OpenAdaptDental insurance eligibility checks
OpenAdapt looks up a patient's dental coverage in a payer portal and carries the answer into your practice system, from one demonstration. The closest measured run is a look-up on openIMIS, an open-source insurance system, with synthetic records: 3 of 3 active policies confirmed, 3 of 3 expired stopped. We qualify the workflow on your own portal first.
Updated 2026-10-18
Today
Front-desk staff sign in to each payer portal, look up the patient by member ID and date of birth, read coverage, frequencies and remaining benefits, and note the answer before the visit. A provider-side eligibility check takes about 8 minutes by portal (CAQH Index 2024, medical practices; we found no dental-specific figure).
With OpenAdapt
Staff sign in, including any sign-in codes. OpenAdapt looks up each patient on the day's schedule, reads the coverage fields it was shown, and stops when the member doesn't match or the portal shows something new. To call an answer checked, it needs a second source, such as an eligibility response file; without one, a person reviews each answer.
The closest measured result
The openIMIS look-up: 3 of 3 active policies confirmed and 3 of 3 expired stopped, on synthetic records. We qualify each workflow on your own portal before it's used.
Questions
Where does it run?
On a computer at your practice, in portal sessions your staff open. Portal passwords stay on that computer.
Related: Dental front desk · Security
Sources
- CAQH Index 2024 (data year 2023), US medical: an eligibility check takes 8 minutes by portal and 16 by phone; a claim-status check takes 10 by portal and 25 by phone; a manual claim submission takes 12 minutes, an electronic one 5. Provider-side figures.
- OpenAdapt on openIMIS 25.10 (open-source insurance system, not a US payer portal), July 2026, synthetic members: 3 of 3 active policies confirmed, 3 of 3 expired policies stopped, 0 active policies stopped by mistake. Checked by a read-only database query of the policy, product and dates.
See it on your process
Bring one task your team types every day. We'll tell you whether it fits, and what a test on your own system would cover.