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For Open Dental practices

Revenue Cycle: insurance checks and the work with your payers

Revenue Cycle is the Praktend department for insurance and the work between your practice and its payers, with a person approving anything that spends money and your practice setting the rules for anything said in its name. Your team starts an insurance check for one patient or the whole day's schedule, and Praktend returns coverage and benefits from the payer.

Sage

AI assistant

The skills in Revenue Cycle

Insurance Verification

Checks a patient's dental insurance with the payer, for one patient or the whole day's schedule, and returns coverage and benefits in a summary you can download.

Automatic Overnight Insurance Checks

Coming soon

Checks insurance for the next day's schedule overnight, so results are waiting when your team arrives.

Insurance Payment Posting

Coming soon

Matches insurance payments from ERAs to claims and prepares each posting for your admin to approve; your practice's rules suggest how each line is handled.

Claim Follow-up Calls

Coming soon

Calls payers about unpaid claims under your practice's rules, and brings back the claim status.

Prior Authorization Follow-up

Coming soon

Follows up with payers by phone on prior authorizations and reports what they say.

Insurance Verification, live today

Pick one patient or every appointment on the dates you choose. Praktend reads the plan in Open Dental, or matches the carrier name, and asks the payer. Each appointment gets a plain verdict, and where the payer sent no value the summary says “not sent”. Appointments, insurance plans and the ledger in Open Dental are unchanged.

See how Insurance Verification works

Sample data: a day's schedule after an insurance check, with each plan's status, maximum left and deductible.
Sample data A day's schedule after a check: plan status, maximum left and deductible for each appointment.

Connected to Open Dental, with your practice setting the rules

Open Dental

Starting a check is your team's go-ahead for that question to go to the payer.

Questions about Revenue Cycle

Do we need payer IDs?

No. Praktend reads the plan on the patient's record in Open Dental, or matches the carrier name, and asks you to pick from a short list when a name fits more than one payer.

Which insurance plans can it check?

Commercial dental plans. For other plan types, your team checks those the usual way.

Does Praktend change anything in Open Dental?

Insurance Verification does not change appointments, insurance plans or the ledger in Open Dental. An optional Attach to chart button, off unless turned on for your practice, lets an admin add the benefits PDF to a patient's chart. Payment posting is off until it is turned on for your practice. Nothing is posted until an admin at your practice approves it, and your practice's rules suggest how each line is handled.

Does Praktend call patients about balances?

No. Revenue Cycle's calls go only to insurance companies.

On each call to an insurance company it says it is an AI assistant calling for your practice.

Who on our team can run checks?

Your practice's admin can run any check. Other team members can check single patients once your admin gives them access and staff access is turned on for your practice.

See a check run on a sample schedule.

Fifteen minutes, on sample data, with time for your questions.

Book a 15-minute demo

Built into every plan: shared inbox, IT & security, practice knowledge.