Dental Patient Data Extraction & Insurance Claim Automation

Key Features

• One-click data extraction from OpenDental Software, including member ID, name, and date of birth.
• Automated online submission of insurance claims, reducing administrative overhead and errors.
• Built-in payment reconciliation for Mass Health Insurance claims, facilitating seamless tracking of insurance payments.
• Interactive Tkinter GUI with multi-tab navigation, allowing users to easily access patient data, claim details, and payment status.
• Export functionality for patient and claim data, which can be stored in CSV or JSON format for easy reporting and future reference.

Technologies Used

Challenges

Integrating dental software data with dynamic web forms posed challenges related to data security and automation accuracy. Maintaining the confidentiality and integrity of patient data while automating the process was critical. Additionally, integrating payment reconciliation with dynamic insurance claims data required complex web automation logic.

Solution

A Python-based application was developed using Tkinter for the desktop GUI and Selenium for automating web form submissions. Secure data handling protocols were implemented to ensure compliance with privacy standards. The solution was packaged as an executable file with PyInstaller, allowing clients to use the application without needing to install Python. Encryption and authentication layers were added to secure patient data.

Results

The solution significantly reduced the time spent on manual data entry and claim submission. By automating these processes, dental offices were able to minimize errors, speed up insurance claim processing, and improve patient satisfaction. Clients reported a smoother workflow, faster claim reconciliation, and an overall reduction in administrative costs.