Clearbite reads live eligibility, your fee schedule and thousands of past EOBs, then reasons through the whole treatment plan — coverage tiers, downgrades, frequency limits, remaining maximum — and writes the answer in plain English. No surprise bills for the patient. No write-offs for the office.
Built for 1–5 chair practices · Works alongside Dentrix, Eaglesoft, Open Dental & Curve
The whole loop runs while the hygienist is still writing notes. Nobody calls a payer. Nobody guesses off last year's EOB.
Live 270/271 eligibility, the patient's actual PPO fee schedule, remaining annual maximum, deductible status and every frequency clock — pulled the moment the appointment is booked, refreshed the morning of.
The model works the treatment plan code by code against how this payer has actually adjudicated the same codes for your office — downgrades, bundling, missing-tooth clauses, waiting periods — and flags what it isn't sure about instead of hiding it.
One paragraph the treatment coordinator can read out loud, one number to collect, and a signed estimate texted to the patient before they leave. Sequencing suggestions when splitting across benefit years saves them money.
Three real scenarios from pilot practices, with the numbers Clearbite returned and the readout it wrote.
| Office fee — porcelain crown, #14 | $1,480 |
| Contracted allowed amount | $1,120 |
| Deductible remaining | $50 |
| Major coverage tier | 50% |
| Annual maximum left | $1,190 |
| Plan pays | $535 |
“Your plan treats a crown as major work, so it covers half once your $50 deductible is met. You've used $310 of your $1,500 annual maximum this year, so there's plenty of room. Your part is $585, due at checkout — and that's the final number, not an estimate that changes later.”
Eligibility files are optimistic. Adjudication is the truth. Clearbite reasons across both, so the estimate matches the check that arrives three weeks later.
Read-only connection to your practice management software and a folder of last year's EOBs. No server, no data migration, no IT contractor.
Flat monthly rate per operatory, month to month. A two-chair practice pays less than one afternoon of an insurance coordinator's time.
BAA signed at onboarding, PHI encrypted at rest and in transit, full audit trail on every estimate and every model decision behind it.
Accurate numbers up front means patients say yes more often, pay at the visit, and never get a bill in the mail they weren't warned about. The office stops absorbing the difference.
Modeled on twelve pilot practices, 1–5 chairs, first six months. Your mileage depends on payer mix.
Fifteen minutes, no slide deck. Send us a real case with a real payer and watch Clearbite reason through it while you're on the call.