Practice managementOpen Dental carries scheduling, treatment plans, claims, and recall for dental practices
Phone-heavy payersdental benefit detail often takes a call: frequency limits, waiting periods, annual maximums
PredeterminationFlexbone submits and tracks preauthorization for crowns, implants, and other major work

Flexbone works alongside Open Dental by handling the payer calls, portal checks, and patient scheduling calls around it, not through a native or certified integration. Open Dental is a widely used dental practice management system, run either on a practice's own server or through the vendor's cloud-hosted deployment accessed in a browser. Dental insurance is phone-heavy: annual maximums, frequency limitations, waiting periods, and downgrade rules often surface only on a call to the payer. Flexbone voice agents place those verification calls before the visit, browser agents check payer portals and submit predeterminations with CDT codes for major work, and recall calls keep the hygiene schedule full.

Open Dental and the teams it serves

Open Dental is a dental practice management system used across independent practices and dental groups, covering scheduling, charting, treatment plans, claims, and recall. Practices run it on their own server or through the vendor's cloud-hosted deployment accessed in a browser. The dental revenue cycle leans on the phone more than most of medicine. A full breakdown of benefits often requires calling the payer, because annual maximums, frequency limitations on prophylaxis and radiographs, waiting periods, missing tooth clauses, and downgrade rules vary by plan and rarely come back complete through a portal. Major work such as crowns, bridges, and implants is commonly sent for predetermination before treatment, and production depends on a hygiene recall schedule that has to be actively refilled. Flexbone works alongside Open Dental by running that phone and portal work, with no native or certified integration.

Flexbone revenue cycle audit

Get an outside read on your open dental workflow

In 30 minutes we map your current volume, the payers and systems involved, where staff time goes, and the highest-ROI calls and follow-ups Flexbone can take off your team first, scoped to the work you actually run.

Book an audit →

Front and back office workflows Flexbone runs

Before the visit, Flexbone verifies dental eligibility and collects the full breakdown of benefits: coverage percentages by service class, the remaining annual maximum, deductibles, frequency limitations, waiting periods, and downgrade rules, by portal where the payer supports it and by phone where it does not. For treatment plans with major work, browser agents submit the predetermination with the CDT codes and supporting imaging the payer asks for and track it to a response, so the case presentation carries a payer answer instead of an estimate. Voice agents run recall outreach, fill hygiene openings from the overdue list, and confirm appointments. Denied and downgraded claims route to follow-up with the reason attached. The detail lives on the eligibility verification, prior authorization, and denials management pages, and the EHR integrations page covers the browser-agent mechanism.

How Flexbone works alongside Open Dental

Flexbone is forward-deployed. We build the agents around your Open Dental setup, fee schedules, and payer mix, validate them against your real verification and predetermination patterns, and keep refining them. Where a practice runs the cloud-hosted deployment, the browser agents work in the same browser interface staff use; on a server installation, the agents deliver verified benefit breakdowns, predetermination results, and worked denials to your front office queue with the source detail attached, and your team enters them on their own screens. Anything outside the agent scope is handed to a person with context. In the engagements we scope, the rollout starts with verification calls and recall outreach, the two heaviest phone loads, then adds predetermination tracking. We operate under HIPAA with a business associate agreement.