Comprehensive Dental Billing & Revenue Cycle Management
Accurex RCM provides end-to-end dental billing and revenue cycle support for dental practices and specialists. From eligibility verification and CDT coding to claim submission, AR management, and denial resolution — we handle the complexity so your team can focus on patient care.
Dental Billing Services We Provide
From patient eligibility through final payment, we support every stage of the dental revenue cycle with precision and transparency.
Dental Eligibility Verification
Proactive verification of patient dental insurance coverage and plan details before appointments.
Benefits Verification
Detailed review of dental benefits including annual maximums, deductibles, covered procedures, and waiting periods.
Pre-Authorization / Pre-Determination
Support for obtaining pre-authorizations and pre-determinations required by dental payers before treatment.
Dental Claim Creation
Preparation of accurate, complete dental claims using current CDT codes and payer-specific requirements.
Electronic Claim Submission
Timely electronic submission of dental claims through dental clearinghouses and payer portals.
CDT Code Review
Expert review and application of current CDT codes to support proper claim adjudication and reimbursement.
Claim Scrubbing
Systematic review of claims before submission to identify and correct potential errors.
Dental Payment Posting
Accurate posting of dental insurance payments, adjustments, and patient payments with proper reconciliation.
EOB / ERA Processing
Systematic processing and reconciliation of Explanations of Benefits and Electronic Remittance Advice.
Dental AR Management
Systematic follow-up on outstanding dental insurance and patient balances across all aging buckets.
Dental Denial Management
Investigation, correction, and resubmission of denied dental claims with root-cause analysis.
Appeals Support
Preparation and submission of formal dental claim appeals with supporting clinical documentation.
Rejected Claim Management
Rapid identification and resolution of rejected claims to minimize resubmission timelines.
Secondary Claims & COB
Processing of secondary dental claims and coordination of benefits between multiple payers.
Patient Balance Management
Professional patient-facing billing support and balance resolution assistance.
Dental Credentialing Support
Provider enrollment and credentialing support for participating in dental insurance networks.
Insurance Follow-Up
Persistent follow-up with dental payers on pending, processing, or stalled claims.
Financial Reporting & Analytics
Transparent reporting on dental billing performance, collections, and AR aging trends.
Dental Specialties & Procedures We Support
Our dental billing team has experience across the full spectrum of dental specialties and procedures, each with their own coding nuances and payer requirements.
Dental Specialties
Dental Procedures & Services
Dental Billing Challenges We Help Address
Dental billing involves CDT-specific coding, frequency limitations, and payer-specific rules. Our team is equipped to navigate these complexities on your behalf.
Talk to a SpecialistComplex CDT Coding
Dental billing requires precise use of CDT codes that are updated annually, with payer-specific variations that increase the risk of errors and claim denials.
Payer-Specific Requirements
Each dental payer has unique documentation requirements, frequency limitations, and bundling rules that must be carefully navigated for successful reimbursement.
Missing Pre-Authorizations
Failure to obtain required pre-determinations or pre-authorizations frequently results in costly claim denials and delayed payments.
Claim Rejections
Incomplete patient information, eligibility mismatches, and coding errors create unnecessary claim rejections that delay revenue.
High Denial Rates
Dental claims are denied at elevated rates due to frequency limitations, waiting period violations, and plan exclusions.
Aging AR
Unworked dental accounts receivable grow quickly without systematic follow-up, reducing collectible balances over time.
Underpayments
Payments below the allowed amounts may go undetected without systematic fee schedule and EOB reconciliation.
Secondary Claim Complexity
Coordinating benefits between primary and secondary dental payers adds significant administrative complexity to the billing workflow.
Credentialing Gaps
Expired or incomplete provider credentialing prevents proper claim submission and disrupts reimbursement flow.
Ready to Optimize Your Dental Practice's Revenue Cycle?
Talk with Accurex RCM about the dental billing support your practice needs to streamline claims, reduce denials, and improve financial performance.
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Home Health Billing
Specialized billing for home health agencies.
Professional Billing
Revenue cycle for physician practices.
Laboratory Billing
Billing support for clinical and diagnostic laboratories.
Medical Coding
Certified coding expertise across specialties.
Denial Management
Root-cause denial resolution and prevention.