0.0%verified hands-free overnight — no manual portal loginsverified hands-free overnight
Meet Zesty — your tireless new hire.
Your AI worker for the revenue cycle.
Zesty is the tireless AI worker you hire — not software you log into. It verifies every patient's insurance overnight, scrubs claims before they go out, fills open chairs, and works referrals while your team sleeps. You wake up to $200K+ more revenue surfaced each year.
Based on a 400-patient/month dental practice — actual monthly results annualized. An estimate, not a guarantee; results vary by practice size, patient mix, and the insurance companies you bill.
What insurance verification is, why it's painful today, and what Verora actually does about it — in plain English.
Start Here
What is dental insurance verification?
Before a patient sits in the chair, the office checks with their insurance company to confirm the patient is covered, what the plan pays for, how much is left for the year, and what rules apply. Done right, the practice and the patient both know — up front — what the visit will actually cost. Done poorly, surprises show up weeks later as denied claims and angry billing calls.
The Problem
Why it's broken today.
Most offices still verify by phone. Staff sit on hold for ten to twenty minutes per patient, copy answers into a form, and hope the person on the other end gave them the right plan. Online tools help but return only a summary — frequency limits, missing-tooth language, and waiting periods are buried in the fine print and easy to miss. The bill arrives, the claim gets denied, and the front desk eats the call.
What Verora Does
We verify the whole schedule overnight.
Verora runs every patient on tomorrow's schedule before the office opens — by 5 AM local. We turn messy insurance responses into clean, structured answers, flag denial risks before the claim is sent, write the result back into your practice software, and learn from your own claim payments over time so the estimates and warnings get more accurate the longer we run. Staff walk in to a ready dashboard. No phone calls.
Verified schedule waiting by 5 AM local
Plain-language benefits — not raw insurance codes
Denial flags surfaced before treatment is planned
Results written back into Open Dental, Dentrix, Eaglesoft, NexHealth, and more
Built for HIPAA from the ground up — zero patient data stored at rest
VerifyIQ · Overnight verification
Walk in to a verified schedule.
Every insured patient on tomorrow’s schedule runs through the clearinghouse overnight — in your local time zone. Your team walks in to clear benefits, with the denial risks already flagged. No portal logins. No phone holds.
Overnight, in the practice’s local time, VerifyIQ verifies every insured patient on tomorrow’s schedule through the Stedi clearinghouse.
Sarah Chen, Delta Dental WA — verified: preventive covered 100%, $840 of annual maximum remaining.
Diego Ramirez, MetLife — verified, with a denial-risk flag: a cleaning 4 months ago against a once-per-six-months frequency limit.
Priya Patel, Aetna — verified, with a missing-tooth-clause risk flag on tooth #19.
Jordan Lee, Guardian — could not be auto-verified (subscriber mismatch) and was routed to the team for review.
Result: 23 of 24 insured patients verified hands-free, 4 denial-risk conditions flagged before treatment, 1 routed to staff, all written back to the practice software by about 4:47 AM. Numbers are illustrative.
Overnight verification done · 4:47 AM local
Tomorrow · 28 scheduled · 24 with insurance on file
S
Sarah ChenDelta Dental WA
VerifiedPreventive 100% · $840 max left
M
Marcus WebbCigna PPO
VerifiedBasic 80% · $1,500 remaining
D
Diego RamirezMetLife
Verified Frequency limitCleaning 4 mo ago · plan allows 1 per 6
P
Priya PatelAetna PPO
Verified Missing-tooth clause#19 extracted pre-effective · bridge at risk
J
Jordan LeeGuardian
Needs review ReviewSubscriber mismatch · routed to your team
+ 19 more verified — 2 also risk-flagged — all written back
Hygiene benefits going unused. Claims your payer quietly underpaid. RevenueIQ surfaces both — from the eligibility and payment data the platform already touches — and totals them in one Verora Impact ledger. You act on them; it keeps the count.
RevenueIQ surfaces hidden revenue from the practice’s own eligibility and payment data, totaled month-to-date and updated nightly.
Hygiene benefits available: 184 patients are eligible for fluoride and sealants they have not used — about $11,940.
Underpayments flagged: payers paid below your contracted rates, learned from 835 remittance history — for example $87 under on a D2750 crown, or $37 under on a D4910 perio maintenance — totaling $4,318 across 33 lines.
Heads-up: 2 patients have $0 of annual maximum left even though the plan still reads active.
Total Verora Impact surfaced this month: $16,258. RevenueIQ surfaces these opportunities; your team acts on them. Figures are illustrative.
Verora Impactmonth-to-date · updated nightly
Unused benefit184 patients · fluoride & sealants eligibleD1206 / D1351 — covered by their plan, not yet used
+11,940
UnderpaidD2750 crown · paid $87 under contractedDelta Dental WA · learned from your 835 history
+87
UnderpaidD4910 perio maint · $37 under contractedMetLife · below the rate they've paid before
+37
Heads-up2 patients · $0 left, plan still reads activeAnnual max exhausted — flag before treatment
+ 31 more underpaid lines flagged across your payers
Underpayments flagged$4,318
Hygiene benefits available$11,940
Surfaced this monthfrom data already on the platform
$16,258
RevenueIQ surfaces these from data already on the platform — your team acts on them. Illustrative figures.
ClaimIQ · Scrub & appeal
Send it clean. Appeal what comes back short.
Before a claim goes out, ClaimIQ checks it against the verified benefits and flags what would bounce. After it’s paid, it reads the remittance line by line — and when the payer comes up short, the appeal is drafted and waiting before your team even sees the denial. It rides alongside the clearinghouse you already use; it never gets in the way of submission.
ClaimIQ follows one claim — a D2740 crown for Sarah Chen — from scrub to appeal.
Before submission, it scrubs the claim against the verified benefits and catches two denial risks: a required x-ray attachment and a porcelain-to-PFM downgrade risk.
The cleared claim is sent through the practice’s own clearinghouse — ClaimIQ never submits.
The 835 remittance comes back: contracted $1,180, payer paid $1,038 — a $142 underpayment.
ClaimIQ assembles an appeal draft, ready for review: the letter and clinical narrative are drafted, the EOB is flagged to attach, and a $142 recovery opportunity is shown. Recovery depends on payer reconsideration; figures are illustrative.
Claim · D2740 crown · Sarah Chen
Appeal drafted — ready for your review
X-ray attachment requiredcaught before send
Downgrade risk: porcelain → PFMcaught before send
Sent via your clearinghouseClaimIQ stays out of the submission path
Remittance · 835
Contracted rate$1,180.00
Payer paid$1,038.00
Underpaid−$142.00
Appeal draftready for review
+$142.00recovery opportunity
Appeal letter drafted
Clinical narrative pulled from your PMS
EOB — attach before sending
Illustrative — appeals depend on payer reconsideration. Only enrolled 835 remits are tracked.
Verora · ScheduleIQ
The front desk that fills its own chairs.
ScheduleIQ spots the gaps in tomorrow’s schedule, texts the right patients, checks their insurance, answers their questions, and books them — autonomously, over SMS. No phone tag. No forms. No chair left empty.
Zesty, the scheduling assistant at Matt’s Family Dental: Hi Thomas. You’re due for your 6-month cleaning and a few openings just freed up this month. Tap to pick a time — and if you’d like, I can check your insurance so you know exactly what’s covered.
Thomas: Oh nice — yes, can you check my insurance?
Zesty: Just checked your plan with Delta Dental. Your cleaning and exam is covered at 100% — $0 out of pocket today. You’ve also got about $840 of benefits left this year. Want me to hold one of these? Available times: Thursday 2:00 PM, Friday 9:30 AM, or Monday 11:00 AM.
Thomas selects Thursday 2:00 PM.
Zesty: Done. You’re booked with Dr. Patel on Thursday, June 12 at 2:00 PM. I’ll text you a reminder 24 hours and 1 hour before. Reply anytime to change it.
9:41
ZestyMatt’s Family Dental · Scheduling
Today · 9:41 AM
Hi Thomas 👋 This is Zesty, the scheduling assistant at Matt’s Family Dental. You’re due for your 6-month cleaning, and a few openings just freed up this month. Tap below to pick a time that works — and if you’d like, I can check your insurance so you know exactly what’s covered. Talk soon!
M
Matt’s Family DentalBook your visit · ~20 seconds
Oh nice — yes, can you check my insurance?
Just checked your plan with Delta Dental ✅ Your cleaning + exam is covered at 100% — $0 out of pocket today. You’ve also got about $840 of benefits left this year, so it’s a great time to come in. Want me to hold one of these?
Eligibility confirmedDelta Dental
$0Your cost today
$840Benefits left this year
Cleaning + exam · covered at 100%
Done! ✨ You’re booked with Dr. Patel on Thursday, June 12 at 2:00 PM. I’ll text you a reminder 24h and 1h before. Need to change it? Just reply here anytime.
You’re booked
Thursday, June 12 · 2:00 PM · Dr. Patel
Reminders 24h & 1h before
Message…
Illustrative example — fictional patient & plan details.
Connects to the practice software you already use.
Four numbers that show what hands-free insurance verification looks like at scale.
$0K+
annual revenue recovered for an average practice
0.0%
patients verified hands-free, overnight
0
details read on every insurance check
0+
payers connected through our clearinghouse network
HIDDEN INSIDE EVERY PLAN
We Read the Fine Print Others Skip.
Every insurance plan has rules buried in the details that decide what you actually get paid. Most software only reads the summary. We read all of it.
The Downgrade
Payer approves the procedure — but pays at a cheaper material rate. Buried in unstructured remarks. We parse it. They don't.
Revenue Loss
Missing Tooth Clause
Some plans won't pay for a crown or bridge on a tooth that was already missing before the patient signed up. We check the tooth history against the plan rules and catch this before you file the claim.
Claim Denial
Frequency Limit Trap
Patient had a prophy 4 months ago at another office. Frequency limit is 1 per 6 months. We catch it before you schedule — not after the denial.
Instant Denial
Waiting Period
New patient, new insurance. 12-month waiting period on major restorative hidden in the fine print. We surface it before the patient sits down.
Denial Risk
Stale Data Phantom
Benefit balance looks current but is months old. We detect temporal inconsistencies and flag outdated snapshots.
Bad Data
Annual Max Exhausted
Patient has $0 remaining but the eligibility response still says 'active.' Every dollar is out-of-pocket. We flag it before you plan treatment.
100% Out-of-Pocket
THE REVENUE YOU'RE LEAVING ON THE TABLE
$200K+ Per Year. Hiding in Plain Sight.
Every insurance response contains a full benefit breakdown — fluoride, sealants, perio maintenance — buried in encoded data no human reads. Your patients are already covered for services they never receive.
D1206
Fluoride Varnish$30–45/visit
Often 100% covered 2x/year — most adults never receive it
D1351
Sealants (Adult)$40–60/tooth
Commonly missed — many plans cover adult sealants
D4910
Perio Maintenance$150–250/visit
Covered but chronically under-scheduled
D4346
Scaling (Mod. Perio)$150–300/visit
Fully covered for perio patients — rarely billed
D0274
4 Bitewings$50–80/set
Frequency limits reset — often eligible sooner than expected
D0150
Comprehensive Exam$75–150
Due every 3 years — frequently overlooked
Revenue Discovery Engine
$200K+/yr
Extra money in your bank account every year, plus $50K+ more from claim denials we win back for you. Based on a 400-patient/month practice; results vary by practice size, patient mix, and the insurance companies you bill.
How It Works
Read the entire insurance plan, not just the summary
Pull out every service the patient gets at no cost
Check what they've already had done in your office
Show services they qualify for but never received
This isn't about stopping money from leaking out. It's about finding money you didn't even know was there — sitting inside the insurance details we already read for you.
THE UNDERPAYMENT YOU NEVER SEE
Payers Are Short-Paying You. Every Month.
Insurance companies routinely pay less than they owe you. We compare every payment against the rates they agreed to and flag the shortfalls automatically.
Claim ExampleUnderpaid
Procedure
D2750 — Crown
Contracted Rate
$875.00
What They Paid
$693.00
Underpayment Detected-$182.00
Insurance paid for a cheaper metal crown instead of the porcelain rate you contracted for. We file the appeal.
Multiply this across hundreds of claims a month. These shortfalls quietly add up to 5–8% of the money you should be collecting— written off as “insurance adjustments” you never knew about. We catch it.
HOW THE ENGINE WORKS
The Anatomy of a Rescue.
Standard verification tools fail silently. Our agent detects the failure, diagnoses the cause, and runs an automatic rescue — turning rejections into confirmations.
STANDARD TOOLResult: FAIL
Eligibility Request →
subscriber_id: "UHC884221"
group_number: ""
← Eligibility Response
Rejected: Required Data Missing
Standard tools stop here. Patient marked "unable to verify." Front desk calls the payer manually.
When a verification fails, most platforms stop and flag it for manual review. Verora escalates through four rescue phases — each more comprehensive than the last.
1
Identity Correction
Automated fixes: leading zeros, name variants, ID truncation
2
Magic Wand Discovery
SSN-backed search finds the correct payer record
3
Secondary Verification
Alternative verification service as fallback
4
Agentic Hunter Rescue
Our AI agent autonomously retries, reroutes, and recovers the eligibility. Zero dead ends.
95% resolve autonomously
45-day lockout prevents redundant charges
THE PRODUCT
See It Working.
Tomorrow
March 16, 2026 — 24 patients verified
Live
Sarah M.
Delta Dental PPO
Verified98%
James R.
Cigna DPPO
Warning — Downgrade Detected94%
Maria G.
Aetna DMO
Verified97%
Robert K.
MetLife PDP Plus
Alert — Prior Auth Required86%
Linda T.
United Concordia
Verified99%
David W.
Guardian DentalGuard
Warning — Downgrade Detected91%
Overnight Auto-Verification Writes Back Into Your Software 1,200+ Payers Connected
THE AUTONOMOUS ENGINE
What Happens While You Sleep.
A self-running system that verifies, learns, and prepares — so your staff opens the day fully equipped.
01
Overnight Pre-Warm
Your schedule is verified before 5 AM local time — timezone-aware, practice by practice. Staff walks in to a fully verified day. No phone calls. No portals.
02
State-Aware Answers
"Delta Dental" in California is not the same as "Delta Dental" in Washington. We resolve every insurance name to the correct state-specific payer, so queries hit the right plan — every time.
03
Closed-Loop Learning from 835
Electronic remittance data flows back into the system. Payment rates, denial patterns, and contracted rates per payer improve future predictions. The more data your practice generates, the smarter it gets.
04
Appeal Evidence Bundles
For denied or at-risk claims, generate a complete appeal package: letter draft, required attachments, missing document checklist. One click. One package. Ready to send.
05
Ready Dashboard
Dashboard pre-hydrated from unified Postgres/Redis cache. Zero latency. Zero redundant API calls. Your team opens to completed verifications, denial flags, and revenue estimates — already in the PMS.
REFERRAL LEAKAGE
Specialty practices lose ~1 in 3 referrals before they're ever scheduled.
That's the published number for healthcare referrals from primary care to specialists — straight out of a peer-reviewed study of 103,737 referrals. Dental's leakage isn't smaller. And in dentistry, the case values are bigger.
1 in 3
specialty referrals never become a documented visit
34.8%
scheduling attempts that close the loop, in a 103,737-referral peer-reviewed study
64–68%
industry-average orthodontic case acceptance — top quartile reaches 80%+
ORTHODONTICS
The consult that never happens.
Annualized leakage / 100 referrals
$192,000 – $220,000
Avg ortho case fee ~$5,500–$6,300. 35 leaked starts per 100 referrals.
A GP hands a parent the referral pad on the way out — full of good intent, low on follow-through. By the time they get home, the kid has soccer, work calls, life. The orthodontist never hears about it. Industry case-acceptance benchmarks already assume the patient walks in the door — but a third of them don't.
On Verora: When the GP refers on Verora, the orthodontist sees the patient — verified — before the parent has parked the car. The TC books the consult while the chart is still warm.
ORAL SURGERY
Implants and impacted teeth that never get scheduled.
Annualized leakage / 100 referrals
$105,000 – $210,000
Implants $3,000–$6,000 per case · impacted set $1,200–$2,000. 35 cases lost per 100 referrals.
Implant referrals walk out with a slip mid-restorative plan; impacted-third-molar referrals get handed to a parent at the recall exam. Half the time the patient lands somewhere else — or in your ER as an emergency three months later. The GP never sees it. The OMS practice never had a chance.
On Verora: Verora delivers the referral with the diagnostic, the imaging, the planned site, and the verified benefits — the moment the GP signs off. The case is scheduled the same day, not the next emergency.
PERIODONTICS
Mid-range perio cases that drift.
Annualized leakage / 100 referrals
$105,000 – $210,000
Mid-range case (multi-quadrant SRP + minor graft) $3,000–$6,000. 35 leaked cases per 100 referrals.
Perio referrals are the ones patients hate to follow up on. Bleeding gums, scary diagnosis, surgical word in the air. Without a warm handoff, half the patients quietly skip the consult — and a year later they're back at the GP with bone loss the perio could have stopped.
On Verora: The perio practice gets the perio chart, the radiographs, the diagnosis, and the verified benefits before the patient leaves the GP's chair. The patient leaves with a scheduled appointment, not a slip of paper.
The GP refers the patient out for a difficult molar root canal. The patient stalls — co-pay anxiety, scheduling friction, fear. Two months later the tooth abscesses and gets extracted. The endo practice never even saw the case, the GP loses the restorative work, and the patient loses the tooth.
On Verora: The endodontist gets the periapical, the diagnosis, the verified benefits, and a one-tap scheduling link the same minute the GP refers. The patient is in the chair before the molar gets worse.
Data: peer-reviewed referral-closure study (n=103,737 referrals, J Gen Intern Med), Gaidge Analytics + Planet DDS 2025 industry benchmarks (n=1,500 practices), and industry-published 2025 case-fee ranges for implants, third molars, periodontal treatment, and endodontics. Leakage figures assume 35% miss rate × 100 referrals per year per specialty — your practice's own volume scales the math linearly.
THE VERORA NETWORK
Your referral partners just became your verification team.
Every referral arrives as one complete package. Verified benefits statement, plan limits, treatment plan with procedure codes, x-rays, clinical notes, medical history, secondary insurance, consent forms — everything your front desk would otherwise spend a week chasing. When the visit closes, the referring practice sees you finished the job. They refer more.
FREEPartner Portal is free for every connected GP or specialty practice — Verora customer or not.
One outbound referral. One inbound verified outcome. Both arrive in milliseconds.
What lands in your Verora dashboard with every referral
Verified benefits statementPlan limits + deductible remainingFrequency history (last cleaning, last x-ray)Treatment plan with procedure codesTooth-by-tooth clinical findingsX-rays + intraoral photosMedical history + medicationsSecondary insurance detailsPatient consent formsReferring practice notes
Skip the second verification.
Patients arrive pre-verified by the GP — eligibility, benefits, frequencies, deductible. Your front desk doesn't re-call the carrier. You don't re-pay for the verification. The patient doesn't wait.
Close the loop without a phone call.
When your visit ends, the GP sees the verified outcome and updated treatment plan in their schedule the same minute. No fax. No follow-up call. They know you handled it — so they refer more.
Inherit every other practice's wins.
When one practice on Verora cracks a tricky carrier — a stuck denial, a finicky member ID, a hidden plan rule — every connected practice gets the fix the same day. The longer you're on the network, the more it works for you.
See the Verora Network in full.
The Network has its own home — the referral mesh, the free partner portal, and how verified eligibility travels with every patient. Explore it, invite a referral partner, or request your practice packet.
A Verora database breach exposes nothing — because we store nothing. Patient data exists only in encrypted memory during active verification and is discarded immediately after results are written back to your practice software. Our database contains only anonymized identifiers.
Patient data stored0 bytes
In-memory onlyDiscarded after each run
Admin session expiry15 minutes
Audit trailEvery action logged
ComplianceHIPAA-ready
WHAT PRACTICES ARE SAYING
What High-Volume Practices Are Saying
“
Verora AI has been a game-changer for our workflow. We’ve cut the time we spend on the phone with insurance companies by more than half, and the data accuracy is incredible — it catches exact remaining annual maximums down to the cent. Beyond just saving time, it’s a massive revenue driver. By identifying covered services we used to miss, like fluoride and perio maintenance, we are on track to see an extra $28,000 in upsell services this month alone. I’d recommend it to any practice; it’s detailed, easy to use, and catches the errors that usually slip through the cracks.
YG
Yanely G.
Practice Management Professional
“
We went from 3 full-time verifiers to 1 part-time auditor. Verora handles the rest while we sleep. The overnight auto-verification alone pays for itself — but the revenue it catches from downgrades and missing tooth clauses? That was money we never knew we were leaving on the table.
SF
Dr. Sarah F.
Owner — 4 Locations, 80+ Patients/Day
“
We loved the idea from the first demo, but when we saw it actually catch a member ID mismatch and fix it in Open Dental before our front desk even got in — that’s when it clicked. This is what insurance verification should have been all along.
AS
Dr. Aaron S.
General Dentist — Washington State
PRICING
Built Around Your Volume.
Pricing scales with the patients you see, not the seats you fill. Every tier includes the full Verora product — no features gated behind practice size.
Practice
Single-location practices
Every patient verified. Every covered service found. Every underpayment caught.
Built for any single office — from a solo dentist to a busy 1,500-patient/month practice.