Integrations / Dentrix
Dentrix
Proprietary connector

Azops Dental for Dentrix

  • We retrieve your schedule from the Appointment Book
  • We get your patient's plan and carrier from the Family File
  • We write in the Coverage Table, Deductibles/Maximums and Insurance Plan Note
  • We write the deductible Met and the maximum Used
  • We write in the Appointment Note
  • We upload verification sources and full patient history in the Document Center
  • Our own connector reads and writes anywhere in Dentrix, so we follow your workflow and the way your team documents benefits
  • Nobody on your team re-enters anything
Dentrix Dental Insurance Benefits and Coverage window, Coverage Table tab
What does this image show? (Dentrix Dental Insurance Benefits and Coverage window, Coverage Table tab)

The Coverage Table tab of the Dentrix Dental Insurance Benefits and Coverage window for an Equicor Cigna group plan. Each row is a procedure range with category, coverage percentage, deductible type, co-pay and pre-auth requirement: Diag/Preventive 100%, Basic Restor 80%, Crowns/Major 50%, Endodontics and Periodontics 80%, Prosthodontics, Implants 50%, Oral Surgery 80%, Orthodontics 50%. The side menu lists Deductibles/Maximums, Exceptions, Insurance Plan Notes and Payment Table.

How it works in Dentrix
01
Where we read

We retrieve your schedule from the Appointment Book.

Every new or rescheduled appointment in the Appointment Book is picked up automatically. For each one we read the patient and everything attached to the appointment.

Procedure codes on the appointment, including codes your team defines in Dentrix, can trigger different types of verification. We set those rules with you when we configure the integration.

What we read
Patient name
Date of birth and demographics
Address
Appointment Note
Procedure codes attached to the appointment
Custom codes your team defines
Dentrix Appointment Information window with reason, procedures and notes
What does this image show? (Dentrix Appointment Information window with reason, procedures and notes)

The Dentrix Appointment Information window: provider, reason with procedures (periodic oral evaluation, bitewing four images, adult prophylaxis), appointment description, length, status, operatory, date and time, and the Notes box for the appointment.

02
Patient plan

We retrieve the patient's plan from the Family File.

From the Family File → Insurance Information we read the plan attached to the patient: the carrier, the insurance line, the Subscriber ID, and the group number and existing dental insurance plan when there is one. When the patient is not the subscriber, we also read the subscriber's details.

What we retrieve
Carrier and insurance line
Subscriber ID
Subscriber name
Subscriber date of birth and demographics
Relationship to the subscriber
Group number, employer and the existing dental insurance plan
Dentrix Family File Insurance Information with subscriber, carrier and Subscriber ID
What does this image show? (Dentrix Family File Insurance Information with subscriber, carrier and Subscriber ID)

The Dentrix Insurance Information window opened from the Family File, Dental Insurance tab: primary subscriber, carrier, Subscriber ID #, signature on file, relation to subscriber, and the Insurance Data and Benefits/Coverage buttons. Secondary insurance sits on the right.

03
Plans and groups

The right dental insurance plan, with no duplicates.

In Dentrix a carrier can have many dental insurance plans, and the group number is what usually identifies one. We handle the three cases your front desk runs into, so your Dentrix list of dental insurance plans stays clean.

Dentrix Select Insurance Carrier list of group plans
What does this image show? (Dentrix Select Insurance Carrier list of group plans)

The Dentrix Select Insurance Carrier list, where each row is an existing group plan with carrier name, group plan, employer name, group number, local number, payor ID and address.

Group number already in Dentrix

Your team reuses a existing dental insurance plan.

Carrier and insurance line are already correct. When we write back, we refresh that dental insurance plan's benefits.

New group number

Your team creates a dental insurance plan with the group number.

When we write back, we add the verified benefits to it, and the next patient with that employer and group lands on an up-to-date dental insurance plan.

No group number

Your team picks an agreed placeholder dental insurance plan.

Only the carrier and insurance line need to be right. We get the group number through your custom verification form. When we write back, we select the matching dental insurance plan from your Dentrix history, or create it when the plan is a group plan.

04
Plan-level benefits

We write in the Coverage Table and Deductibles/Maximums of the dental insurance plan.

The verified breakdown is written on the dental insurance plan itself, so every patient who shares it gets current benefits in Dentrix.

What we write
Plan deductibles and annual maximum
Coverage Table percentages by procedure range
Deductible behavior by category
Frequencies and limitations
Waiting periods
Dentrix Coverage Table tab of the Dental Insurance Benefits and Coverage window
What does this image show? (Dentrix Coverage Table tab of the Dental Insurance Benefits and Coverage window)

The Coverage Table tab of the Dentrix Dental Insurance Benefits and Coverage window, where Azops Dental writes the verified coverage for the group plan. Each row is a procedure range (Beg Proc, End Proc) with category, coverage percentage, deductible type, co-pay and pre-auth requirement: Diag/Preventive D0100 to D1999 at 100%, Basic Restor 80%, Crowns/Major 50%, Endodontics and Periodontics 80%, Prosthodontics and Implants 50%, Oral Surgery 80%, Orthodontics 50%, Adjunctive General Services 80%. Changes apply to every patient on the plan.

05
Patient-level benefits

We write in the patient Deductibles/Maximums: deductible Met and maximum Used.

What belongs to the individual patient is written separately from the dental insurance plan: what they have used, what remains, and their history.

What we write
Deductible Met
Maximum Used
Frequency and procedure history
Dentrix Deductibles/Maximums tab with deductible Met and maximum Used
What does this image show? (Dentrix Deductibles/Maximums tab with deductible Met and maximum Used)

The Deductibles/Maximums tab of the Dentrix Dental Insurance Benefits and Coverage window, current year: standard, preventive and other deductibles with individual and family required and Met amounts, and maximums with individual annual benefit, individual annual Used, lifetime and family values.

06
Documents

We upload verification sources and full patient history in the Document Center.

Every verification leaves its documents on the patient in Dentrix attached to the patient.

What we upload
Benefit breakdown PDF
Source PDF: portal capture, fax response or call transcript
The patient's full claim history as a PDF, when the payer's portal is configured
Azops Dental benefits verification summary, page 1
What does this image show? (Azops Dental benefits verification summary, page 1)

First page of the benefit breakdown PDF Azops Dental uploads to the patient record. It lists the patient (name, member ID, date of birth), the subscriber (name, relationship, date of birth), the provider and clinic (NPI, tax ID), the call reference with the carrier representative and reference number, and the coverage breakdown: network status, out-of-network benefits, orthodontic benefits, policy effective date, waiting periods and the orthodontic lifetime maximum. Later pages include the patient history.

Verification source document, cover page
What does this image show? (Verification source document, cover page)

Cover page of a source PDF Azops Dental uploads alongside the breakdown. This source is a phone call to the payer, listing the payer name, plan state, representative (IVR), reference number, call duration and retrieval date. Portal captures and fax responses are uploaded the same way.

07
Notes

We write in the Insurance Plan Note and the Appointment Note.

Your team can see at a glance that the insurance was verified, for example with INS VER. in the Appointment Note. Any other note your team uses can be written too.

Dentrix Appointment Note marked INS VER
What does this image show? (Dentrix Appointment Note marked INS VER)

The Dentrix Appointment Note field with "INS VER" written at the start of the note, ahead of the existing note text, so the front desk sees the insurance was verified directly on the appointment.

What we write
Insurance Plan Note
INS VER. or your own marker in the Appointment Note
Your documentation conventions and wording
How it works

Every appointment verified before the patient arrives.

We read appointments X days in advance and deliver complete results within one business day. Same-day appointments get an urgent portal check first.

01
AI

Payer portal

The agent logs in to the payer portal. Every page is screenshotted.

02
AI

Fax

Fax benefit summaries are requested and read.

03
AI

Carrier call

Natalie calls the carrier for what the portal leaves out. Every call is transcribed.

04
Human specialists

Quality assurance

A specialist reviews every result before it is released.

05
Your Dentrix

Write-back

Benefits written and documents uploaded where your team works.

Ready to see it in action?

Discover how we can help you get rid of the burden of insurance checks.

Book a call
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