How We Reduced Claim Aging from 90 Days to 30 Days for a Dental Group

Faster claims processing, lower rejection rates, and stronger cash flow through a structured dental RCM transformation.

49%

Less manual data entry

30

Days Claim aging reduced from 90 days

~7%

Overall revenue growth achieved

Client Overview

They are growing multi-location dental healthcare provider managing high patient volumes across multiple offices. As operations expanded, the organization needed a more structured and scalable Revenue Cycle Management (RCM) system to improve billing efficiency, reduce claim denials, and strengthen financial visibility. The engagement focused on streamlining end-to-end RCM operations, improving insurance verification workflows, accelerating claim submissions, and reducing operational bottlenecks that were affecting revenue performance and cash flow consistency.

Services Covered

Challenges

A proptech company operating a resident experience platform for multifamily property management. As the portfolio of branded deployments grew, per-tenant code forks, device fragmentation, and brittle vendor integrations slowed releases and raised maintenance overhead.

Operational Overload

Staff were handling patient calls, insurance verification, and administrative work simultaneously, creating delays and inefficiencies.

Claim Denials and Delays

Frequent claim rejections caused by incorrect documentation and delayed submissions impacted payment timelines.

Revenue Leakage

Slow processing and unresolved rejections affected cash flow consistency and increased claim aging.

Solution

A structured RCM workflow was implemented across all offices to improve accuracy and operational efficiency.

Dedicated RCM Teams

Specialized teams managed eligibility checks, claim submissions, follow-ups, and payment posting.

Standardized Workflows

Centralized processes using Dentrix PMS improved consistency and tracking.

Zero Backlog Execution

Daily monitoring and streamlined processes ensured faster turnaround and no operational backlog.

Proactive Insurance Coordination

Direct communication with insurance providers helped resolve issues quickly and reduce claim delays.

Optimized RCM Workflow

The complete billing cycle was streamlined from patient booking to payment collection.

Patient booking
Insurance verification
Claim submission
Rejection tracking
Error correction and resubmission
Payment posting

Business Impact

Reduced Claim Denials

Denial rates dropped from 15% to approximately 6–7%.

Faster Claim Processing

Claim aging improved from 90 days to 30 days.

Lower Rejection Rates

Rejected claims reduced by 49% through better tracking and follow-ups.

Improved Revenue and Cash Flow

Revenue increased by ~7%, while cash flow improved from 8.5¢ to 9.2¢ per dollar.

Value Delivered

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