Insurance Verification for Cosmetic & Full-Mouth Treatment
Procedure-aware benefit research for complex restorative and implant cases, organized for your treatment team.
Separate restorative benefits from cosmetic exclusions
Full-mouth treatment can involve multiple procedures and benefit categories. Active coverage does not establish benefits for crowns, bridges, buildups, implants or grafting. Cosmetic or elective components may be excluded even when other restorative procedures have benefits.
We research the requested procedures and reported plan provisions, identify information that could not be confirmed, and flag when a pre-determination may help clarify the payer’s position.
Research the provisions that affect complex cases
- Annual and remaining maximums; deductibles and remaining amounts
- Requested CDT-code benefits and deductible applicability
- Crown and bridge replacement frequencies and available history
- Missing-tooth clauses, waiting periods and replacement provisions
- Downgrades and alternate-benefit or CDT-code findings
- Implant, grafting and related periodontal or endodontic provisions
- Primary and secondary coverage information when assigned
- Unresolved payer responses and pre-D recommendations where appropriate
Structured PDF delivery for your team
Receive a detailed PDF without mandatory PMS access. Authorized PMS entry is optional. Review the fictional report structure and our comprehensive verification service.
Verification does not determine clinical necessity or guarantee coverage, payment, reimbursement or final patient responsibility.
Business information only. Do not send patient information or credentials through this public form or ordinary email. The case-exchange method is agreed before the trial begins.