4 posts tagged with "automation"

#Guardian API Partnership

Onederful is partnering with dental carriers like Guardian to build for the future. APIs are transforming every major industry like banking and telecommunications, and it's no surprise as they are fast, accurate, secure, and reliably get data to where users are. By joining Onederful’s API ecosystem, insurance carriers can create the best, fully digital experience for their members. Patients don't receive a surprise bill, providers collect faster, and carriers don't receive phone calls - it's a win, win, win.

Insurance carriers interested in becoming a Onederful API partner can reach out here.

#Onederful is featured on the "Nobody Told Me That! with Teresa Duncan" Podcast to discuss the future of automated insurance verifications

#Onederful teams up with Principal® to automate insurance verifications

Let me describe the future of eligibility & benefits (E&B) verifications. Before a patient walks into a dental office, their E&Bs are automatically checked with the insurance carrier, and that information is populated directly into the provider’s software system.

The results are: No surprise bills for the patients, providers can collect faster and save time with manual phone calls, and insurance carriers save millions on call center costs.

Sounds like an impossible reality, right?

Today we announce the first step towards this reality. Onederful has teamed up with Principal® to enable 100% E&B information through an API to eliminate phone calls.

Onederful then standardized and transformed E&B data from Principal® to enable our network of software clients to easily connect to it.

The Onederful network of top practice management software companies, dental services organizations (DSOs), outsourced billers, dental offices and insurance experts provided feedback that they could receive close to 100% of E&B information when verifying patients, thereby eliminating a 30+ minute phone call to the carrier. Data such as full patient history, procedure code limitations, downgrades, and missing tooth clauses were all available through the API.

Principal® is the first of many carriers we are teaming up with to automate insurance verifications. We are building a new ecosystem to transform the dental industry. If you are an insurance carrier interested in partnering with Onederful to eliminate phone calls, please reach out to karen@onederful.co.

Dental insurance from Principal® is issued by Principal Life Insurance Company, Des Moines, IA 50392.

Our team is happy to introduce v2 eligibility and benefits API to the dental industry. After spending countless hours listening to client feedback, talking to insurance companies, and working with clinical and engineering teams, we've taken all our learnings and used them to improve our eligibility and benefits API.

We've recently updated our API developer documentation to provide more transparency and description to the underlying schema as well as provide enums used.

The main challenge with working with insurance data is that each insurance has their own language and way of structuring data, meaning there is no normalized structure across all the insurances. This causes issues at the integration level as that requires mapping and translation at a per insurance company level.

Internally, over the last couple years, Onederful has been codifying and essentially structuring data on a per insurance level to limit the scope and variability across insurance companies. Onederful's v2 eligibility and benefits API is meant to provide a universal schema to normalize data across insurance carriers.

As this has never been done in the industry before, there is still room for improvement as there are still free text sections that can be codified and placed into enums. However, with the help from you as client feedback, we can constantly improve our API and together work towards codifying across all insurances in the dental space.

If you come across any free text sections that you believe should be codified into an enum, please reach out to us at support@onederful.co. We greatly appreciate your feedback!