Claire L.
Dental Biller · Richmond, VA
Twenty years in dentistry, ten as an office manager, the last few as a remote revenue cycle specialist.
Meet the whole team01 · Insurance Verification
Dental insurance verification.
We check what each scheduled patient's dental insurance will cover. The information goes on the patient's chart in your practice management software so the front desk can see it at check-in. For individual practices and DSOs.
- Every scheduled patient, every day
- Full benefit breakdowns on the chart
- Problems flagged before the patient arrives
- $0
- Onboarding fee
- 0
- Long-term contracts. Month-to-month.
- 100%
- U.S.-based verification team
- Daily
- Every scheduled patient checked
What we do
Every patient verified before they sit down.
Insurance verification is finding out, before the appointment, what the patient's plan will cover and what the patient will owe. Without it the front desk is guessing — and guessing wrong means a surprise bill weeks later, or a copay that never gets collected. We verify every patient on your schedule, every day.
- Step 1
Check every scheduled patient
Every day, we work tomorrow's schedule. For each patient we confirm active coverage, the plan, and network status. If a basic eligibility confirmation is enough — a recall on a familiar patient with no surprises expected — we do that and move on.
- Step 2
Pull the full breakdown when it matters
For a new patient, a complex treatment plan, or secondary coverage, we pull the full benefit breakdown: the deductible, the annual maximum remaining, frequency limits, missing tooth and replacement clauses, waiting periods, and the downgrade rules that apply to the codes on the schedule.
- Step 3
Put it on the chart in your PMS
The result goes on the patient's chart in your practice management software, in the place your front desk already looks. No separate portal, no retyping. The front desk sees what the patient will owe before quoting a number.
- Step 4
Flag problems before the patient arrives
A terminated plan, an unreachable carrier, a verification still waiting on a payer call — whatever cannot be finished in time gets flagged on the schedule, so the front desk knows before check-in instead of finding out at the desk.
The team
The people who verify your patients.
The same U.S.-based billers work your schedule every day, in a shared workspace with your practice. Daily summaries, verification status, and every conversation with your biller are all in one place.
“Clear handles our verification, claims, and continuation billing, and they follow up on anything that doesn't pay. Nothing slips between visits anymore, and my team always knows who to reach.”
Dr. Anish GalaOwner, RuCo Orthodontics · Smyrna, TN
How the handoff works
What we need from your office, and what you get back.
From your office
- Access to the schedule in your PMS
- Insurance card images for new patients
Back on the chart
- Benefit information attached to each patient's chart
- Notes on exceptions the front desk should know about before check-in
How pricing works
Priced per patient. No monthly base fee.
A full coverage breakdown is $8.00 per patient. An ortho full breakdown is $6.00. A basic breakdown is $2.50. A failed or partial check is $1.00. Expedited verification, on less than two business days' notice, adds $2.00 per patient.
You pay for the checks you request and nothing else. There is no onboarding fee, no monthly base fee, and no minimum volume, so a quiet month costs you nothing.
Full pricing for all four services is on the pricing page. See how we charge →
Common questions
Questions practice owners ask first.
What is the difference between basic eligibility and a full benefit breakdown?
Eligibility is a yes-or-no answer. It tells you whether the patient is currently covered, by which plan, and whether the plan is active. A full breakdown adds the details. It covers the deductible, the annual maximum remaining, frequency limits on cleanings and X-rays, missing tooth and replacement clauses, waiting periods, and the downgrade rules that apply to the procedures on the schedule. Eligibility is fine for a recall on a familiar patient. A full breakdown matters for a new patient, a complex treatment plan, or anyone with secondary coverage.
Do you handle patients with primary and secondary coverage?
Yes. We pull both plans, work through the coordination-of-benefits rules, and note non-duplication, COB-takeover, and birthday-rule cases. The chart shows what each plan is expected to pay, so the front desk does not quote the patient the wrong number.
Which practice management systems do you support?
Open Dental, Dentrix, and Eaglesoft. We work in your existing PMS and put the verification on the patient's chart there, so the front desk and clinical team see the same record they always have.
What if a payer portal is down or a carrier will not respond?
We try the clearinghouse, the payer portal, and the phone in turn. Most carriers respond to at least one of the three. If a verification cannot be completed in time, we flag it on the schedule so the front desk knows in advance.
Where does the verification end up?
It is attached to the patient's chart in your PMS, in the place your front desk already looks. We do not ask the office to log into a separate portal to see it.
Where this fits
Verification is the front of the billing cycle.
The cleaner the verification, the cleaner the claim that goes out, and the fewer denials come back. The other three services pick up where verification leaves off.
Service
Insurance Billing
After verification, the next part of the cycle is sending the claim and dealing with what comes back.
Insurance billing →Service
Patient Billing
Statements branded as your practice for the balance left after insurance pays.
Patient billing →Service
AR Cleanup
A one-time project on aged AR, for claims and balances that have been sitting unpaid.
AR cleanup project →Everything
All Services
Everything we do, on one page. Pricing posture included.
All services →Book a 30-minute call.
Tell us about your practice and the problems you're looking to solve. We'll review everything and see how we can help. Pick a time that works for you.
Prefer email? hello@cleardentalbilling.com