How a California Dental Group Cut Denials in Half
and Boosted Collections
Overview
Running a dental practice is rewarding, but the administrative side can be overwhelming. A mid-sized dental group in California with four offices faced ongoing challenges with insurance verifications, denied claims, and unpaid patient balances.
Their staff spent hours on the phone with insurers, yet claims were still being denied due to eligibility issues or small coding errors. Accounts receivable kept growing, and collections became a daily struggle. Patient experience also suffered as billing confusion increased.
The group needed a partner who could take control of the billing process and bring consistency to their revenue cycle.
The Turning Point
They partnered with Softomedics and introduced two dedicated virtual assistants to handle the billing and patient support process. These VAs focused on:
- Verifying insurance eligibility before every patient visit.
- Submitting accurate claims and correcting errors proactively.
- Following up on unpaid patient balances with professionalism.
- Preparing clear, timely statements to reduce confusion.
The Results
In just four months, the dental group saw major improvements:
- Claim denials dropped by 52%
- Collections increased by 28%.
- Accounts receivable over 60 days decreased by 40%.
- Staff were relieved from repetitive billing work, allowing them to focus more on patient experience.
- Patients appreciated clear, upfront communication about their coverage and costs.
In Their Own Words
“Softomedics has been a complete game-changer for us. Their VAs handle everything with precision and professionalism, and we’ve seen a massive reduction in denials. Our patients are happier, our staff is less stressed, and our revenue cycle has never looked better.”