Claim submission
Dental Claims, Prepared and Scrubbed for Multi-Location Groups
Ventus prepares each claim with its attachments, scrubs it against the payer’s rules and submits it, with a hand-off to a person when a claim needs manual review.
Claim preparation, attachments, scrubbing and submission.
- 300+
- payers normalized
- Scrubbed
- before submission
- A person
- for manual review
Ventus is live in 400+ offices.
Dental claims automation
Clean before it leaves.
Not fixed after a denial.
Claim scrubbing software that prepares each claim, attaches what the payer expects and submits it, with a person for the claims that need one.
01Prepared
Built from the visit.
Each claim is prepared from the chart: procedure codes, tooth numbers and the patient’s coverage, with the pre-authorization reference when there is one.
Verification and pre-authorization feed the claim.Crown, lower left.
Claim prepared- Procedure codes
- D2740 · D2950
- Tooth
- #19
- Payer
- Delta Dental · PPO
- Coverage
- Verified before the visit
- Pre-authorization
- Reference on file
Prepared from the chart and verified coverage.
02Attached
The documents this payer expects.
Radiographs, clinical narratives and periodontal charts are attached to match what the payer asks for on that procedure.
Attachments follow each payer’s requirements.What this payer asks for.
Attachments- Radiograph
- Periapical · bitewing
- Clinical narrative
- Written for this procedure
- Periodontal chart
- Not requested
- Pre-authorization
- Reference attached
Matched to this payer and procedure.
03Scrubbed
Checked before it leaves.
Claim scrubbing checks codes, tooth numbers, attachments and references against the payer’s rules, so preventable denials are caught before submission.
Prevention before submission, not rework after.Checked against payer rules.
Scrubbed- Codes and tooth
- Consistent
- Attachments
- Present
- Authorization reference
- Present
- Payer rules
- Passed
- Ready to submit
- Yes
Caught before submission, not after a denial.
04Submitted
Sent to the payer or clearinghouse.
The claim goes to the payer directly or through your clearinghouse, with a record of what was sent and when.
Every submitted claim moves on to claim status follow-up.On its way to the payer.
Submitted- Route
- Payer or clearinghouse
- Sent
- Claim with attachments
- Record
- Saved with the claim
- Next
- Claim status follow-up
What was sent, and when.
05Handed off
A person for the cases that need one.
When a claim needs manual review, it goes to a person on your team with everything already assembled, rather than being guessed.
Coding and clinical judgment stay with your team.Ready for a person.
Why it stopped
The narrative needs the provider’s clinical detail.
What is ready
Codes, attachments and checks already done.
Who has it
A person on your billing team.
Crown, lower left.
Claim prepared- Procedure codes
- D2740 · D2950
- Tooth
- #19
- Payer
- Delta Dental · PPO
- Coverage
- Verified before the visit
- Pre-authorization
- Reference on file
Prepared from the chart and verified coverage.
Connected to your operations
Back in the systems
your teams know.
Submission records, attachments and notes, written back into your practice management system. Configured for your group.
Explore integrations
Dentrix Ascend & Enterprise
Claim records and attachments, with configured writeback.
Open Dental
Submitted claims in your existing workflow.
Denticon
Your group’s fields, notes and attachments.
ModMed
Claims for specialty-care workflows.
Ventus works through the system’s interface. Writeback does not depend on a vendor API.
One layer, not another point tool
Connected to
the rest of the cycle.
Before the claim:
verified and authorized.
Insurance verification returns the patient’s procedure-level benefits, and prior authorization brings back the determination and reference number. The claim is prepared from both.
After submission:
every claim is followed.
Claim status is checked through payer portals, AI phone calls and your clearinghouse, and exceptions go to your team with the reason in hand.
Claim status and AR follow-upA rollout that fits your group
One setup.
Across your group.
One central setup, with about a month to go live. Start with your payers, systems and claim volume.
Discuss your rollout and pricing- 01
Define the workflow.
Agree on which claims, payers and attachments are in scope, which claims go to manual review, and what is written back. Compare the work removed, the work remaining and the proposed fees.
- 02
Connect the group.
Provide authorization, business associate agreements and practice-owned payer credentials where required.
- 03
Go live, centrally.
About a month for your group. About a week for a new payer. Ventus normalizes data from 300+ payers.
A closer look
Before
you decide.
More on claim scrubbing, systems and the work your team keeps.
Read the buyer’s guideWhich dental claim submission software supports multi-location DSOs?
Look for four things: claims prepared from the chart with their attachments, claim scrubbing against each payer’s rules before submission, submission to the payer or through your clearinghouse, and a clear hand-off to a person when a claim needs manual review. Ventus does this for dental support organizations (DSOs) from one central setup and writes back to Dentrix Ascend, Dentrix Enterprise, Open Dental and Denticon. It runs on the same payer intelligence layer as insurance verification and prior authorization, so each claim starts from what was already checked.
What is claim scrubbing?
Claim scrubbing checks a claim before it is submitted: procedure codes, tooth numbers, attachments and references, against what that payer requires. It is claims denial prevention. Preventable errors are caught before the claim leaves, rather than worked as denials afterwards.
Can AI reduce errors in dental insurance claims?
It can catch preventable errors before submission, such as a missing attachment, a missing authorization reference or codes that do not match the tooth. Ventus scrubs each claim against the payer’s rules and sends anything that needs judgment to a person. Ventus does not publish a clean-claim rate; measure your own first-pass results before and after rollout.
Which attachments does Ventus handle?
Radiographs, clinical narratives, periodontal charts and pre-authorization references, attached to match what the payer asks for on that procedure. When a claim needs information that is not in the chart, it goes to a person rather than being guessed.
What does our billing team still need to do?
Claims that need manual review go to a person on your team with the codes, attachments and checks already assembled. Coding and clinical judgment stay with your team. After submission, each claim moves on to claim status follow-up.
Which systems does it work with?
Ventus writes back into Dentrix Ascend, Dentrix Enterprise, Open Dental and Denticon, as well as ModMed. The agent works through the practice management system’s interface, so writeback does not require a vendor API. What is written back is configured for each customer.
Is there a claim submission API?
Not yet. Claim submission runs as end-to-end automation with writeback to your practice management system. Eligibility and benefits and claim status are available by API today; contact sales for access.
How long does a multi-location rollout take?
Plan for about a month, with one central setup for the group. Your group provides written authorization, business associate agreements and practice-owned payer credentials where required. A payer not yet covered goes live in about a week.
How is dental claims automation priced?
Contact sales for pricing. Start with your current claim volume and the staff time it takes, then compare the work removed and the work that remains alongside the proposed fees.
Your payers. Your systems.
Let’s make it work
for your group.
Walk through your claim workflow with us.