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Eligibility & Claims Processing Suite

Simplify insurance claims and eligibility checks with a solution that reduces administrative burden, expedites payments, and improves patient treatment acceptance.

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Let the Numbers Speak

1,300+

Payors we work with to streamline eligibility verification and claims processing.

110 million

Dental insurance claims are processed by Henry Schein One each year.

155 million

Beneficiaries who receive clear, upfront eligibility information through Henry Schein One.

What’s Included?

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Effortless insurance eligibility verification

Eliminate hours spent calling payors and logging into portals with instant eligibility and benefits information for upcoming appointments written directly to coverage tables.

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Automatic coding and attachments

Never forget to bill for an x-ray again. Embedded imaging is connected to your claim submission workflow, so every image is accurately coded and automatically added to the correct claim.

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Confidence to get paid from the first claim

Stop reworking rejected claims and send clean claims on the first submission. We validate your claims, flagging required documentation before you send it. Images are auto-coded as they’re taken, so your back office isn’t left guessing.

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Claims and attachments for every payor

Easily attach images, charts and narratives to your claims in the same workflow. We’ll even print and mail claims that can’t be processed electronically for you, at no additional cost.

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ERAs expedite payment and reconciliation

Stop waiting weeks to bill the patient. Efficiently manage rejected claims with electronic explanations of benefits (EOBs), or electronic remittance advice (ERAs). Easily pinpoint rejection reasons to correct information and resubmit. 

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All the data you need, in one place

Monitor submitted claims and access information for adjudications with a real time dashboard. Eliminate the need to log into third-party dashboards, downloading and uploading claims, and entering information into multiple systems.

Suite Requirements

Simplifying your eligibility checks begins with being on an up-to-date version of Dentrix or Dentrix Ascend. 

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What Customers are Saying

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Kristin Rose Office Manager & Hygienist, Sydney D. Kelly, DMD
When you're dealing with insurance day in and day out, there's nothing easier than being able to have a system all-inclusive with what you're utilizing already as your platform. Being able to add attachments, X-rays, put in any other needed forms for insurance claims, it makes the process very easy
Amy Kaminski Business Manager, Dawson Family Dentistry
Eligibility Pro has cut patient processing time in half. Hygienists can check coverage instantly, and the confidence it brings has transformed our workflow. Returning to the old solution could cost me an employee!
Paige Lilley Office Manager
Before I started working at this office, they were not using Dentrix claims, and the process was cheaper but took longer. Now, we save money because we save time, and that time is way more valuable spent on other tasks.

Contact Us to Get Started

Reduce time to payment, get paid from the first claim submission, increase treatment acceptance rates, and do it all without leaving your practice management system. That’s how you retain staff, delight patients, and grow your practice.

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Bye-Bye Headaches: Say Hello to Automated Eligibility Bliss!

Automating your practice’s eligibility workflow can lead to time savings and a boost in revenue.
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Ethos Dental Group Sees a 40% Decrease in Insurance Verification Time with Eligibility Pro

Eligibility Pro has transformed insurance verification for the entire staff at Ethos Dental Group. The practice’s insurance coordinator can now just click on the patient information, verify it matches with what’s in the system, and move onto the next patient. Eligibility Pro provides more information in real time and is easier to read because everything is formatted the same way, regardless of insurance company.
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Infographic

The Real Cost of Your Current Eligibility Process

According to a Henry Schein One survey, 56% of respondents said getting insurance claims paid is a bigger issue than staff retention – and with good reason.

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