White Paper

Improving Dental Eligibility and Benefit Verification

Improving Dental Eligibility and Benefit Verification

Eligibility and benefit verification are critical processes in the dental field. Providers must quickly gather this data from payers to give correct coverage information to patients and charge the right amount at the time of service. Unfortunately, providers have struggled tremendously to quickly get this data from payers over the past 20 years. Dental industry lagging in EDI Electronic Data Interchange (EDI) speeds processes like eligibility and benefit verification. However, the dental industry lags in adopting this technology. According to a recent study by Change Healthcare and the American Dental Association, 84% of medical providers used fully electronic processes in 2021 versus 64% of dental providers.

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