Dental insurance claims,
followed until they are paid
Keep your insurance companies and their coverage, build each claim from the invoice's lines, and follow every claim until the money arrives.
Included in Pro.
Synora's insurance claims start from a patient's issued invoice lines: the insurer's share is worked out from the company's contracted tariff, patient copay or default coverage, and each claim is followed from draft and submitted to approved, partially approved or rejected, then paid or written off. Insurance claims are part of Pro and are not sent electronically.
| Plan | Pro |
|---|---|
| Insurance companies | Names in Arabic and English, payment terms, a default coverage percentage, and whether claims need a pre-approval code |
| Tariffs | A contracted price per procedure, with a fixed patient copay or a coverage percentage; the tariff price caps what is claimed |
| Patient policies | Insurer, member number, policy holder, validity dates and an optional annual limit; a claim over the remaining limit is refused |
| Claims | Built from the invoice lines you pick; the amounts are computed, never typed |
| Statuses | Draft, submitted, approved, partially approved, rejected, paid, written off |
| Insurer's decision | An approved amount per line; a line approved at zero needs its rejection reason |
| Insurer's payment | Recorded into a cash register, allocated to the claim's invoices and settled against the claim |
| Statement | Per insurance company and period, with the claims behind the totals |
| Last updated |
An unpaid claim is money the clinic has already earned. When claims live in a folder, nobody notices the ones that were rejected, partly approved, or simply never sent.
Every claim, to the last pound
Your insurance companies
Keep the insurers you work with in one list.
Claims from the invoice
Pick the invoice lines to claim, and Synora works out the insurer's share from the company's coverage, fixed copay or agreed price. The invoice itself is not split yet: the insurer's share is not taken off the patient's balance automatically.
The full claim lifecycle
Draft, submitted, approved, partially approved, rejected, paid or written off — each claim shows exactly where it stands.
A worklist, not a folder
See every open claim in one list and follow up on the ones that are waiting.
What doesn't it do yet?
- Claims are not sent electronically, neither to insurers nor through national platforms such as NPHIES in Saudi Arabia: they are tracked in Synora and submitted the way each insurer requires.
- The invoice isn't split between patient and insurer yet: the whole invoice stays on the patient's balance until the insurer's payment is recorded against it.
- Pre-approval is a code typed on the claim, not a request sent to the insurer.
- A claim can't be printed yet, and an insurer's monthly claim cycle doesn't yet gather a month's work into one claim.
Questions about this feature
Yes. Partial approval is recorded, and the rest is followed separately.
No — claims are tracked in Synora and submitted the way each insurer requires.
Pro. Insurance companies, patient policies and claims are not on the Free plan.
