Eligibility verification
We confirm active coverage and the benefit details your front desk needs before the visit.
Revenue cycle work, without the loose ends.
RCMGrid handles eligibility, claims, payment posting, AR, denials, and credentialing for dental practices—while building the automation our own operators wanted.
Most verifications complete in 1–10 minutes, timed to the appointment date.
Team-verified resultSample Dental PPO
Verified · 4 minCoverage statusActive
Effective Jan 1Annual maximum$1,500$1,180 remaining
Deductible$50$25 remaining
BenefitPlan pays
D0120 · Periodic exam100%
D1110 · Adult prophylaxis100%
D2391 · One-surface composite80%
Illustrative result · synthetic data
Our product
Autoelig verifies benefits before the appointment.
Our early-access automated eligibility product for dental practices and DSOs. It turns a manual request into a structured, read-only result and a standardized PDF—with unresolved plan detail kept visible instead of guessed.
- Most supported verifications complete in 1–10 minutes
- Coverage, accumulators, limitations, and code-level benefit in one result
- Free manual-entry plan available · EHR integration coming soon
Eligibility resultSample Dental PPO
Verified · 4 minCoverage statusActive
Effective Jan 1Annual maximum$1,500$1,180 remaining
Deductible$50$25 remaining
BenefitPlan pays
D0120 · Periodic exam100%
D1110 · Adult prophylaxis100%
D2391 · One-surface composite80%
Illustrative result · synthetic data
The full dental revenue cycle
And a team behind every other balance.
The product handles eligibility. Our operators handle the rest of the cycle—each service can stand alone, and together they remove the gaps where a verification detail, attachment, adjustment, or follow-up disappears between vendors.
Claim submission
We prepare clean claims, review attachments, correct rejections, and keep resubmissions moving.
Payment posting
We post ERA and EOB activity with the adjustments and patient responsibility kept in balance.
Accounts receivable
We work ageing by value and root cause, record the next action, and escalate when a payer stalls.
Denial management
We correct, appeal, and classify denials so the same preventable cause does not quietly repeat.
Credentialing
We track enrolment, re-credentialing, roster updates, and fee-schedule follow-up across payers.
- Verification target
- 1–10 min
- Completion rate
- 99%
- Service lines
- 6
Most supported requests, timed to appointment date
Across the payers we support
From eligibility through credentialing
An accountable operating trail
Every balance should have a next answer.
Revenue cycle work becomes manageable when the team can see the earliest cause, the evidence already collected, and the exact action that moves the account.
Was coverage usable for the planned treatment?
Confirm the appointment-date benefit, limitations, history, and unresolved plan detail before the claim begins.
Eligibility and benefit evidenceDid the claim leave clean and complete?
Keep the claim, attachments, acknowledgement, and every correction under one traceable identity.
Submission and attachment trailDoes the remittance match the expected outcome?
Post payments and adjustments against the verified plan rules, then expose contradictions for review.
ERA, EOB, and ledger reconciliationWhat exact action moves the balance now?
Assign a dated next step, owner, evidence, and escalation point—not an undifferentiated ageing bucket.
AR and denial work queue
Operational field notes
Useful detail for the team doing the work.
Our writing starts where generic RCM advice stops: definitions, evidence, queue design, and the next action an operator can take.
Claims · 6 min
A clean-claim rate without a denominator is decoration
Define the metric so corrections stay visible and the number opens a real prevention worklist.
Read field noteDenials · 7 min
The denial code is evidence, not the root cause
Trace payer disposition back to the earliest event that could have changed the outcome.
Read field noteAccounts receivable · 6 min
AR ageing buckets tell you when, not what next
Turn age, recoverability, deadlines, and dependencies into an actionable queue.
Read field noteBring us the messy part
Tell us where the revenue cycle is getting stuck.
We will start with the actual queue, payer behavior, and handoff—not a generic package.