BILLING & CLAIMS
Claim denials, caught at submission.
The claim engine reviews every claim against payer rules before it leaves your office. You hear about problems now — not three weeks from now.
practicecore.ai/claims
Claims
All payers · last 30 days
Filter ▾+ Submit Claim
Submitted today
38
First-pass acceptance
94.2%
Avg time to accept
1.4 days
AR > 30 days
$2,840
ClaimPatientPayerAmountAgeStatus
CLM-0182Maria OrtizDelta Dental PPO$4870d✓ Accepted
CLM-0181Tom LeeMetLife$1,2400d◌Validating✓ Accepted
CLM-0180Eva ReyesCigna DPPO$8921d⋯ Pending
CLM-0179Joe PatelDelta Dental PPO$2151d✓ Accepted
CLM-0178Lin ParkAetna$1,4502d✕ Denied↳ Missing tooth surface code — auto-fix available
CLM-0177Sara KhanUnited Concordia$7452d✓ Accepted
CLM-0176Ana CostaGuardian$1,8203d⋯ Pending
CLM-0175Ben SatoDelta Dental Premier$4103d✓ Accepted
BENEFITS
Know the benefits before the chair.
Eligibility, annual maximums, deductibles, category coverage, and frequency limits tracked per patient — checked at booking and re-checked at check-in, where it actually prevents write-offs.
practicecore.ai/benefits
Insurance & Benefits
Tom Lee
✓ Checked at booking✓ Re-checked at check-in
Delta Dental PPO
Annual Maximum
$740of $2,000 used
$1,260 remaining
Deductible
$50Met ✓
Coverage
100%
Preventive
80%
Basic
50%
Major
Frequency limits
Prophy
eligible Jun 15
Bitewings
eligible now
Crown #14
50% after deductible
Benefits live in the chart and the schedule — not in a phone call.
THE LEDGER
From EOB to posted, without retyping.
EOB rule automation
Import EOBs and let rules do the posting — adjustments, write-offs, and patient portions land on the ledger automatically.
Payment plans
Installment plans with terms the patient picks chairside — tracked against the balance automatically.
AR that ages visibly
Balance aging by patient and payer, surfaced before it becomes a collections problem.