Dental Prior Authorization Intelligence for FQHCs

The workflow problem: a clinically reasonable case can still be delayed when the submission path, documentation packet, or payer-specific requirement is incomplete.

Designed around the coordinator decision

Is the case ready, blocked, or ready for review?
What is missing and why does it matter?
What should the coordinator do next?
Which source supports the payer-specific check?

Controlled pilot approach

Small workflow-validation pilot
De-identified cases only
BAA before approved data entry
Direct founder support and honest feedback

FQHC workflow resource

Read the FQHC dental prior authorization guide for examples of why the correct submission path must be verified at the state and program level.

Scope: PriorDent supports pre-submission review. It does not replace payer portals, determine benefits, or guarantee authorization.

Bring de-identified cases to a pilot

Use real workflow patterns without entering patient names, DOBs, or insurance identifiers.

Request pilot access

Make the pre-submission check consistent

Designed around the coordinator decision

Controlled pilot approach

FQHC workflow resource

Bring de-identified cases to a pilot