Enterprise Clearinghouse Technology for Dental Practices

Medical Billing Built for Dental Practices

Stop leaving money on the table. MediClaim Works gives your practice enterprise-grade clearinghouse technology — with the hands-on support and workflow expertise that your billing team actually needs.

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🔒 HIPAA Compliant
⚡ Electronic Claims Submittal
📧 hello@mediclaimworks.com
Trusted Technology & Standards
🏥
Inovalon Clearinghouse
⚕️
HIPAA Compliant
📋
Electronic Claims Submittal
🔍
Real-Time Eligibility
💳
ERA Enabled
📋
Integrated Claim Attachments
🔄
Claims Batched 9x Daily
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Integrated PreAuthorizations Coming Soon
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Insurance Discovery Coming Soon
The Problem We Solve

Medical Billing Shouldn't Be This Hard for Dental Offices

Most dental practices struggle to access enterprise clearinghouse infrastructure — and even when they do, they get no support.

  • 📤

    Claims Rejected for Preventable Reasons

    Incorrect taxonomy codes, missing enrollment, or incorrect payer setup cause denials that waste time and revenue.

  • 🔌

    No Clear Path to EDI Enrollment

    Getting connected to payers is confusing, poorly documented, and different for every plan — without guidance, practices give up.

  • 💸

    Enterprise Platforms Are Priced for Hospitals

    Most clearinghouse solutions are built for large health systems, not the independent dental practice submitting 30 medical claims a month.

  • 🤝

    No Support When Things Go Wrong

    When a claim is rejected or a payer is unresponsive, most platforms leave you on your own. You need an advocate, not a ticket number.

Platform Capabilities

Everything You Need to Bill Medical Successfully

From your first claim to your 500th, MediClaim Works provides access to the infrastructure and support your team needs — so you can focus on patient care.

📡

Electronic Claim Submission

Submit claims directly through an enterprise clearinghouse network. Real-time acknowledgment and claim status updates keep you informed at every step.

✅

Reimbursement Readiness Validation

Before your first claim goes out, we validate your provider data, taxonomy codes, NPI setup, and payer enrollment to prevent avoidable denials from day one.

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Real-Time Eligibility Verification

Instantly verify patient insurance eligibility before submitting a claim. Reduce surprises, improve collections, and streamline your front-desk workflow.

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ERA & Payment Reporting

Receive Electronic Remittance Advice (835) automatically. Track payment status, identify denials, and reconcile accounts with clear, actionable reporting.

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Enrollment & Payer Activation

We guide you through EDI enrollment for every payer you need — including credentialing awareness and payer-specific requirements your team shouldn't have to figure out alone.

🧠

Rejection & Denial Intelligence

When a claim comes back, we help you understand why and what to do next. Rejection and denial reporting through the platform help identify patterns so your team can reduce repeat denials over time.

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Training & Workflow Support

Staff training and ongoing support services are available at an additional fee. Our dental billing specialists work with your team to build the knowledge and workflows your practice needs to bill medical insurance successfully.

😴

Sleep Medicine and Oral Surgery Billing

Specialized support for dental practices integrating sleep medicine or oral surgery. Our fee-based staff training covers eligibility & benefits verification, how to submit preAuthorizations, all documentation required for claim submission, and how to determine medical necessity — so your team bills confidently and correctly whether submitting for oral appliances, surgical extractions, implants, bone grafting, or sleep-related diagnoses.

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Enterprise Infrastructure, Simple Access

Access enterprise clearinghouse technology used by major health systems — without the enterprise price tag or complexity, on a straightforward 12-month agreement.

Complete Claims Visibility

Know Exactly What's Being Filed Under Your License

Many dental practices use a billing company that submits medical claims on their behalf — but never lets the dentist actually see what was filed. Those claims go out under the dentist's NPI number, affecting their license, their reputation, and their compliance record — without the dentist ever reviewing them.

With MediClaim Works, your practice submits its own claims. That means you have complete, real-time visibility into every claim filed under your NPI — exactly what was submitted, when it was submitted, and what the payer's response was. No more wondering what's being billed in your name.

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See Every Claim Before It Goes Out

Your team reviews and submits every claim directly. Nothing is filed under your NPI without your knowledge.

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Full Audit Trail Under Your Control

Access a complete history of every claim submitted, every payer response, and every payment — all tied to your practice and your providers.

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Protect Your License & Your Practice

When claims go out under your NPI, you are accountable. Submitting your own claims means you know what's being filed and can stand behind every submission.

Getting Started

Up and Billing in 4 Simple Steps

Our onboarding process is designed to get your practice submitting clean medical claims fast — with support at every step.

1

Reimbursement Readiness Review

We audit your provider data, taxonomy codes, NPI setup, and payer enrollment to catch issues before they cause denials.

2

Platform Setup & Enrollment

We activate your account and guide you through EDI enrollment for every payer your practice needs.

3

Training & Workflow Integration

Staff training is available as a fee-based service. Your billing team learns to submit, track, and manage claims — including eligibility, preAuthorizations, documentation, and medical necessity determination.

4

Ongoing Support & Optimization

Ongoing support is available as a fee-based service. As your practice scales, our team can help you reduce denials, add payers, and continue optimizing your medical billing performance.

Dental professional using technology
94%+
Average first-pass claim acceptance rate
<18 Days
Average days to reimbursement
Transaction-Based
Enterprise-level solution priced by your volume — not a percentage of what you collect
100%
Dental-focused — built for your practice
🔗 Powered by Inovalon

Enterprise Technology Without Enterprise Complexity

MediClaim Works connects dental practices to Inovalon's enterprise clearinghouse infrastructure — the same technology trusted by large health systems and national payers. We provide the operational layer: the support, enrollment guidance, and workflow expertise that enterprise platforms simply don't offer to smaller practices.

  • Inovalon handles claims routing, eligibility, and ERA connectivity at scale
  • MediClaim Works handles your onboarding, training, enrollment, and day-to-day support
  • You get the benefits of both — without the complexity of either
  • Secure, HIPAA-compliant hosted environment with enterprise-grade uptime
🏗️

Inovalon Provides

Clearinghouse infrastructure, claims routing, ERA/EDI processing, eligibility, secure hosting

🤝

MediClaim Works Provides

Onboarding, enrollment, dental expertise, rejection intelligence · Training & ongoing support available as fee-based services

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Dental-Only Focus

We don't serve hospitals or large health systems — every feature is built with your dental practice in mind

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Your Practice Grows

More accepted claims, faster payments, reduced admin burden — so you can focus on dentistry

What Practices Say

Trusted by Dental Billing Teams Across the Country

★★★★★
"

Before MediClaim Works, we were struggling to get our medical claims accepted. Their team walked us through enrollment, fixed our taxonomy issues, and now our first-pass rate is over 90%. The flat fee pricing alone saved us thousands.

SL
Sarah L.
Office Manager, Periodontal Practice · Dallas, TX
★★★★★
"

We integrated sleep medicine into our practice and had no idea how to bill for it on the medical side. MediClaim Works had us up and running in two weeks. The support team is responsive and actually knows dental billing.

MD
Dr. M. Davis, DDS
General & Sleep Dentistry · Phoenix, AZ
★★★★★
"

I've worked with two other medical billing platforms and neither one could explain why our claims kept getting denied. MediClaim Works identified the payer enrollment gap on day one. We've never looked back.

RK
Rachel K.
Billing Coordinator, Oral Surgery Group · Atlanta, GA
Simple, Transparent Pricing

Flat Monthly Fees. No Percentage of Claims. Ever.

Unlike billing services that take a cut of every reimbursement, MediClaim Works charges a low, predictable monthly fee based on your transaction volume — so your revenue stays yours.

✓ Transaction-based fees — all the bells & whistles of an enterprise solution
✓ Scale as you grow
✓ 12-month agreement with auto-renewal
View Pricing Plans →
Ready to Get Started?

See How MediClaim Works in Your Practice

Book a free demo and we'll show you how easy it is to get your dental practice submitting and managing medical claims — with real support behind every step.

Contact Us