AutoEligibility: Automated, Fast, Accurate, and Scalable
Thirty minutes on the phone. Five different portals. Patients waiting at the front desk. That’s eligibility today.
Did you know insurance verification is the number one cause of delayed payments, claim denials, and costly rework? It’s one of the biggest pain points for dental support organizations (DSOs) and dental groups. Teams spend hours toggling between portals, waiting on hold, and manually entering data, only to face denials caused by incomplete or outdated information.
The result? Frustrated patients, delayed collections, and administrative burnout. AutoEligibility changes that.
Designed for DSOs and dental groups, AutoEligibility brings real-time coverage details directly into Denticon, replacing manual checks with a single automated process. From check-in to claim submission, AutoEligibility fuels faster collections, cleaner claims, and better patient experiences. Here’s how.
What Is AutoEligibility?
AutoEligibility eliminates the need for carrier phone calls and portal logins by automatically retrieving real-time, standardized eligibility and coverage details directly from the carrier and displaying them inside Denticon.
The solution provides visibility into deductibles, waiting periods, frequency limits, and Medicaid details, all within Denticon’s workflow. By standardizing plan data at the source, AutoEligibility reduces inconsistencies that can lead to billing errors and rework.
The result is a more efficient, accurate, and scalable approach to eligibility verification that allows teams to focus on patient care rather than administrative tasks—a system built to handle enterprise at scale.
Get a closer look at AutoEligibility in action:
How Does AutoEligibility Work?
AutoEligibility leverages DentalXChange’s Eligibility AI platform to collect detailed coverage information directly from carrier websites. The data is automatically categorized by specialty code, standardized for accuracy, and written back into Denticon’s insurance plan tables.
That means eligibility updates are always current; updating plan information takes just a few clicks. Instead of jumping between portals or retyping data, teams can view complete eligibility details directly within Denticon’s workflow.
This automation not only reduces time spent on verification but also improves data integrity across every practice location, helping DSOs and dental groups maintain consistent processes and reliable financial data.
“Eligibility verification is one of the biggest causes of lost revenue and wasted time in dentistry. AutoEligibility eliminates that friction by automating verification across every location, every patient, every day. It’s faster, smarter, and far more accurate, helping practices protect cash flow, and focus on care, not paperwork.” —Eric Giesecke, CEO of Planet DDS
What Are Some Common Challenges in Eligibility Verification?
With nearly 24% of dental administrative tasks tied to eligibility and benefit checks, it’s easy to see why teams struggle to keep up with verification. Manual eligibility checks waste hours, drain staff resources, and increase the likelihood of billing errors.
AutoEligibility eliminates those pain points by automating verification and standardizing coverage data across every location. Resolve common issues like:
1. Time drained at the front desk
Manual portal checks can take up to thirty minutes per patient, often creating bottlenecks during check-in. AutoEligibility retrieves and updates eligibility details in seconds, allowing front-desk staff to move quickly and keep patients informed without delay.
2. High administrative turnover
Roughly 30% of administrative staff leave their positions each year, often due to burnout caused by repetitive manual work such as checking insurance eligibility.
3. Inaccurate data and frustrated patients
When staff rely on outdated or incomplete coverage data, the other consequence is that patients can be surprised by unexpected charges. AutoEligibility surfaces detailed, real-time information—including deductibles, waiting periods, and frequency limits—so patients get accurate cost estimates upfront.
4. Collections delayed by the denial cycle
Eligibility errors cause a large portion of claim denials in dental billing. Inaccurate or incomplete claims require rework and delays.
5. Tough to scale across locations
As DSOs and dental groups grow, manual processes become harder to manage. Inefficiencies and delays that can seem manageable on a per location basis compound, limiting multi-location organization’s ability to grow and scale.
How Does AutoEligibility Improve Daily Operations?
Automating verification can recover four to six hours per office each day, freeing teams from tedious data entry and portal logins. AutoEligibility transforms how DSOs and dental groups manage coverage verification by automating one of the most time-consuming administrative steps.
Instead of spending hours collecting information from multiple carriers, teams gain immediate access to complete, standardized data directly within Denticon by:
1. Streamlining daily operations
Automated eligibility checks run continuously within Denticon, reducing manual effort and freeing staff to focus on patient-facing tasks.
2. Enhancing data accuracy
Information pulled directly from carrier websites is standardized and written into Denticon’s insurance plan tables, minimizing manual entry errors and ensuring up-to-date coverage details.
3. Ensuring consistent processes
Centralized verification keeps every location aligned, helping DSOs maintain standardized procedures and performance across teams.
4. Supporting financial workflows
Accurate eligibility data feeds directly into billing and collections processes, allowing teams to manage claims more efficiently and prevent downstream errors.
5. Accelerating revenue cycle management
With reliable eligibility data available before appointments, claims move through processing faster, reducing denials, improving reimbursement timelines, and creating a more efficient workflow across departments.
6. Improving team efficiency and collaboration
With accurate data available in real time, staff can coordinate more effectively across roles—from front desk to billing—solving communication gaps and improving overall productivity.
AutoEligibility replaces uncertainty with structure, giving organizations a repeatable, scalable process that eliminates bottlenecks from eligibility checks.
What Are the Top Benefits for Users and Patients?
An estimated 84% of insured dental patients say price transparency is extremely or very important when choosing a provider. AutoEligibility helps deliver measurable results across every part of the workflow, from front-desk operations to patient experience.
The result is a faster, more reliable process that supports both staff efficiency and patient satisfaction. With AutoEligbility, you can:
1. Save time across every location.
Manual eligibility checks can take up to half an hour per patient. AutoEligibility replaces that with instant, automated results directly inside Denticon. Teams can focus on patients rather than phone calls, while leadership gains visibility into efficiency improvements enterprise-wide.
2. Reduce denials with complete coverage data.
Incomplete eligibility data is a leading cause of claim rejections. AutoEligibility retrieves detailed carrier information—not just “yes” or “no”—and standardizes it for accuracy. Fewer errors mean fewer write-offs, faster reimbursements, and a more seamless patient billing experience. By syncing eligibility checks effortlessly, teams can stop denials before they start.
3. Accelerate front-desk operations.
Busy check-ins shouldn’t lead to bottlenecks. With eligibility results available in seconds, staff can confirm coverage, provide cost estimates, and move patients through quickly. The result is shorter wait times and a smoother experience for both teams and patients.
4. Improve financial visibility.
Accurate eligibility data allows teams to manage claims and collections with greater predictability, ensuring smoother billing for patients and fewer payment delays.
5. Maintain consistency at scale.
DSOs and dental groups need standardized workflows across every location. AutoEligibility ensures plan updates and verification processes follow the same reliable structure organization-wide, improving the experience for both staff and patients through greater consistency and fewer administrative disruptions.
6. Build trust through accurate estimates.
Accurate coverage data leads to transparent conversations. Patients understand their benefits and costs before treatment begins, leading to fewer billing disputes, higher case acceptance, and stronger long-term trust.
Strengthen Your Revenue Cycle with AutoEligibility
For DSOs and dental groups, eligibility accuracy is central to maintaining efficiency and financial performance. AutoEligibility automates one of the most time-consuming steps in the revenue cycle, turning manual work into a process that’s accurate, repeatable, and fast.
Experience how AutoEligibility automates eligibility management, helping your teams achieve faster workflows, cleaner claims, and better patient outcomes. Contact us today to learn more.
