PARTNER WITH US

THE CURRENT CHALLENGE

• Patients delay or decline treatment due to high out-of-pocket dental costs
• Medically necessary procedures (e.g., jaw pain, sleep-disordered breathing, oral surgery) are often not fully covered by dental insurance
• Many dental offices lack the resources or knowledge to bill medical insurance

claimSTAT ENABLES

• Expanded access to care by leveraging patients' medical benefits
• Increased case acceptable due to reduced patient financial burden
• Support for underserved and medically complex populations who may not have dental coverage
• A bridge between dental care and total-body health, reinforcing the role of dentistry in treating chronic and systemic conditions

MedDent Billing

At ClaimSTAT, we’re redefining how dental care is funded by making medical insurance work for many types of dental procedures. This approach not only helps patients access the care they need, but also ensures dental providers are compensated fairly—without the administrative burden.

Behind the scenes, our dedicated team of medical review analysts, claim coders, and documentation specialists manages each claim with precision and compliance, so providers can focus entirely on patient care.

Our founder and CEO, Bethany Abbott, recognized a critical gap in the industry: patients often needed essential dental treatment but couldn’t afford to pay out-of-pocket. With decades of experience in the medical field, she knew that many of these procedures could be covered under medical benefits—but most dental offices lacked the knowledge and tools to navigate the complex cross-coding process. ClaimSTAT was created to bridge that gap, unlocking new revenue streams for providers and care options for patients.

Why ClaimSTAT Leads the Industry:

• First-to-Market Expertise – Among the earliest to successfully implement large-scale medical-to-dental cross-coding strategies nationwide.

• Cross-Coding Specialists – Mastering CPT, ICD-10, and CDT integration to maximize reimbursement potential.

• Patient-Centric Funding Solutions – Ensuring medically necessary dental care is accessible and affordable.

• Provider Revenue Optimization – Securing fair compensation for procedures that would otherwise go unpaid.

Credentialing

At ClaimSTAT, we specialize in delivering precise, compliant, and efficient credentialing solutions for dental providers seeking enrollment with medical insurance payers.

Our credentialing process is built on meticulous attention to detail and an unwavering commitment to accuracy. We begin by gathering all essential documentation—including licenses, certifications, and verification of credentials. From there, our team conducts an in-depth review of the provider’s professional history, ensuring transparency and identifying any prior disciplinary actions.

Each file is then carefully aligned with the unique requirements of every payer. Once verified, we prepare and submit complete, compliant credentialing packets to insurance carriers—expediting approvals and reducing administrative delays.

Our Medical Payer Credentialing Services Include:

• Comprehensive Provider Data Collection – Licenses, certifications, DEA, board certifications, and malpractice insurance.

• Background & Sanctions Verification – Screening for disciplinary actions, OIG and SAM exclusion checks, and malpractice history.

• Payer-Specific Application Preparation – Customized credentialing packets to meet each carrier’s standards.

• CAQH Profile Setup & Maintenance – Creating and maintaining accurate, verified provider profiles.

• Primary Source Verification – Confirming education, training, and licensure directly with issuing entities.

• Application Submission & Tracking – Monitoring each submission until approval is granted.

• Recredentialing Management – Ensuring providers remain active and compliant with all payers.

• Status Reporting & Communication – Regular updates so you know exactly where your application stands.

By partnering with ClaimSTAT, dental providers can streamline onboarding, meet payer requirements the first time, and focus on what matters most: delivering high-quality, medically necessary oral care to their patients with the full backing of medical insurance coverage.

With ClaimSTAT, credentialing isn’t just a process—it’s a strategic advantage.

Ambulatory Surgery Center Accreditation

Setting up an Ambulatory Surgical Center (ASC) involves navigating a complex web of regulatory, operational, and clinical requirements. At claimSTAT, we offer expert consulting services designed to guide dental and medical providers through every step of the ASC development process—ensuring full compliance with state and federal guidelines, while laying the foundation for long-term clinical and financial success.

Our ASC Consulting Services Include:

• Regulatory Compliance & Licensing:

We ensure your facility meets all state Department of Health and federal CMS (Centers for Medicare & Medicaid Services) requirements, including facility licensing, life safety codes, and OSHA standards.

• Credentialing & Accreditation:

We manage the credentialing of providers and staff with medical payers and support the accreditation process with organizations such as AAAHC, The Joint Commission, or AAAASF.

• Operational Readiness:

From policy and procedure development to staffing models, equipment procurement, and clinical workflows—our team delivers end-to-end support for operational efficiency and surgical readiness.

• Billing & Reimbursement Strategy:

As leaders in medical billing for dental and surgical services, we build systems that ensure compliant coding, optimized reimbursement, and payer alignment from day one.

• Custom Roadmap & Project Management:

claimSTAT provides a personalized, step-by-step implementation plan with dedicated project oversight to keep your ASC launch on track and aligned with regulatory timelines.