New: Managed RCM Services — full billing & claims done for you at 2.8% of collections. Learn more →
Dental ShieldDental Shield
Managed Service

Dental Revenue Cycle Management — Done For You

Dental Shield handles your entire billing workflow end-to-end: eligibility verification, claim submission, denial management, payment posting, and A/R follow-up — all inside your Dentrix Ascend environment. You collect more. You do less.

2.8%

of monthly collected claims

No flat monthly fee

You only pay when claims are collected

No setup fee

Onboarding and transition included

Fee is calculated on gross insurance collections received in the calendar month. Patient co-pays and self-pay balances are excluded.

Everything Your Practice Needs, Included

One fee. The entire revenue cycle. No module upgrades, no per-claim charges.

Automated Insurance Eligibility Verification

We verify every patient's active coverage, benefits breakdown, deductibles, co-pays, frequency limits, and coordination of benefits — before the appointment chair is even occupied.

Faster Claim Preparation & Submission

Our billing team reviews completed treatment records in your PMS, codes each procedure to ADA/CDT standards, and submits clean claims electronically to all major dental payers.

Claim Review via Dentrix Ascend

We work directly inside your Dentrix Ascend environment through secure shared access — no data exports, no dual-entry. Claims are reviewed, corrected, and queued for submission in your existing workflow.

Denial Management & Appeals, Simplified

Denied claims are analyzed for root cause — coding errors, missing attachments, frequency conflicts — and re-submitted or formally appealed with the correct documentation within payer deadlines.

Automated Payment Posting & Reconciliation

ERA/EOB remittances are reconciled against submitted claims, payments are posted to the correct patient ledgers, and payer adjustments are correctly applied to keep your A/R clean.

Proactive Accounts Receivable Follow-Up

Outstanding balances aged over 30 days receive proactive outreach to payers. We track every open claim and escalate to supervisor review or state-mandated appeal timelines when needed.

Automated Prior Authorization Management

High-value procedures — implants, crowns, ortho — are submitted for pre-authorization with the supporting clinical documentation needed to secure approval before treatment begins.

Smarter Scheduling & Form Management

We coordinate with your front desk to ensure patient intake forms, referral documents, and clinical attachments are collected and attached to claims before submission.

Automated Patient Statements & Collections

After insurance adjudication, patient-responsibility balances are posted and statements generated. We support online payment collection through a secure patient billing portal.

Monthly RCM Reporting & Analytics

You receive a monthly report covering: claims submitted, payments received, denial rate, collections rate, and outstanding A/R aging — giving you full visibility without lifting a finger.

Your Dedicated Denatal Billing Specialist

Your practice is assigned a dedicated Dental Shield billing specialist who knows your payer mix, your providers, and your practice's specific coding preferences.

Payer Communication & Issue Resolution

We handle all inbound and outbound communication with insurance carriers on your behalf — follow-up calls, escalations, and credentialing inquiries — so your front desk stays focused on patients.

How Dental Shield RCM Works

We plug directly into your Dentrix Ascend environment — no new software, no disruption.

01
Dentrix Ascend Access

You share read/write access to your Dentrix Ascend environment. No new software, no data migration — we work inside your existing PMS.

02
Eligibility Verified

Before each appointment, we run real-time eligibility checks and flag any coverage issues your team needs to address at check-in.

03
Treatment Coded & Claim Built

After each visit, we review the provider's chart notes, apply the correct CDT codes, attach required supporting documents, and build the clean claim.

04
Claim Submitted Electronically

Claims go out via clearinghouse within 24 hours of chart finalization. Acknowledgements and rejections are monitored in real time.

05
Payment Posted & Reconciled

ERA remittances are auto-matched and posted. Any discrepancies are flagged for review and corrected the same business day.

06
A/R Worked & Patient Billed

Unpaid claims are followed up on a defined schedule. Patient balances are posted and statements sent; we monitor online payment completion.

Everything You Need in One Partnership

Unlike traditional billing companies that charge per claim or per-service add-ons, Dental Shield's RCM engagement covers your full revenue cycle for a single percentage-based fee — aligned to your success.

  • Unlimited claim submissions
  • Eligibility checks for all scheduled patients
  • Denial management & appeals
  • ERA/EOB payment posting
  • Patient statement generation
  • Prior authorization submissions
  • Monthly A/R + performance report
  • Dedicated billing specialist
  • Payer communication & follow-up
  • Dentrix Ascend native workflow
  • HIPAA-compliant data handling
  • No setup or onboarding fee

Simple, aligned pricing

2.8%

of monthly insurance collections

  • ✓ No flat monthly retainer
  • ✓ No per-claim charges
  • ✓ No setup or onboarding fee
  • ✓ 30-day written termination notice
  • ✓ HIPAA BAA included

Ready to Simplify Your Dental Billing?

Schedule a 30-minute discovery call. We'll review your current collections rate, denial rate, and A/R aging — and show you exactly what Dental Shield can recover.

Frequently Asked Questions

Dental Shield's Revenue Cycle Management (RCM) service is a managed, done-for-you billing service that handles a dental practice's entire billing workflow end-to-end - eligibility verification, claim submission, denial management, payment posting, and A/R follow-up - all inside the practice's existing Dentrix Ascend environment.

Dental Shield's RCM service costs 2.8% of monthly collected insurance claims, with no flat monthly fee and no setup fee - the practice only pays when claims are actually collected, and patient co-pays and self-pay balances are excluded from the fee calculation.

No, Dental Shield's RCM service has no setup fee, and onboarding and transition are included as part of the 2.8% collections-based fee.

Dental Shield's RCM engagement includes insurance eligibility verification, claim preparation and submission, denial management and appeals, payment posting and reconciliation, accounts receivable follow-up, prior authorization management, patient statements and collections, monthly reporting, a dedicated billing specialist, and payer liaison and issue escalation - all for one percentage-based fee.

No, unlike traditional billing companies that charge per claim or for add-on services, Dental Shield's RCM service covers unlimited claim submissions, eligibility checks, denial management, payment posting, and prior authorizations under a single percentage-based fee.

Yes, Dental Shield verifies every patient's active coverage - including benefits breakdown, deductibles, co-pays, frequency limits, and coordination of benefits - before the patient's appointment, so coverage issues can be addressed at check-in.

Dental Shield's billing team reviews completed treatment records in the practice's PMS, codes each procedure to ADA/CDT standards, and submits clean claims electronically to all major dental payers, typically going out via a clearinghouse within 24 hours of chart finalization.

Yes, Dental Shield submits prior authorization requests for high-value procedures such as implants, crowns, and orthodontics, including the supporting clinical documentation needed to secure approval before treatment begins.

Denied claims are analyzed for root cause - such as coding errors, missing attachments, or frequency conflicts - and are re-submitted or formally appealed with the correct documentation within payer deadlines.

Outstanding balances aged over 30 days receive proactive payer outreach, and Dental Shield tracks every open claim, escalating to supervisor review or state-mandated appeal timelines when needed.

No, Dental Shield's RCM team works directly inside a practice's existing Dentrix Ascend environment through secure shared access, so there's no new software to install and no data migration required.

After insurance adjudication, Dental Shield posts patient-responsibility balances, generates patient statements, and supports online payment collection through a secure patient billing portal.

Dental Shield reconciles ERA/EOB remittances against submitted claims, posts payments to the correct patient ledgers, and applies payer adjustments accurately to keep accounts receivable clean.

Dental Shield provides a monthly report covering claims submitted, payments received, denial rate, collections rate, and outstanding A/R aging, along with a dedicated billing specialist who knows the practice's payer mix, providers, and coding preferences.

No, Dental Shield's RCM service requires only a 30-day written termination notice rather than a long-term contract, and it includes a HIPAA Business Associate Agreement (BAA). Practices can book a free consultation to review their current collections rate, denial rate, and A/R aging before signing up.