22 min
Front desk staff spent 4+ hours daily on hold with insurance companies verifying oral appliance therapy (OAT) coverage. Each call averaged 22 minutes of hold time, and information was often incomplete.
Cutting 20 Hours/Week of Insurance Verification
A real-time eligibility engine that verifies insurance coverage in 12 seconds.
Get StartedAbout the Project
The engine verifies coverage in seconds at registration, cutting eligibility denials from 30% to 4%.
Industry
Healthcare / Dental Sleep Medicine
Oral appliance therapy for sleep apnea, billed across both medical and dental plans.
Business Type
Solo Practice
A Florida solo practitioner with one staff member dedicated to insurance calls.
Core Offering
Insurance Eligibility Verification
Real-time coverage checks in 12 seconds, down from 35 minutes per patient.
Coverage Intelligence
What the engine reads off a plan
OAT-specific benefits surface upfront instead of being discovered after treatment.
Integrations
Wired Into the Front Desk
Eligibility badges on the patient dashboard and case view, with alerts before appointments.
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Talk to our experts
Scope your own real-time eligibility engine with our healthcare billing team.
The Challenge: On Hold, Then Denied
Hours on hold caused denials and treatment delays.
2+ weeks
Verification delays pushed treatment start dates out by 2+ weeks. Patients ready to begin therapy were stuck waiting, and many lost motivation or sought care elsewhere.
$95K
30% of claims were denied due to eligibility issues discovered after treatment had already begun, with annual losses from post-treatment denials exceeding $95K.
Verify eligibility in seconds.
Eliminate surprise denials.
Start treatment on day one.
Talk to Our Team
Our Solution
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Automated Intake & Card Scanning
Automated Intake & Card Scanning
- Insurance cards scanned to populate plan details
- Real-time eligibility verification at intake
- Deductibles, copays, and OAT-specific benefits
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Smart Coverage Analysis
Smart Coverage Analysis
- Suggests the optimal billing pathway per payer
- Flags patients with no OAT coverage upfront
- Plan comparison for dual-coverage patients
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Workflow Integration
Workflow Integration
- Eligibility badge on the dashboard and case view
- Prior authorization requirements surfaced upfront
- Batch eligibility checks for the day's schedule
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Proactive Denial Prevention
Proactive Denial Prevention
- Pre-treatment confirmation stops post-service denials
- Coverage expiration alerts before appointments
- Auto re-verification on long treatment plans
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Reporting & Payer Insights
Reporting & Payer Insights
- Verification volume and failure reasons tracked per payer
- Coverage-denial patterns surfaced before planning
- Staff time saved measured against the manual baseline
Why They Chose Us
A system built for dental sleep billing: OAT benefits, cross-coding, and prior authorization rules.
OAT-Specific Coverage Intelligence
The engine reads oral appliance therapy coverage, not generic benefits.
OCR Card Scanning
Cards scanned and parsed instantly, so entry errors stop causing rejections.
Batch Verification
The whole schedule batch-verifies in one click before patients arrive.
Payer Optimization
For dual coverage, it recommends the pathway that pays best.
The Results
Every number below was measured in production after launch — not projected in a pitch deck.
20hrs→<1hr
Weekly Insurance Call Time — Staff reassigned to patient care
12sec
Verification Time Per Patient — Down from 35 minutes
4%
Eligibility-Based Denials — Down from 30%
$87K
Annual Savings from Prevented Denials — $95K→$8K in losses
Global presence
