Revenue Cycle Management
Insurance intelligence, built into your day
Pearl RCM keeps dental insurance moving so every visit starts prepared and ends paid.
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One visit, one patient, zero surprises
Here's how Pearl RCM works throughout the patient journey.
Start with verified insurance details
Confirm coverage and identify documentation gaps instantly, before your day begins, so every appointment starts insurance-ready.
Clinicians see exactly what's needed
Give providers the information they need to set claims up for success, like capturing needed images and avoiding coverage gaps.
- Lists action items for every patient inside provider schedules
- Brings attention to coverage gaps for anticipated treatment
- Calls out missing x-rays, outdated imaging, or needed retakes
Catch image problems while they're fixable
Imagecheck analyses every x-ray to ensure they meet claim submission standards while the patient is still in the chair.
Make transparent, informed treatment plans
Quickly check coverage and answer patient questions chairside, so treatment decisions and scheduling happen with full financial transparency.
- Code-level coverage and limitations available chairside
- Per-tooth treatment and benefits history in one view
- Teams can clearly explain what's covered and what's not
Claim remark
Tooth #12 has distal recurrent decay under a large existing MOD amalgam filling. DMF value of 68%. Full coverage restoration required to restore tooth due to extensive missing tooth structure.
Submit complete claims
AI attaches the right images, generates narratives, and checks codes, ensuring every claim is complete and compliant before it goes out.
- Auto-attaches the most relevant, AI-annotated images
- Generates payer-specific narratives and remarks
- Flags missing elements before submission
Keep claims moving
Claim status, next steps, and follow-ups are all visible in one place — so reimbursement keeps moving without delays.
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RCM automates insurance verification faster and assists with claims preparation and submission, so practices get paid faster.
FAQ
What is Pearl RCM and how does it work?
Pearl RCM is Pearl’s AI-powered revenue cycle management platform, designed to embed insurance intelligence into every step of the dental workflow — from scheduling through claim submission. It combines automated eligibility verification (Precheck™), in-schedule claim alerts (Claim Actions), and at-capture X-ray quality checking (Imagecheck™) so the issues that typically cause denials are caught and resolved before a claim ever leaves the practice. By connecting clinical, imaging, and insurance data in one workflow, Pearl RCM helps dental practices submit cleaner claims, reduce reimbursement delays, and improve revenue predictability.
What features does Pearl RCM include?
Pearl RCM includes three core components. Precheck™ automatically confirms eligibility and code-level benefits from four clearinghouses and 300+ carrier portals, surfacing remaining benefits and frequency limits right in the appointment card and schedule view. Claim Actions delivers proactive, in-schedule alerts that flag missing X-rays, outdated imaging, quality issues, or coverage gaps ahead of the visit. Imagecheck™ detects X-ray quality defects — cone cuts, poor exposure, missing apices — at the point of capture, so non-diagnostic images never make it onto a claim.
How does Pearl RCM reduce claim denials for dental practices?
Pearl RCM reduces denials by catching documentation, imaging, and eligibility issues before claims are submitted. Imagecheck™ flags non-diagnostic X-rays at capture, Claim Actions surfaces missing or outdated supporting evidence ahead of the appointment, and Precheck™ confirms code-level coverage in advance so treatment plans are properly verified. In early deployments, practices have reported up to 80% fewer downcodes and denials tied to missing, incomplete, or non-compliant supporting documentation, alongside up to a 2x improvement in initial clean-claim submission rates.
How much time can Pearl RCM save dental practice staff?
Early Pearl RCM deployments have saved practice teams up to 35 staff hours per week on eligibility verification and claim creation by replacing portal logins, payer phone calls, and manual chart audits with automated, in-workflow insurance intelligence. The time savings compound across the schedule: front office spends less time verifying benefits, clinical assistants spend less time recapturing rejected X-rays, and billing teams spend less time fixing and resubmitting denied claims — letting the team focus on patient care, treatment acceptance, and growth.
Does Pearl RCM integrate with dental practice management systems?
Yes. Pearl RCM embeds insurance intelligence directly into the existing dental practice management (PMS) and imaging workflow, with integrations across the major dental PMS platforms — Open Dental, Dentrix, Eaglesoft, Carestack, Oryx, Curve, Denticon, and more. Eligibility data, schedule alerts, and image quality flags surface inside the tools the front office, clinical, and billing teams already use, so there are no new portals to log into, no manual exports, and no duplicate entry between systems.