Open Dental Insurance Verification and RCM, Written Back to Every Record
Elva checks eligibility, builds claims, works denials and posts payments for your Open Dental practice. Every result is written back to Open Dental as it happens, so the front desk and billing work from the same up-to-date record.
Authorized API Partner"Delta Dental PPO is active. $1,320 of the annual maximum is left, and the deductible is met. I've saved the breakdown to the patient's record."
"Denied for a missing narrative. I've drafted the appeal with the X-ray and chart note attached, ready for your review."
Eligibility, claims and payments, written straight back to Open Dental.
What Elva Handles in Your Open Dental Revenue Cycle
Elva connects to Open Dental in real time. It reads the schedule, patient records and claims, and writes every insurance result back where your team already works. It's the same dental revenue cycle management platform behind all of Elva's PMS integrations, set up around your payers and your Open Dental workflow.
Eligibility at Booking and Before the Visit
Coverage is checked when the appointment is made and again before the patient arrives, and the result is saved to the Open Dental record.
The Full Benefits Breakdown
Annual maximum, deductible, coverage percentages, frequency limits, waiting periods, missing-tooth clauses and secondary coverage, not just "active".
Prior Authorization Tracking
Flags which procedures need authorization, drafts the request and tracks expiration dates against the scheduled visit.
Claims Built to Payer Rules
Each claim is checked for required attachments, narratives and frequency limits before it goes out.
Payer Calls and Claim Follow-Up
Elva can call insurance companies to confirm benefits or chase a claim, and saves what it learns to Open Dental.
Denials Caught, Appeals Drafted
Denials are caught as they arrive, the reason is diagnosed and the appeal is drafted with the right documents attached.
Payments Posted to Open Dental
Electronic remittances post to the Open Dental ledger. Paper EOBs are read from a photo and posted after a quick staff check. Underpayments are flagged on the claim.
Review Where You Want It
Review is set per capability. You decide what Elva sends on its own and what waits for sign-off, which any authorized staff member can give.
AR by Aging Bucket
Every open balance tracked at 30, 60 and 90+ days, with unexplained credits flagged before they become write-offs.
Plain-Language Answers
Ask RCM Brain why a claim was denied or what a payer allows, and get an answer that shows its sources.
Map your payers and rules
On a kickoff call we go through your main payers, your billing workflow and which steps your team wants to review before anything goes out.
We connect to Open Dental
Open Dental asks every practice to approve a new connection. We walk you through that one step, then connect Elva and load your payer and review rules. Nothing in your Open Dental setup changes.
Go live one capability at a time
Start with eligibility, claims or payment posting, whichever costs your team the most time. Add the rest when you're ready.
Every Insurance Result, Written Back to Open Dental
An insurance tool that keeps its answers in its own dashboard just moves the copying around. Elva writes coverage results, claim updates and payments back to Open Dental, so the patient record, the claim and the ledger always agree.
Verified Before the Patient Walks In
Elva checks coverage at booking and again before the visit, reading the plan in detail rather than stopping at "active". The result is saved to the Open Dental record, and anything the payer didn't confirm is marked as unknown instead of guessed. Read more about dental insurance verification software.
Clean Claims Out, Payments Posted Back
Claims go out with the attachments and narratives each payer expects, through Open Dental or your existing clearinghouse. When the payer responds, Elva posts the payment to the Open Dental ledger, flags any underpayment and drafts the appeal for a denial. It covers the insurance work your team can't get to, so your billers spend their time on the claims that need a person. See automated dental claims processing and how to reduce dental claim denials.
Ask Why a Claim Was Denied and Get a Sourced Answer
RCM Brain answers questions about your claims in plain language, using the payer's published policy, your own Open Dental claim history and curated payer knowledge. It shows where each answer came from and flags when sources disagree. RCM Brain itself only answers questions; it doesn't submit claims or send appeals on its own.
- Claim was denied because the narrative didn't support medical necessity.
- Elva matched the denial to the payer's policy and two past paid claims in Open Dental.
- Appeal drafted with the X-ray and chart note attached, waiting for your review.
FAQ
Does Elva's insurance and RCM software work with Open Dental?
Yes. Elva's eligibility verification, claims, prior authorization, denials, accounts receivable and payment posting all work with Open Dental, in real time and in both directions. Results are written back to Open Dental as they happen.
What does Elva write back to Open Dental?
Eligibility and benefits results on the patient record, claim status and notes on the claim, payments posted to the Open Dental ledger, and flags for underpayments, denials and unexplained credits.
Does Elva replace our billing team or clearinghouse?
No. Elva covers the insurance work your team can't get to and hands the rest to them with the details attached. Where Open Dental can't submit a claim directly, Elva sends it through your existing clearinghouse.
Can Elva call insurance companies for us?
Yes. Elva can place outbound calls to payers to confirm benefits or follow up on a claim, and saves what it learns to Open Dental.
Do we need to do anything inside Open Dental?
Just one approval. Open Dental asks practices to approve any new connection, and the Elva team walks you through it on the setup call. Everything else is handled by the Elva team.
What else does Elva connect to in Open Dental?
Insurance is one part of it. See the full Open Dental integration for scheduling, recall and forms, and the AI receptionist for Open Dental for calls. On a different system? See Dentrix insurance verification and RCM, Eaglesoft insurance verification and RCM, Curve Dental insurance verification and RCM.
How does Elva verify a patient's coverage?
It uses only the sources it needs: an electronic eligibility check, your office's own claim history, the payer's provider manual, the payer portal and, when needed, a call to the payer. The report shows where each answer came from and says what isn't known instead of guessing. For a side-by-side look at tools, read best dental insurance verification software.
How much does Elva's RCM for Open Dental cost?
It depends on your practice size and the features you use. Get a quote within 24 hours, or estimate what your practice may be losing with the dental revenue leakage calculator.
See Elva Work Your Open Dental Claims
Bring a week of claims and we'll show Elva verifying, submitting and posting them in Open Dental. You'll have a quote within 24 hours. Every practice gets a signed BAA, and patient data is encrypted at rest and in transit.