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PreAuth Requirement Built-in Alerts — Overview & how it works

Gerald Bergan
Updated

Overview

PreAuth Requirement Built-in Alerts adds pre-authorization indicators directly into the Denticon treatment plan workflow. Row highlights and modal alerts now surface each procedure's pre-auth requirement status — Yes or No — based on payer rules, so billing staff are informed at the point of treatment planning rather than discovering the requirement at claim submission.

Note:
This feature is available in Denticon's treatment planning workflows starting June 5, 2026. Pre-auth status is determined by payer rules configured in your system.

The problem it solves

Prior to this update, Denticon's treatment plan workflows had no in-workflow indicator that a procedure required pre-authorization. Billing staff had no signal during treatment planning — the requirement only became apparent when a claim was denied after submission.

This gap resulted in preventable claim denials, time-consuming resubmission cycles, and added administrative burden on billing teams who had to chase down pre-auth approvals after the fact.

Note:
Claim denials due to missing pre-authorization are one of the most common and costly billing errors in dental practices. Catching them earlier in the workflow significantly reduces rework.

How it works

When a procedure is added to a treatment plan in Denticon checks the associated payer's rules and surfaces the pre-auth requirement status inline — before the claim is ever built or submitted.

 
Step 1
Open a treatment plan in Denticon. Navigate to the patient's treatment plan as you normally would in Denticon.
Step 2
Pre-auth status appears on each row. Procedures that require pre-authorization are highlighted and labeled, based on the patient's payer rules.
Step 3
A modal alert surfaces key details. Selecting a flagged procedure opens a modal showing the pre-auth requirement status and relevant payer information.
Step 4
Staff obtain pre-auth before submission. With the requirement surfaced at planning time, billing teams can initiate the pre-auth process well before the claim is submitted.

Note:
Pre-auth status indicators are driven by payer rules in your Denticon configuration. Contact your implementation team if a payer's rules need to be updated.

What this means for your practice

Catch pre-auth requirements early Billing teams see pre-authorization requirements during treatment planning — not after a claim denial.

Fewer claim denials and resubmissions Surfacing PA status before submission reduces prior-auth-related denials and the cost of resubmitting corrected claims.

Clear, in-context visibility Staff know exactly which procedures require pre-authorization, right where they're working — no need to cross-reference payer guides or call the insurance company.

Additional resources

For a full walkthrough of the feature and background on the product decisions behind it, see the resources below.

Product Launch Brief:
Pre-Auth-Requirement-Launch-Brief.docx

Video Walkthrough:
PreAuth Built In Demo.mov







Article Version 1.0 2026.29.05

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