Practice-Controlled Billing
Built for Dental Practices
Enterprise Technology, Accessible to You
MediClaim Works was founded to give dental practices access to enterprise-grade clearinghouse technology — with the hands-on support, enrollment guidance, and dental-specific workflow expertise that makes medical billing actually work for dentists.
MediClaim Works is a dental-focused medical billing technology and support platform designed to help practices efficiently submit and manage medical insurance claims — without the complexity and high costs typically associated with enterprise clearinghouse solutions.
We serve as a bridge between dental practices and the medical claims ecosystem — bringing together electronic claims technology, clearinghouse connectivity, enrollment support, workflow guidance, rejection intelligence, and ongoing operational support into one solution focused specifically on dentistry.
What sets us apart is that we're not a traditional billing company. We don't code your claims or make clinical decisions for you. Instead, we provide access to the technology and workflow tools your billing team needs — with fee-based training and ongoing support services available to help your team succeed while staying in full control of your practice's billing decisions.
MediClaim Works connects dental practices to Inovalon's enterprise clearinghouse infrastructure — giving your team access to the same transaction processing capabilities used by major health systems, without the enterprise price tag or complexity.
Powered by Inovalon's clearinghouse infrastructure — the same backbone used by large health systems, accessible to any dental practice.
We're your operational advocate between the practice and the clearinghouse — not a ticket system, but real people who know dental billing.
We validate everything before your first claim goes out — taxonomy codes, NPI, payer enrollment — to prevent avoidable denials from day one.
We don't serve hospitals or large health systems. Every feature, every support call, every workflow is built with the dental practice in mind.
These are the principles that guide how we deliver our services and support our clients every day.
Everything we build is designed for the specific needs of dental practices — from CDT-to-CPT crosswalks to sleep medicine billing. We never dilute our expertise by trying to serve everyone.
Medical billing doesn't have to be opaque. We believe your team should understand what's happening with every claim, why it was accepted or denied, and exactly what you're paying for.
We're your first line of support between the practice and the clearinghouse. Ongoing support services are available at a fee — giving your team access to real dental billing specialists, not just a ticket system, when you need guidance.
We believe the best claim is one that never gets denied. That's why we invest heavily in upfront validation — making sure your practice is truly ready to bill before the first claim goes out.
We'll never take a percentage of your reimbursements. Flat, predictable pricing means your collections belong to your practice — not a billing service skimming off the top.
Healthcare data security isn't optional. Claims and data are processed within Inovalon's HIPAA-compliant, enterprise-grade secure environment — so you can focus on patients, not compliance anxiety.
We believe in being clear about what we do so your practice can make the right decision with confidence.
MediClaim Works utilizes Inovalon's enterprise clearinghouse infrastructure — the same technology trusted by major health systems and national payers for claims routing, eligibility transactions, ERA connectivity, and secure healthcare data exchange.
Inovalon provides the backbone: claims routing, transaction processing, eligibility, secure hosting, and enterprise-grade connectivity. MediClaim Works provides the operational layer: client onboarding, provider activation, reimbursement readiness validation, dental workflow expertise, enrollment coordination, support, training, and claims intelligence. Together, dental practices get the best of both worlds — enterprise technology without enterprise complexity.
Whether you're ready to get started, have questions about the platform, or want to schedule a demo — we'd love to hear from you. Our team responds within one business day.
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