Integration

Seamlessly Connect Foji with

Open Dental

Category :

Cloud-Based Dental PMS

Website :

https://www.opendental.com/

Build by :

Open Dental Software, Inc.

Connect With

Open Dental

What is the Foji and

Open Dental

Integration?

Foji connects directly to Open Dental as an authorized integration partner — logging into your insurance carrier portals automatically, pulling full benefit details, and writing everything back into the exact fields Open Dental uses to calculate treatment plan estimates. Eligibility status, remaining maximums, deductibles, frequencies, age limits, and missing tooth clause — all populated before your first patient of the day, without anyone on your team touching a portal.

Key Features

Authorized Open Dental Integration — Foji connects through Open Dental's official API, not a workaround or screen-scraping layer. That means a stable, supported connection that won't break when Open Dental updates.

Automatic Eligibility Verification — Foji checks your Open Dental schedule automatically, verifies every patient with an upcoming appointment through their carrier portal, and tags their eligibility status directly on the schedule view. Active, inactive, or needs attention — your team sees it without logging in anywhere.

Full Benefit Data Written Into Open Dental — Foji writes structured benefit details into four places in Open Dental: the Family module remaining annual max and deductible fields, the benefits window with full coverage by category and code, the plan notes area with human-readable summaries, and the imaging folder with a benefit summary PDF.

Coverage Category Mapping — Foji maps every CDT code from the carrier portal into the correct Open Dental coverage category — Diagnostic, Preventive, Restorative, Endo, Perio, Crowns, Ortho, and more — following Open Dental's exact hierarchy so treatment plan estimates calculate correctly every time.

Frequency and Limitation Tracking — frequencies and limitations per code written directly into Open Dental so your team knows exactly how often a service is covered without checking the portal.

Deductible and Maximum Management — remaining annual maximum and remaining deductible updated automatically in the Family module after every verification so your team always knows where a patient stands before they arrive.

Missing Tooth Clause Detection — Foji reads and records missing tooth clause information from the carrier portal and writes it into plan notes so your treatment coordinators know before presenting a case.

Downgrade Identification — Foji flags which codes are subject to downgrade in plan notes so your team can configure Open Dental's downgrade settings accurately.

Benefit Override Configuration — configure exactly how Foji writes data into Open Dental on a per-code or per-carrier basis. Set defaults for missing data, override specific codes to match your practice's workflow, or ignore codes you never bill.

Benefit Summary PDF — four days before each appointment Foji generates a clean one-page benefit summary formatted around the codes your office uses most. Coverage percentages, frequencies, deductible status, remaining benefits, and key plan rules in one place your team can pull up instantly.

Screen Recordings of Every Portal Session — every verification run stores a recording of exactly what the AI did on the carrier portal. When a staff member questions a benefit or a verification needs attention, your team can see exactly what the portal showed without logging in themselves.

Foji Button Inside Open Dental — a dedicated Foji button in the Open Dental toolbar lets your team trigger a manual re-verification on any patient at any time. One click syncs all insurance information back into the right spots in Open Dental instantly.

40+ Carrier Portal Support — Delta Dental, Cigna, MetLife, Guardian, Aetna, United Healthcare, Principal, Anthem, United Concordia, Lincoln, UMR, GEHA, and more. New portals added continuously.

Calendar and Benefit Year Support — Foji reads whether a plan operates on a calendar year or benefit year and configures Open Dental benefits accordingly so treatment plans calculate using the correct reset logic.

HIPAA Compliant — every portal session runs over encrypted connections, patient data is handled under a Business Associate Agreement, and credentials are stored securely.

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Connect With

Open Dental

FAQ