Pre-authorization, claim submission, appeals and follow-up for oral appliance therapy — billed to commercial medical insurance and Medicare by a team that does nothing else.
Specialty focus
OAT
Precision at every handoff.
We don't file claims. We collect money. Every stage is handled by people who understand dental sleep medicine.
We fight for approval before treatment, not forgiveness after.
View what's includedMedical necessity documentation
Sleep study data and AHI
Physician letters
Prior treatment history
Payer and benefit verification
Proactive tracking
Clean claims the first time — no do-overs, no delays.
View what's includedICD-10, CPT, and HCPCS
E0486 and K1027
Payer-specific formatting
Claim tracking
A denial is the start of the conversation, not the end of it.
View what's includedDenial review
48-hour review target
Payer-specific medical necessity language
Multi-level appeals
Peer-to-peer review
Payer pattern tracking
Persistent, professional pressure until the payer pays.
View what's includedAging claims
Fixed follow-up cadence
Payer calls
Portal escalations
Transparent reporting
Book a call and we'll walk through your pre-auths, denials and aging A/R together.
Dental sleep medicine billing sits between two worlds: a dental practice delivering the appliance and a medical payer deciding whether to pay for it. We manage the medical side so your team can stay chairside.
Approval is won before the appliance is delivered. We assemble the medical-necessity file the payer asks for, verify medical benefits, and track the authorization until a decision is on paper.
Clean claims start with correct coding. We submit with the ICD-10, CPT and HCPCS combinations each payer expects for sleep apnea oral appliance therapy, including E0486 and K1027.
Medicare treats oral appliances as durable medical equipment, which brings its own documentation standards and jurisdiction rules. We bill to those standards rather than adapting commercial habits and hoping they hold.
Every denial gets worked. We identify whether it is clinical, procedural or documentation-driven, write the appeal in the payer's language, and keep aging claims on a fixed follow-up cadence until they resolve.
A structured transition from revenue diagnosis to ongoing performance optimization.
Complimentary billing review of current A/R, denial rate, and pre-authorization workflow — no cost, no commitment.
Custom onboarding onto your practice management and clearinghouse systems, payer credentialing review, and staff handoff protocol.
Live pre-authorization and claims management begins — typically within 5–10 business days of signed agreement.
Weekly or bi-weekly reporting on submissions, denials, appeals, and collections.
Quarterly performance review against clean claim rate, days in A/R, and total collections.
Bring your denial list — we'll tell you what we'd do differently.
Select a focus area to see how Claims Paid Pro turns a complicated payer process into accountable revenue recovery.
We focus on medical billing for dental sleep medicine — not every specialty under the sun.
Claim Operations
Clean Claim Target
98%
A/R Goal
< 30 Days
Denials Fought
100%
Your practice delivered the care. Let Claims Paid Pro handle the fight to collect what you earned.
