The end of patient cost guesswork.

EVRGRN verifies coverage, prices every code, and posts the real patient total to OpenDental — before they sit down.

Run a live check See the dashboard

Works with every major payer · HIPAA-grade · OpenDental native

Patient cost estimate Verified

Patient

Maria Chen · Delta Dental PPO

Annual max left

$1,313

Deductible left

Insurance pays

$184

Patient owes

$46

Posted to OpenDental · 1.4s ago

All steps. Done automatically.

Verified, calculated, and written back without anyone on your team lifting a finger.

Schedule

Read tomorrow's schedule from the PMS — no clicks required.

Portal AI

Extract full benefits from payer portals, frequencies, and history.

Voice AI

Call payers when portals can't answer and capture structured data.

Cost estimate

Exact patient cost based on their eligibility for the procedure(s).

The deliverable

Posted to OpenDental

A clean breakdown lands on the patient chart, ready before check-in.

Portal AI

We log in like your staff would, and pull what EDI/clearinghouses can't return.

Portal AI does the work your staff otherwise would on payer portals: clearing captchas and multi-step auth, reading benefit tables, history and frequencies.

Payer Portal

portal.cigna.com/provider/benefits

Patient Search

Member ID

W2487100455

Patient name

Jane Doe

Relationship

Subscriber

Coverage by procedure · Jane D. · Cigna PPO

Verified

Code	Covered	Frequency	History	Age limit
D0120	100%	2 per calendar yr	03/14/25	None
D1110	100%	1 per 6 months	12/12/25	14 and over
D0274	100%	1 per year	09/02/24	None
D2391	80%	1 per surface / 24 mo	11/20/23 · #30	None
D4341	80%	1 per 24 mo, perio dx	08/15/24 · Q1	None
D2740	50%	1 per 5 yr per tooth	08/2019 · #19	12 and over

Portal AI Live

4 of 6

Cigna · 18 patientsExtracted
United Health · 9Extracted
Cigna · 24 patientsExtracted
Cigna · 12 patientsIn progress

CignaSections read

Eligibility & maxExtracted
Diagnostic & preventiveExtracted
Restorative codesExtracted
Major & limitationsReading…
Tooth restrictionsVoice AI
Missing-tooth clauseVoice AI

100% of the payer portals you have logins for. We help set up logins for the rest.
Each patient's actual plan, per procedure. Never aggregated, never cached.
Re-verified before every visit, on the lead time you choose.

Voice AI

When the portal won't answer, our AI picks up the phone.

Some payers have no portal. Others have portals missing half the data. Voice AI calls them, navigates IVRs, waits on hold, and returns clean structured benefits.

Voice AI · On call

2 active · 1 queued

Call queue

CignaConnected
Tooth restrictions D1351/D1354
Sun LifeOn hold
Annual max + ortho lifetime
Mutual of OmahaQueued
Crown frequency + missing tooth
AetnaCompleted
Perio maintenance frequency

Sun Life · SL-884201

02:14

AI
Dialing Sun Life provider services…
0:02
IVR
Press 2 for benefits, then enter member ID.
0:08
AI
Navigated IVR · NPI verified · holding for rep.
0:21
R
Thanks for holding — what can I help with?
1:34
AI
Annual max remaining and ortho lifetime max for member SL-884201?
1:38
R
Annual max remaining $1,313. Ortho lifetime max $1,500, $0 used.
2:02
transcribing…

Structured result

{

"annual_max_left": 1313,

"ortho_lifetime": 1500,

"ortho_used": 0

}

Posted to OpenDental · 1.4s

Submit

Payer, member ID, question — via worklist or API.

Call

Dials, navigates IVR, verifies NPI, waits on hold.

Return

Structured JSON + recording, ready for your PMS.

By the numbers

Less guesswork. More collected.

Reduction by99%In logins to payer portals
Up to0%Staff retraining rotation
Up to9×ROI · average 400%
Up to95%End-to-end automated
Reach300+Payer portals · 1,000+ payers
Verified in< 60sPer patient, per visit

Common questions.

Does EVRGRN work with our OpenDental setup?: Yes — cloud or self-hosted. We connect through the OpenDental FHIR API. Nothing to install on workstations.
What does Portal AI actually do?: It signs into your payer portals like a staff member, clears MFA, and pulls the benefits EDI can't return — annual max used, frequencies, history, downgrade rules.
What if a payer has no portal?: Voice AI calls the payer line, handles the IVR, and writes the answers back as structured data.
Is patient data secure?: Yes. PHI is encrypted at rest with row-level isolation. Portal credentials live in a HIPAA-grade vault — we never see plaintext.

End the guesswork. See the estimate.

Book a 20-min demo