Dental insurance is more variable than medical insurance. Annual maximums range from $1,000 to $2,500. Frequency limitations determine whether a cleaning, X-ray, or exam is covered based on when the last one was performed. Waiting periods restrict coverage for major procedures during the first 6 to 12 months of a new plan. CDT code coverage percentages differ by plan category: preventive, basic, and major.
CERTIFY Health dental insurance verification software checks all of these variables in real time, before the patient sits in the chair. Your team knows exactly what is covered, what the patient owes, and whether any limitations apply to the scheduled treatment. This insurance verification software helps dental practices reduce eligibility errors, prevent unexpected patient balances, and improve payment accuracy before treatment begins.
HIPAA Compliant
270/271 EDI
Annual Maximum Tracking
Frequency Limitation Checks
Batch and Real-Time Verification
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See how CERTIFY Health dental insurance verification gives your team real-time coverage data so treatment plans are presented with accurate patient cost estimates.
Yes. Unlike generic eligibility tools, CERTIFY Health returns dental-specific data: annual maximum, frequency limitations, CDT coverage by category, waiting periods, and coordination of benefits.
Yes. Verification results are available alongside the patient record. Insurance data flows bidirectionally.
CERTIFY Health unifies Patient Experience, Practice Management, and Revenue Cycle Management – powered by FHIR/HL7 interoperability.
