Verora verifies every patient overnight, catches downgrades and underpayments hiding in payer data, and writes the fix back to your PMS before your team clocks in. $309K+ in annual uplift. $238K in preventable denials recovered.
Every payer response contains encrypted signals that determine what you get paid. Standard tools miss them. We don't.
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
100% detection rate. We cross-reference payer enforcement with clinical tooth history and coverage dates. No competitor does this.
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 We detect temporal inconsistencies and flag outdated snapshots.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 GOLD YOU'RE WALKING PAST
$309K+ 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
$309K+/yr
Per mid-size practice in revenue uplift — plus $238K in preventable denial recovery. Verified from real practice financial impact data.
How It Works
Parse FULL benefit response (not just the summary)
Extract services with 100% coverage / $0 copay
Cross-reference with your procedure history
Surface services patient qualifies for but never received
This is not leakage prevention. This is revenue that never existed on anyone's radar — hiding in the encrypted payer data that Verora already parses for every verification.
THE SILENT LEAK
Payers Are Short-Paying You. Every Month.
Your 835 remittance data tells the story — if anyone reads it. Verora compares every payment against your contracted rates and flags the underpayments automatically.
Claim ExampleUnderpaid
Procedure
D2750 — Crown
Contracted Rate
$875.00
835 Payment
$693.00
Underpayment Detected-$182.00
Payer applied base-metal fee schedule instead of contracted porcelain rate. Flagged for appeal.
Multiply this across hundreds of claims per month. Systematic underpayments add up to 5–8% of collectible revenuethat silently disappears into “insurance adjustments.” Verora catches it.
THE SNIPER ENGINE
The Anatomy of a Rescue.
Standard API calls fail silently. Our agent detects the failure code, diagnoses the root cause, and executes an autonomous rescue — turning rejections into confirmations.
STANDARD APIResult: 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
Fax Safety Net
HIPAA-compliant VOB fax sent automatically. Zero dead ends.
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.
TRANSPARENCY LAB
Parse Accuracy — Side by Side.
Same real-world payer response. Same test. Different results. Verified January 2026.
Verification Accuracy Benchmark
Jan 2026 · Real-world payer response
0%
Verora AI
Parse accuracy on real-world payer responses
~15%
Standard Tools
Limited to structured EDI only
~0%
GenAI (Grok / Gemini)
Hallucination-prone on real payer data
THE HIDDEN TAX
How Much Is Manual Verification Costing You?
Enter your numbers. See the tax your practice pays every month — and the alternative.
25
$22
Based on industry avg: 12 min per manual verification
Your team spends 5.0 hours/day on the phone with payers.
Your Annual Hidden Tax
$29,040
$2,420/month in manual labor alone
With Verora
Every patient verified overnight. Zero hours on the phone.
Pricing scales with your monthly volume — quoted per practice.
Our Chrome Extension lives inside payer portals. When a rejection appears, the Magic Wand button fires — correcting identity mismatches, discovering new coverage, and syncing results back to your dashboard automatically.
Step 1
Open Any Payer Portal
Delta Dental, MetLife, Cigna, UHC, and major payer portals — the extension activates automatically.
Step 2
Rejection Detected
The extension scrapes the rejection code from the portal page. DOB mismatch? Invalid member ID? Name mismatch? Caught instantly.
Step 3
Magic Wand Fires
One click. The rescue pipeline launches: identity correction, SSN-backed discovery, secondary verification, fax fallback. No phone calls.
Step 4
Results Flow Back
Verified data syncs to your Verora dashboard and auto-writes to your PMS. Single audit trail. Zero manual entry.
deltadental.com/provider/eligibility
Eligibility Result
Subscriber Not Found
Member ID does not match records on file
Member ID
0012345678
Date of Birth
03/14/1985
Name
Sarah Mitchell
Magic Wand — Rescue This Patient
Rescued — Corrected member ID found
New ID: CIG-99887766 → Synced to dashboard
Delta Dental MetLife Cigna UHC Aetna Guardian BCBS Humana Principal Ameritas DentaQuest GEHA
+ 350+ payers supported across major portal networks
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 PMS. Our database contains only anonymized, cryptographically salted hashes.
Patient data stored0 bytes
Hashing standardHMAC-SHA-256
Admin token expiry15 minutes
Audit trailEvery action logged
ComplianceHIPAA + BAA
THE REPUTATION GUARD
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 code surfaced. Every underpayment caught.
Built for any single office — from a solo GP to a high-volume 1,500/mo practice.