Treatment plans that show the patient's cost before they decide

An ADA Health Policy Institute study in Health Affairs found that more people report financial barriers to dental care than to any other type of health care, and that cost was the top barrier even for adults with private dental insurance.

Source: Vujicic, Buchmueller and Klein, Health Affairs 35(12), 2016

1. 1It starts from the insurance check. The plan uses the patient's newest electronic eligibility check. If that check failed or the coverage is inactive, AcceptIQ says so instead of building a plan.
2. 2Add the procedures. Search 64 common CDT codes. The tooth field follows the procedure: full mouth, a quadrant for scaling and root planing, an arch for dentures. The fees are yours; nothing is preset.
3. 3DentalIQ's rules work out the estimate. Coverage percentages, the deductible (applied once), and the annual maximum left after each procedure, plus fee-schedule amounts where the payer returned them. A figure the payer didn't give shows as "Not estimated" with a warning.
4. 4The dentist sets the urgency. Recommended, Urgent or Optional, per procedure. The AI never decides it.
5. 5The AI writes the explanation. What each procedure generally treats and what can happen if it waits, in plain words. It only mentions a patient's condition if the dentist's notes say so.
6. 6Approve, then print. The team can edit the wording before approval. The plan prints only after it's approved, and the approved version is exactly what the patient takes home.

• It doesn't guarantee what insurance will pay. The printed plan says the payer decides what it actually pays, and that frequency limits, waiting periods and downgrades aren't included in the estimate.
• It doesn't guess missing figures or set clinical priorities.
• It doesn't track whether a plan is scheduled or completed, and it doesn't measure acceptance.
• It doesn't include financing or payment plans.
• It doesn't write the plan back into your practice software.

Every plan is logged: who approved it, when, and which parts the team changed from the AI's draft.

Included in every plan, from $599/month. 14-day free trial, no card required. See all plans.

• Dental insurance verification (InsureIQ)
• How to increase treatment plan acceptance
• Trust & safety: how DentalIQ handles data