Every patient’s insurance, checked the night before the visit.
Meet Vera and Clay.
Vera does verification.
In production at Horizon Dental Care. Every patient’s insurance, checked the night before the visit.
VeraVerification
Reading tomorrow’s schedule
Checking each patient’s plan
Flagged two for a call
Verified
Clay does claims.
In build for Horizon Dental Care. Every claim tracked until it is paid, short-paid or denied.
ClayClaims
Following up a claim
Reading the remittance
Marked paid
Where Vera and Clay work.
In Horizon Dental Care’s own app, built on their database. The agents do the work, and a person approves it.
Verification desk
Tomorrow’s patients, checked overnight, with the few that need a call on top.
Waiting for youTomorrow’s schedule verifiedVera
Two patients need a callVera
Short-paid claim followed upClay
Claim marked paidClay
How Vera and Clay stay organized.
Everything Horizon Dental Care deals in, linked in their own database. The agents answer from these records, not from memory, and every write is checked against them, so nothing gets made up.
Horizon Dental Care
Only the offices they work in
Offices
NamePractice systemTime zone
Their own rowsPatients
NameBirthdateMember IDVerified for
Their own rowsPlans
CarrierGroup numberEmployer
Their own rowsCoverage
OrderSubscriberMember ID
Their own rowsClaims
Service dateBilledPaidPatient owes
Their own rowsPayments
ReferencePaid onAmount per claim
Their own rowsVera and Clay cut what verification and claims cost Horizon Dental Care by a third.
What’s live, and what’s next.
Verification deskTomorrow’s patients, checked overnight, with the few that need a call on top.Live
Insurance verificationActive plan, coverage and what is left of the year’s maximum, before the patient arrives.Live
Claims follow-upEvery claim tracked until it is paid, short-paid or denied.In build
Payment postingEach remittance posted line by line to the patient’s ledger.Next