Eligibility & Plan Structure
Eligibility, effective dates, plan type, annual maximums, remaining maximums, deductibles, remaining deductibles, waiting periods and coordination of benefits.
Outsourced dental insurance verification
Dental Insurance Verification for Busy General & Specialty Practices
Give your front office support with the benefit research behind everyday appointments and treatment plans. DentalVerify Pro manually researches maximums, deductibles, frequencies, history and requested procedures, then delivers a detailed PDF. PMS access is optional.
No credit card. No long-term commitment. Business inquiries only—do not submit patient information through this website.
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More than basic eligibility
- Maximums, deductibles and remaining amounts
- Frequencies, limitations and treatment history
- Downgrades and alternate CDT codes
- COB, waiting periods and missing-tooth clauses
- Specialty and code-specific benefits
Comprehensive scope
Benefit details your treatment team can use
We organize the available findings into a consistent breakdown so front-office staff and treatment coordinators can review the information before discussing financial responsibility with the patient.
Coverage & Limitations
Preventive, basic and major coverage; frequencies; age limits; treatment history; replacement provisions; missing-tooth clauses; downgrades and alternate benefits.
Procedure-Specific Research
Requested CDT-code benefits plus available perio, endo, oral-surgery, implant and orthodontic details, including lifetime maximums and work-in-progress provisions.
See the detail before you request a trial
Fictional report preview
A benefit breakdown your team can review
- Remaining annual maximum
- $1,200 — illustrative only
- Crown replacement rule
- 60 months — fictional plan
- Prior placement date
- Unavailable; follow-up needed
- Alternate benefit
- Unconfirmed; flag for payer clarification
Built around your assigned cases
Start with a new-patient breakdown, a restorative treatment plan, limited remaining benefits, periodontal history or dual coverage. We document information that is unavailable or conflicting.
Receive the findings as a PDF without giving us access to your practice-management software. Optional authorized Open Dental or Dentrix entry can be scoped separately.
Specialty workflows
Verification aligned with the treatment being planned
From general dentistry to complex specialty care, choose the benefit research that matches your practice’s cases.
General Dentistry
Preventive, restorative, crown, bridge and periodontal benefits, frequencies, history and remaining amounts.
Pediatric Dentistry
Age limits, fluoride, sealants, space maintainers, frequencies and history.
Orthodontics
Lifetime maximums, remaining benefits, WIP, age limits and payment provisions.
Endodontics
Code-specific coverage, retreatment limitations, history and preauthorization guidance.
Periodontics
SRP frequencies, maintenance interaction, grafting, implants and history.
Oral Surgery & Implants
Medical/dental coordination, implants, missing-tooth clauses and pre-D recommendations.
Open Dental & Dentrix
Optional authorized manual benefit entry after workflow and access are agreed.
Cosmetic & Full-Mouth Treatment
Restorative benefit research, implant provisions, replacement rules and cosmetic exclusions.
Simple workflow
Built to fit your practice
1
Define
We learn your volume, specialty, turnaround needs and preferred PDF or PMS workflow.
2
Onboard
The approved request and information-exchange process is established before patient cases begin.
3
Verify
We manually research the requested plan, limitation, history and code-specific information.
4
Review
Your team receives a structured breakdown with unavailable or conflicting information documented.
Founding practice offer
Evaluate five real patient cases free
Test the accuracy, level of detail and usefulness in your actual workflow before discussing a recurring plan.
Request Your 5 Free Verifications
Do not include patient information in the public inquiry.
FAQ
Common questions
Do you only confirm whether coverage is active?
No. DentalVerify Pro can research eligibility, effective dates, remaining maximums and deductibles, coverage categories, requested CDT codes, frequencies, limitations, history, COB, waiting periods, missing-tooth clauses, downgrades and other available plan details.
Do you need access to our practice-management software?
No. Detailed PDF delivery is available without PMS access. Optional authorized manual entry into Open Dental or Dentrix can be discussed during onboarding when the practice wants it.
Can we request specialty-specific information?
Yes. Verification can be tailored for pediatric, orthodontic, endodontic, periodontal, oral-surgery and implant workflows, including the specialty details relevant to the planned treatment.
Does verification guarantee insurance payment?
No. Verification reflects information available from the payer or approved source at the time of research. Final coverage and payment remain subject to the member's plan and payer claim adjudication.
How does the five-case trial work?
After we learn your workflow and establish the appropriate onboarding process, DentalVerify Pro completes five real patient verifications at no charge so your team can evaluate the accuracy, detail and usability.
Ready to evaluate the detail?
Start with five real patient cases.
Tell us about your verification volume and preferred delivery workflow. Do not include patient information in this public inquiry.