HealOS
Backed by Y Combinator

Prior Authorization for Open Dental — Stop chasing payers, start treating patients

HealOS Prior Authorization automates the entire auth workflow for Open Dental practices — from submission to tracking to appeals — so your staff stops spending hours on payer phone trees.

See a Open Dental Prior Authorization Demo →Start Free

The Problem Prior Authorization Solves

Prior authorizations take an average of 45 minutes each. Staff play phone tag with payers, fax forms back and forth, and lose track of pending requests. Patients wait. Revenue stalls.

How Prior Authorization Works with Open Dental

1

Authorization need identified

When a procedure, referral, or medication requires prior auth, HealOS detects it from the order in Open Dental and begins the process.

2

Request auto-generated

HealOS pulls relevant clinical data from Open Dental — diagnosis, procedure codes, supporting documentation — and builds a complete auth request.

3

Submitted to payer

The request is submitted electronically to the appropriate payer. No fax, no phone calls, no manual forms.

4

Tracked and followed up

HealOS monitors the request status in real-time. If the payer delays, HealOS follows up automatically. If denied, it initiates an appeal with additional documentation.

What Gets Automated

Auto-generates authorization requests from Open Dental data
Submits to payers electronically — no fax required
Real-time status tracking and payer response monitoring
Automatic follow-up on pending authorizations
Auto-appeals for denied authorizations with supporting docs
Priority routing for urgent and time-sensitive requests
Tracks expiration dates and renewal windows
Complete audit trail for compliance

Open Dental Prior Authorization Results

Submission time

Before: 45 min per authAfter: Same-day auto-submit

Approval rate

Before: 70-80%After: 90%+ with auto-documentation

Staff time per auth

Before: 2-3 phone calls + faxesAfter: Zero phone calls

Tracking

Before: Manual spreadsheetsAfter: Real-time dashboard

Appeals

Before: Often missed or delayedAfter: Auto-initiated with docs

Revenue delay

Before: Weeks of waitingAfter: Accelerated approvals
HIPAA Compliant
SOC 2 Type II
AES-256 Encryption
Signed BAA

See Prior Authorization Working Inside Open Dental

We'll walk through real workflows — from the moment work begins to the moment it appears inside Open Dental.

See a Open Dental Prior Authorization Demo →

20 free sessions/month. No credit card required.

Frequently Asked Questions

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Back to all Open Dental integrations