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Dental billing services at 1.5% of insurance collections

Eligibility Hub handles dental insurance billing: dental claims (837D) checked before they are sent, electronic predeterminations matched to the treatment plan, ERA and EOB posting with a verified worksheet for practice-management systems we can only read, and denials worked to a decision. The full service costs 1.5% of insurance collections, meaning payments received from payers.

A dentist reads a tablet beside a dental chair

The short version

Service fee
1.5% of insurance collections, meaning payments received from payers. Patient payments are not included.
Credentialing
Available. Delivered by our credentialing team. $99 per payer application (one provider, one payer), billed separately from the 1.5% service fee.
Claim type
Dental claims (837D)
Dental eligibility
Coverage checks today. Frequencies and history wait on a dental clearinghouse connection in progress.

What is different for dental

Dental plans ask for different things, and many dental systems are read-only to outside billers.

  • Predeterminations

    Sent electronically as dental claims flagged for predetermination. Returned estimates are matched to the treatment plan.

  • Dental claims (837D)

    Checked for payer ID, frequency code and NPIs before sending. Sending is idempotent, so a claim is never billed twice.

  • Posting worksheet

    Where we can only read your practice-management system, we prepare a verified posting worksheet for your team to enter.

  • Benefits detail

    Coverage checks run today. Frequencies and history need a dental clearinghouse connection that is still in progress.

How switching works

Your current biller keeps billing during shadow mode.

  1. Agreements

    Business Associate Agreement between your practice and Vixel Agency, plus the service agreement.

    Who acts: Your practice and Eligibility Hub

    Days

  2. Practice setup

    You complete the setup wizard. We verify NPIs, payers and providers.

    Who acts: Your practice, then Eligibility Hub

    Typically 1 to 2 weeks

  3. Shadow mode

    Your current biller keeps billing. Every claim also runs through our checks on de-identified test data, and we compare results with what was actually paid or denied.

    Who acts: Eligibility Hub

    Typically 30 to 60 days

  4. Enrollment

    Claims and ERA enrollment move to our clearinghouse, timed with your current biller's notice period. ERAs can go to only one clearinghouse at a time.

    Who acts: Eligibility Hub, with your signatures

    Typically 2 to 6 weeks, payer dependent

  5. Live service

    Full service, a monthly scorecard, and open denials from the prior biller worked to decision.

    Who acts: Eligibility Hub

    Ongoing

Lengths are typical, not promises, and the phases are not added up into a launch date. Payers set their own timelines.

Questions

How much do your dental billing services cost?

The full service is 1.5% of insurance collections, meaning payments received from payers. Patient payments are not included. Credentialing is $99 per payer application (one provider, one payer), billed separately from the 1.5% service fee.

Can you verify dental frequencies and history?

Not yet. Coverage checks run today. Frequencies and history need a dental clearinghouse connection that is in progress.

Do you send predeterminations?

Yes. They go out electronically as dental claims flagged for predetermination, and the returned estimate is matched to your treatment plan.

Can you post into our practice-management system?

Where we only have read access, we prepare a verified posting worksheet for your team to enter. We never write into a system we were given read access to.

Does our current biller have to stop right away?

No. In shadow mode your current biller keeps billing while we run every claim through our checks on de-identified test data and compare results.

Review the scope before you begin

The full service is 1.5% of insurance collections, meaning payments received from payers. Patient payments are not included. See pricing or every service.

Last updated 2026-10-06