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How Dentists Could Save $711+ Million in 2026 with Automated Insurance Verification

Destiny Potts
April 27, 2026
4
min read

Dental insurance verification may not be the most visible part of practice operations, but it is one of the most expensive manual workflows many teams still manage every day.

According to ADA News coverage of the 2024 CAQH Index, dental eligibility and benefits verification spending rose 15% to $2.1 billion in 2023. The same report said the potential savings from moving from manual and portal-based workflows to automated electronic checks reached $580 million in 2023.

If that savings opportunity continued to grow at the same 7% annual rate cited in the article, the projected savings would reach roughly $711 million in 2026 (projection based on the reported 2023 number, not a published ADA estimate for 2026).

For dental practices, insurance verification is rarely just one small task. It often means staff time spent calling payers, logging into multiple portals, chasing down missing insurance details, and resolving coverage questions before or during the patient visit. When teams are already stretched thin, that work adds up fast.

Dental insurance verification is costing practices more than they realize

The size of the problem is worth pausing on. A $2.1 billion annual spend on eligibility and benefits verification means this is not just routine admin overhead. It is a meaningful operational expense across the dental industry.

And the issue goes beyond the time required. Dental practices also face inconsistent payer workflows and a litany of portal requirements, which slow and complicate eligibility checks. ADA News specifically noted that payer portals increase administrative complexity for dental offices.

In practical terms, this means front-office and insurance teams often spend valuable hours on work that does not directly improve patient care, but still has to get done.

Why verification is still so expensive for dental offices

For many practices, the problem is not just that insurance verification exists; it's that it's not used. Moreover, verification often happens through a fragmented, manual process.

A team member may need to:

  1. Check whether insurance information is already in the system
  2. Confirm whether it is still accurate
  3. Log in to a payer portal or call the carrier
  4. Confirm active coverage
  5. Review benefits and limitations
  6. And sometimes repeat the whole process again if something changes before the appointment.

The problem starts to feel dire when practices don’t have current insurance information available from their practice management system.

As a result, verification is slowed down by a second workflow: chasing patients for updated information before the eligibility check can even happen.

What manual verification really costs a practice day to day

Industry-level savings numbers are useful, but most practices feel this problem in more immediate ways.

Manual insurance verification can lead to:

  • More time spent on phones and portals
  • Slower front-desk workflows
  • Rushed day-of-appointment problem solving
  • Harder patient financial conversations
  • And more internal handoff friction between scheduling, intake, billing, and clinical teams

When staff have to scramble to confirm coverage shortly before an appointment, the issue is no longer just administrative. It affects schedule confidence, patient expectations, and how prepared the team feels before the visit starts.

Why automation is becoming the smart path

The case for automation is not just about reducing clicks. It is about making the verification process more usable and more reliable for busy teams.

Automated electronic checks can help practices:

  • Reduce repetitive manual work.
  • Identify inactive or expired coverage earlier.
  • Collect missing insurance information before the visit.
  • Create a more consistent workflow across staff.

For dental offices, the appeal is straightforward: less staff time spent piecing together insurance details, and more time spent preparing for appointments with better information already in hand.

Workflow overview

Insurance verification workflow step-by-step

A stronger insurance verification workflow helps dental practices move from manual, last-minute checks to a more organized process before the patient arrives.

1

Pull insurance information from the patient record

Start by checking whether the practice already has insurance details on file and whether that information appears complete enough to use.

2

Request updated details if information is missing or outdated

If the record is incomplete, send the patient a simple prompt to submit current insurance information before the appointment.

3

Run an eligibility check ahead of the visit

Verify coverage a set number of days before the appointment so staff have time to address issues before the patient is in the office.

4

Review key coverage details

Look beyond active status to see deductibles, co-insurance, limitations, and other benefit details that may affect the visit.

5

Flag patients who may be at risk

Use the results to identify patients with failed, unknown, inactive, or incomplete verification status so the team knows where to follow up.

6

Recheck coverage on the appointment day when needed

A same-day verification helps catch last-minute changes in eligibility before treatment begins.

7

Handle exceptions with a manual check

Staff should still be able to verify coverage on the spot for walk-ins, unusual cases, or patients with more complex insurance situations.

8

Save the results where staff can easily find them

Keep a clear coverage summary in the patient record so front office, billing, and clinical teams can work from the same information.

How Doctible Insurance Verification is designed to reduce that burden

Doctible’s new Insurance Verification solution is built to automate and organize work that many dental practices still handle manually.

The solution includes:

  • Automated eligibility checks that verify insurance status using available records
  • Scheduled verifications that can run a set number of days before an appointment
  • Final same-day verification to catch changes before the visit
  • Automated patient outreach by SMS or email when insurance details are missing
  • Manual verification options for walk-ins or more complex cases
  • Coverage detail extraction that includes deductibles, co-insurance, out-of-pocket maximums, and limitations
  • PDF summaries and record write-back to keep coverage information attached to the patient record

Note: Insurance Verification is currently available as part of Doctible for Dentrix, Open Dental, and Eaglesoft customers, with broader availability planned.

Prepare for appointments and protect staff time

For front-office teams, the value of automation is rarely abstract.

It can mean:

  • Fewer last-minute calls
  • Fewer coverage surprises at check-in
  • Less time chasing insurance details
  • Faster access to information that staff can actually use

You’ll also get access to searchable coverage tables, patient submission workflows, verification dashboards, and patient profile views, allowing staff to inspect verification results and coverage information more easily.    

That kind of visibility can help teams walk into appointments better prepared, especially when they need to explain coverage or patient responsibility with more confidence.

The savings is industry-wide, but the change starts in each practice

The projected $711+ million savings opportunity for 2026 is just an industry-wide figure, but the day-to-day impact shows up one practice at a time, in saved staff minutes, fewer manual steps, and fewer avoidable surprises before the visit.

Dental practices may not control the complexity of payer systems or patient behavior, but they can improve how they manage insurance verification.

That is where automation makes a real-world difference.

Doctible’s new Insurance Verification solution is designed to help dental teams move away from fragmented manual verification work and toward a more organized pre-visit process. By automating checks, collecting missing information from patients, and keeping coverage details easier to review, it gives practices a simpler way to save time and prepare for appointments with more confidence.    

If your team is still spending too much time verifying insurance manually, see how Insurance Verification works.

Note: Where the $711+ million figure comes from

To clarify: The ADA News article reports that the potential savings opportunity from greater use of automated electronic checks reached $580 million in 2023, and that this represented a 7% increase. Read the ADA article.

So the $711+ million figure for 2026 is a simple projection:

  • 2023: $580.0 million
  • 2024: about $620.6 million
  • 2025: about $664.0 million
  • 2026: about $710.5 million

Rounded, that gives a 2026 savings opportunity of $711+ million if the same growth rate continued.

That does not mean dentists are guaranteed to save that amount in 2026. It means the size of the efficiency opportunity would reach about that level under the same growth assumption. That is still a strong signal: the administrative cost of manual verification remains large, and the upside of automation is real.

References

Versaci, Mary Beth. (March 24, 2025). Benefit verification drives increased administrative spending in dental offices. ADA News. https://adanews.ada.org/ada-news/2025/march/benefit-verification-drives-increased-administrative-spending-in-dental-offices/

Updated on:
June 30, 2026

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