Dental software
Open Dental Billing Services
Billing support inside Open Dental: claims, insurance payments, setup reviews, user permissions, custom reports and A/R.
Quick answer
What is open dental billing services?
Open Dental billing services are outsourced dental billing tasks carried out inside a practice’s Open Dental system, such as sending claims, posting insurance and patient payments, and following up on outstanding insurance. Because Open Dental is highly configurable, the work also includes checking that insurance plans, fee schedules and user permissions are set up to support accurate billing.
Open Dental is known for flexibility. Practices can tailor a great deal of the system, from insurance plan settings and fee schedules to user security groups and reports, and many offices and dental groups have built their own routines on top of it. That flexibility is useful, but it also means two Open Dental offices can behave very differently, and billing results depend heavily on how the system was configured.
Our Open Dental billing services start by learning how your instance is set up. We work claims, insurance payments, patient payments and outstanding insurance inside your system, and we use its reporting, including custom queries your office already relies on, to track what is unpaid. Where a billing problem traces back to configuration, such as a plan linked to the wrong fee schedule or incorrect benefit entries, we document it and recommend a fix for your approval.
Open Dental is commonly installed on a server in the practice or hosted by a provider you choose, so access is arranged through your IT setup. Open Dental is a trademark of its owner. Texas Solutions is not affiliated with or endorsed by Open Dental Software; we work in your licensed system with named user accounts, and we sign a Business Associate Agreement before accessing patient data.
What our open dental billing service covers
The exact scope is agreed in writing for each practice. Typical tasks include:
- Sending claims and resolving clearinghouse rejections
- Adding attachments and narratives for procedures that commonly need support
- Posting insurance payments by claim and entering patient payments and adjustments
- Running outstanding insurance and aging reports to prioritize follow-up
- Using or refining the custom queries your office relies on for billing work lists
- Reviewing insurance plan, benefit and fee schedule setup that affects estimates and write-offs
- Recommending security group permissions so billing users have only the access they need
- Recording follow-up in claim and account notes
- Secondary claims and patient balance review before statements
How the work runs
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1
Configuration walkthrough
We review your insurance plan setup, fee schedules, claim settings, security groups and the reports your office uses today.
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2
Access and permissions
Your office creates named Open Dental users for our team in a security group limited to billing, so activity is recorded under each person.
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3
Claims and posting
Claims are sent and corrected daily, and payments are posted to the right claims and procedures.
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4
Outstanding insurance follow-up
Unpaid claims are worked by age and amount, with each status check noted in the system.
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5
Configuration fixes
Setup issues found along the way are listed with recommended changes, which your office approves before anything is altered.
What this work is designed to improve
Potential benefits depend on your starting point, carrier mix and how your team and ours share the work. We do not promise specific results.
Setup that supports billing
Reviewing plans and fee schedules is designed to reduce estimate errors that later turn into patient balance disputes.
Controlled access
Limiting billing users to the permissions they need can help your office keep a clear audit trail.
Focused follow-up
Work lists built from your own reports aim to put the oldest and largest unpaid claims first.
Knowledge kept in your office
Documenting fixes and routines in your system can help your staff understand the setup if roles change.
Dental practices that often need this service
Open Dental Billing FAQs
What do Open Dental billing services include?
Open Dental billing services include sending claims, adding attachments, posting payments and working the outstanding insurance report. They also cover a review of the plan and fee schedule setup that drives estimates. Verification and patient balance review can be added. All work happens inside your Open Dental database under named users in a security group your office controls.
How do you handle claim attachments in Open Dental?
We send claim attachments through the method your office already has set up, such as your clearinghouse attachment service or a carrier portal. Radiographs, perio charts, photos and narratives are taken from the patient record, linked to the claim and noted in the claim history. If attachments are not yet set up, we can list the options for your office to review.
Why does configuration matter so much in Open Dental?
Configuration matters because Open Dental calculates estimates, write-offs and claim amounts from the insurance plans, benefits and fee schedules your office has entered. If a plan points to the wrong fee schedule or benefits are entered incorrectly, every claim and estimate for those patients inherits the error. Reviewing setup early lets billing work fix causes instead of repeating the same corrections.
Can you use our existing custom reports?
Yes, we can work from the reports and custom queries your office already uses, and we can suggest additional ones for billing work lists when helpful. Any new query is shared with your office for review before it is saved. We avoid changing reports other staff depend on without approval, since many offices rely on them for daily routines.
How is our team’s access controlled in Open Dental?
Access is controlled by your office through named Open Dental users assigned to a security group with limited permissions. That keeps billing users out of areas they do not need and records their actions under their own names. Server or hosting access is arranged through your IT provider, and you can disable any user at any time.
Is Texas Solutions affiliated with Open Dental?
No, Texas Solutions is not affiliated with, endorsed by or a reseller of Open Dental Software, and Open Dental is a trademark of its owner. We provide billing services inside the Open Dental system your practice already uses. Software support, hosting and upgrade questions stay with the vendor or your IT provider.
Can you support a dental group with several clinics in Open Dental?
Yes, billing support can cover several clinics in one Open Dental database. We first confirm how clinics, providers and fee schedules are separated in your setup, then organize claims and follow-up by clinic so each location’s numbers stay clear. Reporting can be shared by location or for the group as a whole, depending on what your leadership needs.
Written by the Texas Solutions RCM team. Last reviewed . General information, not legal or coding advice; payer rules vary.
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