Progressive Dental Concepts
Reduced Claim Processing time by 75%
Pam Brandt, Director of Centralized Services for PDC, shares how Zuub transformed the verification process
for all 19 of their Dental Support Organizations offices.
75% Decrease
in claim processing
Enhanced
Revenue Generation
Industry Leading
Customer Support
Significant
Time Savings
Overview
Progressive Dental Concepts (PDC) is a mid-sized Dental Support Organization managing 19 practices, including 15 PPO offices and 4 fee-for-service locations. Director of Centralized Services, Pam Brandt oversees revenue cycle management (RCM), focusing on insurance-related workflows and ensuring smooth processes from start to finish.
PDC faced significant challenges with time-intensive insurance verification processes, which hindered efficiency and strained resources. Zuub’s AI-powered automated insurance verification tool provided the solution, transforming PDC’s workflows and enabling remarkable improvements across their organization.
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Challenge
1. Resource Strain
- A team of five billers, along with the director, was responsible for insurance verification across 19 locations.
- This setup required billers to manage front-end verifications alongside back-end claims processing and aging, stretching their capacity.
2. Inefficiency and Errors:
- Insurance verifications were time-consuming, requiring manual data collection from payer portals and updates to patient records.
- Errors in insurance data—such as incorrect group numbers—led to downstream issues, including claim denials and inaccurate patient estimates.
3. Office-Level Challenges:
- Office staff lacked the time and expertise to effectively handle insurance verifications while managing daily operations and patient interactions.
Solution
Zuub’s automated insurance verification system was deployed to address these challenges, with a customized rollout plan tailored to PDC’s unique needs. The following key features break down how Zuub was the solution for Progressive Dental Concepts’ (PDC) challenges.
Key Features of Zuub's Solution
- AI-driven automation for insurance data collection and verification.
- Seamless integration with Open Dental software.
- Detailed, accurate breakdowns of insurance information, including essential group numbers.
- User-friendly workflows designed for ease of adoption across multiple locations.
- Industry-leading customer support that works hand in hand with the PDC team to help support their DSO verification needs.
Benefits
1. Streamlined Workflows
Zuub enabled PDC to shift insurance verifications back to office-level staff, where it belongs while maintaining simplicity and accuracy. Pam Brandt remarked, “By bringing in a third party that actually works and helps to streamline, it made it a lot easier to modify workflows so that the offices are able to verify insurance and take back that function.”
The centralized billing team could also refocus on their core expertise: working claims and managing aging accounts.
2. Significant Time Savings
Manual verification tasks that previously took 5-8 minutes per patient were reduced to near-zero effort for office staff. According to Pam Brandt, “We timed it once, and it used to take five to eight minutes to get the breakdown from a website and update the plan. Now, with Zuub, they already have the information, which is a huge time saver.”
Zuub’s AI-powered automated insurance verification system retrieved data directly from payer portals, ensuring staff only needed to address exceptional cases.
3. Improved Claims Processing
With clean and accurate insurance data from Zuub, PDC’s average claim processing time dropped dramatically. Pam Brandt shared, “Our average claim processing went from 77 days to 19 days. Zuub definitely contributed to that improvement.”
That’s a 75% decrease in claim processing time! Fewer claim denials were reported due to enhanced accuracy in initial insurance data capture as well.
4. Enhanced Revenue Generation
By reallocating billing team efforts to focus on aging claims, PDC saw marked improvements in revenue recovery and operational efficiency.
5. Industry Leading Customer Support & Implementation
Zuub’s implementation team worked closely with Pacific Dental Concepts, providing mapping, training, and ongoing support to ensure a smooth transition for all 19 locations. “The implementation team was awesome—they were very accommodating and understanding of our unique dynamic. They made the rollout as smooth as possible across 19 locations,” Pam Brandt noted.
Tailored solutions, such as customized payer mapping, ensured office staff could quickly identify in-network and out-of-network plans.
Why Zuub Stood Out
1. Advanced AI Capabilities
- Zuub’s ability to accurately identify group numbers and provide detailed breakdowns surpassed other solutions PDC considered.
- The system minimized the potential for human error, delivering reliable data for claims and patient estimates.
2. Exceptional Customer Support
- PDC’s team praised Zuub’s implementation specialists for their hands-on assistance and responsiveness to unique challenges.
3. Scalability for Large DSOs
- With 19 locations, PDC required a solution that could scale effectively while maintaining consistency and accuracy.
- Zuub’s system proved capable of supporting DSOs with complex and dynamic needs.
What are you waiting for?
Zuub’s AI-powered insurance verification tool has been a game-changer for Progressive Dental Concepts. By automating time-intensive tasks, enhancing data accuracy, and freeing up resources, Zuub has empowered PDC to focus on delivering exceptional patient care while driving operational and financial efficiency.
For DSOs seeking to streamline their insurance workflows, Zuub offers a proven solution that delivers measurable results.
Interested in learning more? Schedule a demo to see how we can transform your practice operations.
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26%
Average increase in practice ‘s productivity
- Increase case acceptance
- 350+ payer integrations
- Collect more, faster
- Reduce A/R costs
- Full automation
- Live customer support
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