We submit insurance claims, post the payments that come back, work the denials, and follow up on claims that have not been paid. The same team handles all four parts. For individual practices and DSOs.
Insurance billing is everything between the appointment and the payment: submitting the claim, posting what the carrier pays, working what it denies, and chasing what sits unpaid. We do all four inside your own practice management software, and the same team handles every step — no handoff between a submissions person, a posting person, and a denials person on your account.
We submit claims to the carriers with the attachments and narratives those carriers need. Some procedures have specific documentation requirements, like pre-op X-rays for crowns or periodontal charting for SRP. Those go in with the original submission rather than being added later after a denial.
When the EOB comes back, we post the payment to the right patient and the right procedure in your practice management software. PPO write-offs are adjusted to the contracted fee schedule. When a payment splits between primary and secondary, the split is reconciled at posting.
When a claim is denied, we read the EOB, figure out why, and decide what to do. Some denials are fixable with a corrected claim. Some are worth an appeal. Some are not recoverable, and your practice needs to know that. We make the call based on the EOB reason, the documentation, and the appeal window.
Some claims do not pay quickly. The longer a claim sits, the more work it takes to recover. We watch for claims that have not been paid and follow up with the carrier. When a claim is past the appeal window, recovery rates drop, and we tell you which old claims are still worth chasing and which are not.
The same U.S.-based billers work your account every week, in a shared workspace with your practice. Daily summaries, claim status, and every conversation with your biller are all in one place.
Dental Biller · Tampa, FL
Nearly 10 years in dentistry, front office and billing, now focused on revenue cycle work.
“I love the detective work behind dental billing. Digging into why claims deny and getting them paid is my favorite part of what I do.”Meet the whole team
“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.”
We charge 3.50% of monthly insurance collections up to $100,000, 3.00% on the next $50,000, and 2.50% on everything above $150,000. Practices collecting under $40,000 a month pay a flat $1,400. The tiers are graduated, so each rate applies only to the collections inside its band.
You pay on what we collect, not on what we bill out. There is no onboarding fee, no per-claim fee, and no minimum commitment, and the agreement is month-to-month.
Full pricing for all four services is on the pricing page. See how we charge →
3.50% of monthly insurance collections up to $100,000, 3.00% on the next $50,000, and 2.50% above $150,000. Practices collecting under $40,000 a month pay a flat $1,400. The tiers are graduated, so each rate applies only to the collections inside its band, and you pay on what we collect rather than on what we bill out. There is no onboarding fee and no minimum commitment.
No. You keep your practice management software and your data. Payments are posted there, reports are pulled from there, and your team keeps the same record they already use.
We submit electronically by default, through the major clearinghouses. A small number of carriers still require paper for specific claim types or attachments. Where that is the case, we send paper without making it a back-and-forth between offices.
Attachments and narratives are flagged at submission, not added later after a denial. The reason claim denials get worse over time is that supporting documentation goes in late. We send it the first time so the claim has a chance to get paid on the first pass.
A corrected claim fixes a clerical or coding error and resubmits within the original claim window. An appeal challenges a denial that the carrier issued on the merits. We choose between the two based on the EOB reason and the supporting record. Some carriers require specific forms or wording for appeals. We use the right one.
You do. When a claim has been sitting unpaid for a long time, we look at the appeal window, the documentation, and the carrier history, and then we tell you which claims are still worth chasing and which are not. The decision to write off stays with your practice.
Yes. Posted payments are visible in your PMS. Aging reports and collections summaries go to your inbox. You should be able to see the state of the receivable at any time, not only when we send a report.
Verification before the appointment makes the claims cleaner so fewer denials come back. AR cleanup is a separate one-time project for receivables that have already gotten old.
Day-before benefit checks so the claims that go out are cleaner from the start.
Insurance verification →Statements branded as your practice for the balance left after insurance pays.
Patient billing →A one-time project on aged AR, for claims and balances that have been sitting unpaid.
AR cleanup project →Everything we do, on one page. Pricing posture included.
All services →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