Most dental practices are still verifying insurance the same way they were 10 years ago. Someone logs into the carrier portal, searches for the patient, reads the eligibility status, checks the benefit details, and types what they find back into the practice management software. Then they do it again for the next patient. And the next. For a practice with a full schedule that's hours of work before the day even starts. For a DSO with multiple locations it's a staffing problem that never goes away. The process is slow not because it's complicated but because it's manual. Foji automates all of it.
Open Dental, Dentrix, and more. Works inside the practice management software your team already uses as much as possible. Foji connects to Open Dental, Dentrix, and other platforms, pulling portal data and writing it back automatically so your team never has to.

Foji pulls everything the carrier portal shows — coverage percentages, deductibles, frequencies, age limits, missing tooth clause, and downgrade information

Foji works off your appointment schedule automatically, verifying every patient with an upcoming appointment 8 days in advance. Results appear in PMS without anyone initiating them.




Dental eligibility verification is the process of confirming that a patient's dental insurance is active and finding out exactly what their plan covers before their appointment. It goes beyond a simple active-or-inactive check — it includes coverage percentages by category, deductibles, annual maximums, frequency limitations, waiting periods, and exclusions like a missing tooth clause. Traditionally, front desk staff log into each carrier's portal by hand to gather this. Automated eligibility verification software, like Foji, does this work by logging into the portal itself and writing the results directly into your practice management software.
Traditionally, offices either call the carrier or log into the payer portal by hand — both take time and give a snapshot answer that someone has to write down. AI-based eligibility verification logs into the same portal a staff member would use and reads the same benefit screens, but it records the actual coverage details rather than a generic yes-it's-active response. Because the software reads structured data — coverage percentages, frequencies, deductibles — it writes those specifics into the practice management software automatically instead of leaving a person to transcribe them from memory.
Foji checks the schedule and verifies each patient's eligibility automatically, typically about 8 days before their appointment, then again if the appointment changes or a new one gets added inside that window. That gives the front desk enough notice to call a patient about inactive coverage or an unusual benefit detail before they arrive, instead of discovering a problem at check-in.
Sometimes a carrier portal is down, a name or date of birth doesn't match what's on file, or the group number on the plan doesn't match the portal's records. In those cases the verification gets flagged as needing attention rather than guessed at — a mismatch shouldn't be assumed to mean the same plan, since that can produce inaccurate treatment estimates. The front desk gets a note explaining what didn't match so they can correct it and re-run the check.
Yes. Foji is an integration partner for both. Eligibility results, remaining benefits, and full benefit details write directly into the fields each system uses to calculate treatment plan estimates — no separate dashboard to check, and no copying information between systems. See what to look for in Open Dental-compatible software here.
Foji currently verifies eligibility and benefits across 120+ carrier portals, including Delta Dental, Cigna, MetLife, Guardian, Aetna, United Healthcare, and more. Coverage keeps expanding, and practices seeing a payer that isn't supported yet can request it be added.
Not quite. Eligibility verification confirms whether a patient's plan is active. Benefits verification goes a step further and pulls the full coverage breakdown — percentages by category, deductibles, frequencies, age limits, and exclusions. Foji does both in the same automated run, since knowing a plan is active without knowing what it actually covers isn't enough to build an accurate treatment plan.
Foji runs on a flat monthly rate rather than a per-verification fee, so a practice with a light schedule and one seeing 200 patients a week pay the same predictable amount. Pricing depends on practice size and the carriers involved — reach out for a quote specific to your office.
See Foji running inside your practice management software and find out how much time your team gets back
