 seconds.Your last one took 14 minutes.

Live demo · re-runs every 8 seconds · press Verify

The cost of not knowing

Verification you skip becomes a write-off you eat.

14 min
average manual verification, per patient, on hold with a carrier
1 in 5
claims denied for eligibility errors that a lookup would have caught
$212
average write-off per surprise denial once the patient has left the chair
The four answers

Not “eligible: yes.”

The actual answer, per procedure — with the catch printed in the same size as the promise. Four states are the entire language: covered, the plan’s own numbers, covered, but…, and excluded. You’ll see them identically in every screen.

CoveredPlan numbersCovered, but…Excluded
Benefits summaryVerified 1.79s
D1110 · Prophylaxis
Adult cleaning · 2 per benefit year
Covered 100%
Deductible
Individual · applies to basic & major
$37 remaining
D2740 · Crown, porcelain
Freq limit: 1 per 5yr — last paid 2023
Covered 50%
D9972 · External bleaching
Cosmetic — not a covered benefit
Excluded
Chairside flow

By the time they’ve hung up their coat, you’re quoting real numbers.

Step 010.0s
Card captured
Check-in kiosk scans the insurance card at the front desk.
Step 021.8s
Lookup fires
The request travels the wire; the pulse is the only loading state.
Step 032.1s
Summary on screen
Front desk sees benefits plus treatment-plan costs, per procedure.
Step 04done
Estimate signed
Patient signs a real number — no “I thought insurance covered it.”
For Open Dental

A bolt-on that writes back.

Deductible, max, and coinsurance land in the patient record. Claims pre-fill. Mismatches flag before submission — so a bad claim never leaves the building.

  • Benefits written straight to the patient’s Open Dental record.
  • Claims pre-filled with verified coverage and remaining deductible.
  • Mismatches flagged before submission, not after the EOB.

Read-only until you say otherwise.

Open Dental · Patient · Insurance Plan
SubscriberHarlan, Marcus D.
CarrierDelta Dental of Ohio
Deductible met$13.00 / $50.00
Annual max$1,250 / $2,000
Coinsurance · major50%
Crown freq.1 / 5yr · last 2023-04
Written 09:14:02 · source: Eligible · read-only
The feedback loop

The EOB said no. The lookup said yes.

Eligible catches the difference, updates the plan record, and tells you which carrier is drifting — before it costs you the next ten claims.

Lookup · 04-02
D2740 Crown #14Covered 50%
Freq limit1 / 5yr · clear
PredeterminationNot required
Est. plan pays$590.00
EOB · 05-19
D2740 Crown #14Denied
ReasonFreq · paid 2023-11
Plan recordCorrected →
Carrier driftFlagged

Carrier drift · this quarter

Mismatch rate vs. lookups
CarrierLookupsMismatchesTrend
Delta Dental PPO1,20418 (1.5%)▲ 0.6%
Cigna DPPO6124 (0.7%)▼ 0.3%
MetLife PDP48911 (2.2%)▲ 1.1%
Aetna PPO3772 (0.5%)▼ 0.2%
Pricing

Priced like a verification, not a platform.

Per-lookup
35¢ / verification

No base fee. For small practices that just want the number, on demand.

  • Full benefits breakdown
  • Frequency & waiting-period flags
  • Pay only for what you run
Start looking up
Most practicesPractice
$399 / mo

Unlimited lookups for a single location, fully wired into your day.

  • Unlimited verifications
  • Open Dental sync + kiosk
  • Monthly re-verification
Start free trial
DSO
Custom

Multi-location groups that need the analytics behind the drift table.

  • Multi-location rollup
  • API access
  • Claim-feedback analytics
Talk to us

One prevented write-off ≈ 600 lookups.

“My front desk stopped calling carriers. I didn’t believe them until I watched the phone logs.”

Dr. A. Osei, DDS · 7 operatories · Columbus

Two seconds. Every patient. Every time.

Run a live check