Insurance
Insurance, handled before the patient arrives.
Akalon verifies benefits ahead of every visit, sends and follows up on claims, and catches the payments that come in short.
Maya A. · Benefits
Delta Dental PPO
Annual maximum remaining
$1,240 of $1,500
100%
Preventive
80%
Basic
50%
Major
- Deductible
- $50 · met, waived on preventive
- Cleanings & exams
- Every 6 months · last Mar 14
- Bitewing x-rays
- Every 12 months · due
- Posterior fillings
- Paid as amalgam
- Waiting periods
- None
- Missing-tooth clause
- None
Tomorrow · Exam, cleaning, x-rays
Estimated patient portion: $0
Insurance
$265
Verified by payer call · Ref. DMDE82014
Verification
No more mornings on hold.
Akalon does the checking. Your team gets the answers.
- 01
Checked automatically
Akalon checks each patient on your schedule with their insurance company ahead of the visit.
- 02
Calls made for you
When a plan can only be reached by phone, Akalon makes the call and records the answers.
- 03
Ready at the desk
Your team sees every result in one list. Only the unclear ones need a person.
Hear a verification call
When a plan can only be checked by phone, this is what Akalon does for your team.
Akalon calls Delta Dental to verify Maya A.
Saved to the patient
- Eligibility
- Active · in network
- Coverage
- 100 / 80 / 50%
- Deductible
- $50 · met
- Annual max
- $1,240 of $1,500 left
- Waiting / missing tooth
- None
- Frequencies
- Prophy 6 mo · BWX due
- Downgrades
- Posterior composites
- Reference
- DMDE82014
Press play to hear the call.
A recreated call. The steps match a real Akalon payer call; the patient, plan details, and voices are not real.
The full picture, not just “active.”
Every verification comes back with the details your team needs to quote treatment with confidence.
- Active or inactive, with effective dates
- Annual maximum, used and remaining
- Deductible, and whether preventive is waived
- Preventive, basic, major, and ortho coverage
- Waiting periods and missing-tooth clauses
- Frequencies for cleanings, exams, and x-rays
- Downgrades and procedure-level limitations
- In-network status and coordination of benefits
Claims & payments
Get paid what you’re owed.
Once treatment is done, Akalon takes it from there — sending the claim, following up, and comparing every payment to what the plan should have paid.
- Claims built from the treatment you completed
- Checked for missing information before they’re sent
- Every claim tracked, so nothing sits unpaid
- Denials and short payments flagged automatically
- Appeal letters drafted, ready for your approval
- Payment summaries ready for posting
Claims & payments
This week
42
Claims sent
35
Paid
3
Flagged
Noah B. · Crown #30
Paid $456 · expected $620. Paid at 37%. Verified benefits cover major work at 50%.
Appeal letter drafted
Review & sendGrace L. · Root planing
Denied (CARC 50): Perio charting not attached
Charting attached · ready to resubmit
- Elena R. · Root planingCLM-24811 · D4341 ×2$416Paid
- James D. · New patient examCLM-24814 · D0150 · D0210$310Sent
- Marcus W. · Extraction #17CLM-24816 · D7210$385Preauth sent
- Maya A. · Exam & cleaningCLM-24809 · D0120 · D1110$185Paid
The difference
What changes for your team.
Today
With Akalon
Calling insurance companies one by one
Every patient checked before they arrive
Surprise balances at checkout
Clear coverage at the chair
Claims waiting in a queue
Claims sent and tracked
Short payments nobody notices
Underpayments flagged, appeal ready
See your schedule, already verified.
In 15 minutes we’ll show you exactly how Akalon would work in your office — then send you a quote built for your practice.
15 minutes · custom quote for your practice · no pressure