“Built for Your Practice Growth”
Georgia’s dental market is growing fast and the billing complexity is growing with it. Practices from Atlanta to Savannah are navigating a multi-CMO Medicaid structure, narrower adult benefits than most providers expect, and recordkeeping obligations that directly affect billing defensibility. Here is what that looks like in practice.
Georgia Families® and the Multi-CMO Medicaid Maze
PeachCare for Kids® and Adult Benefit Complexity
DSO Expansion and the Atlanta Market Pressure
HIPAA and Georgia's Health Information Privacy Requirements
Billing companies are typically either fully manual (slow, error-prone at volume) or heavily automated (missing judgment calls). TransDental uses a combination of both.Our RPA handles high-volume, repetitive tasks like claim scrubbing, eligibility checks, etc. while our billing specialists handle anything requiring clinical or contractual judgment.
Every payment is reconciled against your contracted rate, line by line, across every payer. When Delta Dental of Georgia or any commercial payer pays below the agreed fee on certain plan types, we flag it and file the appeal within 14 days. Most practices only catch outright denials because that's where the process stops. We go further.
Before every Georgia Medicaid claim goes out, we confirm the patient's current MCO enrollment, format the claim for that specific plan's portal, and include what that MCO requires. When a patient switches plans mid-treatment which happens frequently in Georgia's Medicaid population, we catch it before it becomes a rejection.
Claims processed within 48 hours of receipt. No setup fee, no monthly minimum, no long-term contract, and no hidden costs buried in the fine print. Our fee is a nominal percentage of what we successfully collect from payers on your behalf. We only earn when you get paid which means our incentives are aligned with yours from day one.
Coverage and benefits are confirmed before every appointment so claims go clean and no one gets caught by a lapsed policy at claim time.
Clean CDT coding combined with Georgia payer-specific scrubbing and a 48-hour turnaround. Claims go out right the first time.
Outstanding balances pursued systematically for every claim over $50 with every Georgia payer. Average resolution time of 18–25 days.
Delta Dental GA, Anthem BCBS, all four Medicaid MCOs. We handle applications, follow-ups, and re-credentialing so your providers stay in-network.
Our AI-powered Robotic Process Automation (RPA) eliminates manual data entry, catches CDT errors, and delivers up to 30% additional revenue recovery.
The right starting point if you're not ready to fully outsource yet. In this complimentary audit, we show you exactly what your current billing is costing you.
All billing companies are not built the same. Before you decide, see exactly what you’re getting by partnering with TransDental.
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We review your claims, A/R, and denial patterns at zero cost. Most practices find 5–10% in hidden revenue leakage.
We connect directly to Dentrix, Eaglesoft, or your existing PMS. No migration, no new systems, no disruption.
Claims out in 48 hours, every denial worked, every payment reconciled. Full real-time visibility into your revenue cycle.
Three steps. No disruption. No risk.
We don’t publish named case studies because most clients prefer to keep billing performance private. What we can share is what the numbers look like across practices with comparable payer profiles.
Based on aggregated results across dental practices in comparable payer environments.
| Metric | Before TransDental | After TransDental |
|---|---|---|
| Average Denial Rate | 8–12% | Under 2.3% |
| First-Pass Clean Claim Rate | 70–80% | 96–98% |
| A/R Over 90 Days | 30–40% of Total AR | Reduced by 30%+ |
| Average A/R Resolution | 45+ Days | 18–25 Days |
| Claim Turnaround | 3–5 Days | 48 Hours |
| Revenue Growth (120 days) | Baseline | 5–12% Increase |
Our dental billing specialists are fully versed in the submission rules, fee schedules, timely filing deadlines, and appeal processes for every significant payer active in Georgia. National billing companies frequently stumble on Georgia’s multi-CMO Medicaid structure and miss the nuances between what Humana covers versus what CareSource or UnitedHealthcare authorizes for the same procedure. We don’t.
The sole incumbent CMO to retain its Georgia Families® contract through the 2024 DCH procurement. CareSource delivers dental benefits across Georgia Medicaid, PeachCare for Kids®, and Georgia Pathways with age-stratified prior authorization requirements.
Whatever dental insurance you accept, we’ve got you covered. Transdental’s billing experts navigate every major dental insurance network with 15+ years of payor expertise.
We don’t have a Georgia office. What we have is a team that handles Georgia claims daily and knows that Delta Dental reimburses differently on certain plan structures, that WellCare Georgia uses a different claim format than Amerigroup, and that Anthem BCBS pre-authorization requirements vary by employer plan type.
Georgia practices carry a dual compliance burden namely federal HIPAA and O.C.G.A. § 31-33, the Georgia Personal Health Information Privacy Act. Any billing partner touching your patient data must satisfy both. TransDental is independently certified under both frameworks, whether you operate in Atlanta, Savannah, or anywhere across Georgia.
All patient data is encrypted end-to-end, satisfying HIPAA Security Rule technical safeguards and Georgia’s O.C.G.A. § 31-33 electronic health information protections. Every data transmission meets the highest applicable standard; not just the minimum.
Only credentialed TransDental personnel can access your practice data, eliminating the internal access vulnerabilities that turn in-house billing into a compliance liability most Georgia practice owners don’t realize they are carrying until it is too late.
Our AICPA SOC 2 Type II certification is independently audited and renewed annually. Everything is documented, third-party verified proof of our security posture. Your Georgia practice’s liability exposure is measurably reduced from day one of our partnership.
Customized billing solutions based on your specialty
Average Georgia Salary
Yes. Our data handling protocols satisfy the Georgia Personal Health Information Privacy Act (O.C.G.A. § 31-33), which governs patient health information use and disclosure by providers and their business associates in Georgia; in addition to our full HIPAA certification and AICPA SOC 2 Type II audit compliance.
Yes. The Georgia Board of Dentistry (GBD), operating under the Georgia Secretary of State and governed by O.C.G.A. § 43-11, mandates specific clinical record-keeping standards that directly affect claim documentation and audit defensibility. Our team ensures every claim submitted for your Georgia practice satisfies both CMO and commercial payer requirements alongside GBD clinical standards simultaneously.
