Dental Insurance Verification & Eligibility

Dental Insurance Verification

Accurate eligibility and benefits breakdown delivered proactively, ahead of time.

  • Real-Time Eligibility Checks
  • Accurate Benefits Breakdown
  • Reduced Front-Office Workload
  • Improved Patient Experience & Financial Transparency

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What We Do:

Verify Insurance Coverage

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Confirm Eligibility

Identify Covered Services

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Avoid Claim Denials

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Accurate Patient Estimates

Streamline Eligibility Verification and Benefits Breakdown

We verify patient coverage in real-time before the date of service to ensure active policies, group numbers, and coverage status are all up-to-date, avoiding delays and last-minute surprises.

We provide a complete breakdown of patient benefits—including frequencies, limitations, waiting periods, annual maximums, and deductibles—so you can confidently plan treatments and estimate costs.

Our verification process checks for Coordination of Benefits (COB) issues in advance, helping prevent claim rejections due to outdated or conflicting insurance hierarchy information.

We assess how much of the patient’s benefits have already been used in the current plan year to avoid exceeding coverage limits and reduce the risk of denials for exhausted benefits.

By outsourcing insurance verification, your front desk team saves hours of manual calls and portal checks—reducing staff burnout and allowing more focus on patient care.

We follow strict HIPAA protocols to safeguard patient information at every step of the billing cycle. All data handling, communication, and claim processing are done securely to ensure full regulatory compliance.

Accurate insurance verification is the first step toward reliable revenue. At Horizon Healthcare Solutions, we provide detailed eligibility checks and benefits breakdowns before the patient even walks in. This proactive approach prevents billing surprises, reduces denials, and builds trust with your patients.

We verify everything—from active policy status and annual maximums to waiting periods, frequencies, and exclusions. Our team ensures your front office is equipped with accurate financial information, helping you present clear out-of-pocket estimates and get necessary pre-approvals on time.

Our streamlined process cuts down administrative workload and enhances billing accuracy. We stay up to date with payer rules, COB protocols, and plan-specific nuances so your claims are approved the first time. With Horizon, you eliminate guesswork and improve both your collections and patient experience.

How Horizon Healthcare Solutions Manages
insurance breakdown for dental offices?

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At Horizon Healthcare Solutions, our team meticulously verifies key insurance details—coverage, co-pays, deductibles, maximums, and waiting periods—to ensure claim accuracy from the start.

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We confirm insurance plan specifics before treatment begins, allowing your office to provide accurate cost estimates, prevent billing surprises, and ensure a seamless patient experience.

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Our specialists handle timely claim submission and tracking, working to reduce denials and delays while maximizing your practice’s revenue potential.

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We offer tailored insights and periodic reports to help dental practices better understand insurance trends and improve billing efficiency over time.

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To support your front office, we deliver detailed benefit breakdowns—empowering your team to answer patient questions with clarity and confidence.

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Horizon provides a comprehensive insurance breakdown form to help you document and reference each patient’s benefits with ease—reducing billing errors and administrative burden.

Focus on Patient Care While We Handle Insurance Accuracy

Focus on Patient Care While We Handle Insurance Accuracy

At Horizon Healthcare Solutions, we ensure accurate eligibility verification and benefits breakdowns before treatment begins. This reduces claim errors and helps your team understand financial responsibilities upfront.

Our services minimize administrative workload so you can focus on delivering quality care. By verifying key details like coverage, co-pays, and deductibles, we help lower denials and billing mistakes.

Patients receive clear information about their out-of-pocket costs, enhancing transparency and satisfaction. With fewer surprises and faster reimbursements, your practice benefits from improved cash flow and operational efficiency.

How We Add Value to Your Practice

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Up to 50% Cost Savings
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Clean Claim Submission Rate
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Reduction in Accounts Receivable
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Boost in Cash Flow
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Reduction in Denial Rates

Redefining Industry Excellence

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HIPAA Compliant

Our commitment to HIPAA compliance ensures the highest standards of data security and patient confidentiality. We implement robust safeguards to protect sensitive information, allowing healthcare providers to focus on delivering exceptional patient care.

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Proven Results and Cost Efficiency

Our expert billing solutions deliver up to 50% cost savings with higher claim acceptance rates, driving reliable revenue growth for dental practices.
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Customized, Client-Centric Approach

Tailored to the unique needs of each practice, we enhance efficiency, streamline processes, and boost patient satisfaction through targeted billing and RCM solutions.
Committed to Your Success

Committed to Your Success

Our greatest satisfaction is helping a client increase their revenue, decrease expenses and bring their AR under control, and we celebrate these successes daily.

Comprehensive Claims Reviews

Regularly conducted assessments of denied claims to pinpoint submission errors and enhance future claim accuracy.

Ease and Simplicity

Our services integrate with your existing software and in-house team to ensure efficient and profit-focused processes.

Reliable Support, When You Need It

Our dedicated team is available to assist you during convenient hours and ensures prompt responses to your inquiries by phone, email or chat.

Get started with Horizon Healthcare Solutions today

Elevate your revenue cycle management to new heights.

Connect with us today and see how our expertise can drive growth and efficiency for your practice!

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