Newton Insurance

Eligibility verified before the patient arrives.

Detailed eligibility data without the portal shuffle. Newton retrieves it, organizes it, and attaches it to the patient chart.

Tomorrow's eligibility · auto-run 6:00 AM0 of 4 verified
HN
Harper NakamuraDelta Dental PPO · 9:00 AM
PendingPortal
MW
Miles WebbMetLife · 10:30 AM
PendingEDI
ER
Elena RuizCigna · 11:15 AM
PendingPortal
JC
James ColeAetna · 1:00 PM
PendingEDI
Harper Nakamura · Delta Dental PPOEligible
Benefits remaining$1,240 / $1,500
Deductible remaining$0 / $50 · met
→ Pulled overnight · attached to each chart · no portal opened
Trusted across the country

Why this matters

“Insurance is a healthcare problem, not a back-office problem.”

BJ

Ben Johnson

Founding Engineer · Newton

“A surprising amount of a practice’s day disappears into it: checking coverage, waiting on hold, chasing answers that should be simple.

None of it is care, but it competes with care for the same people’s attention. No single moment feels dramatic, which is why it goes unnoticed — but it adds up to a mundane process standing between a practice and the healthcare it wants to deliver.

Take it away and the whole day turns back toward the patient.”

The morning run

Tomorrow's schedule, verified before your morning coffee.

Every night, Newton runs eligibility on the next day's patients. Your team walks in to a verified schedule — and a short list of the ones worth a look.

Eligibility run · tonight
0On schedule
0Verified
0Flagged
2:00 AM34 patients on tomorrow's schedule, 6 payers
2:14 AM31 verified — benefits, frequencies, and history attached
2:15 AM3 flagged: plan changed, terminated, missing tooth clause
6:00 AMWorklist ready — the 3 flags, sorted by chair time
→ Your team reviews 3 patients, not 34

History

Code-level history, five years back.

See what was done, when it was done, and on which tooth — plus what the payer covered for every procedure code. Frequency limits and replacement clauses are already answered.

History · H. Nakamura · 2021–20265 years
JUN 2026D0120Periodic oral evaluationpaid 100%
DEC 2025D1110Prophylaxis, adultpaid 100%
MAR 2024D2392Composite, two surfaces #30paid 80%
SEP 2022D4341SRP, lower right quadrantpaid 80%
AUG 2021D2740Crown, ceramic #14paid 50%
Crown on #19 last seated 2019 — outside the 5-year replacement clause. Eligible.
Payers · connected
Delta Dentalportal-level
Cignaportal-level
MetLifeportal-level
Aetnaportal-level
Guardianportal-level
United Concordiaportal-level
→ One interface · zero portal logins · same layout for every payer

One interface

Portal level detail without the portals.

Everything hidden across payer portals, organized into one consistent view and attached as a PDF to the patient before your team even opens the chart.

The verified card

One clean answer.

Eligibility, deductible, and remaining maximum on the left. Every ADA code on the right, with co-insurance, downgrades, frequency limits, replacement clauses, and everything else your team would otherwise have to hunt for.

Jamie Rivera
Maple Street Dental
Verified · 6s
Dental coverage
ELIGIBLE
Reported by payer
Verified on
07/05/2026
PayerDirect
Benefits remaining
$1,750.00
/ $1,750.00
Deductible left
$0.00
/ $50.00
Payer: Delta DentalType: PPOPeriod: Calendar
Disclaimers (6)
Search by ADA code or keyword…
CodeADA procedureCo‑insDed
Adjunctive general services (5)
Basic restorative (7)
D2393Resin composite — 3 surfaces, posterior70%No
D2929Prefab porcelain/ceramic crown — primary50%No
D2930Prefab stainless steel crown — primary70%No
D2932Prefabricated resin crown70%No

Treatment Brief

The whole visit, in one sentence.

Newton reads the eligibility check against five years of procedure history and connects the dots — not just aggregating what’s in the old portals, but naming the specific treatment that’s covered today, what’s left, and what to recommend next. The detail is still there when you want it.

Summary BreakdownFull BreakdownTreatment Brief
Emily Rodriguez31
Recall
Prophy + examD1110 · D0120
Mon, Jun 2911:40 AM–12:30 PMHygiene 1Dr. Marcus Reed
Booked by Sophia · Jun 9
Treatment BriefCoverage-aware · MetLife PDP Plus

Clean visit — everything today is covered at 0%, and the full $1,500.00 annual max is untouched. Nothing outstanding.

MetLife PDP PlusDeductible $50.00 · not metAnnual max $1,500.00 of $1,500.00 leftverified 2d ago
Today's procedures
Adult cleaning D1110Preventive · 100% · 2 / yr (0 used) · last Dec 2025
Covered
Periodic exam D0120Preventive · 100% · 2 / yr (0 used) · last Dec 2025
Covered
Bitewings (4) D02741 per 12 mo · last 13 mo ago → eligible
Covered
Recommended
Fluoride varnish D1206Optional · covered through 18 · patient is 31 → not eligible
Not covered
Generated from today's eligibility check + 5 yrs of procedure historyFull coverage detail
Verified under provider: Kristin Schroeder · Source: PayerDirect
Rollout · first 30 days
DAY 1Payer list and PMS connected, portal credentials handed off
WK 2Five-year code-level history backfilled per patient
WK 3First verified overnight run — tomorrow's schedule verified daily
DAY 30Flags and worklists in every location's morning huddle
→ No new logins · the portals become Newton's problem

Onboarding

Verified mornings within weeks.

No new logins for your team. Newton takes over the portals — and your first verified schedules come online within the first few weeks.

fAQ

Fair questions.

“Which payers do you support?”
The national carriers at portal depth — Delta, Cigna, MetLife, Aetna, Guardian, and more — with fallbacks for the long tail.
“Do we still need our clearinghouse?”
Yes. Newton verifies before the visit; your clearinghouse still moves claims. Fewer of them come back.
“How fresh is the data?”
Pulled overnight for tomorrow’s schedule, re-checked at booking. Every card shows exactly when it was pulled.

Works with your PMS

Dentrix

·

Eaglesoft

·

Open Dental

·

Curve

·

Denticon

·

Fuse

and more

Walk in verified.

Eligibility, history, and patient portions — done before the day starts.