Development of a Patient-Centered Dental Payment and Provider Platform

Traditional dental insurance often fails to cover many dental services, leading to unmet patient needs and reimbursement issues for providers. Patients struggle with unpredictable costs and limited provider options, while dental professionals face difficulties receiving timely payments and managing treatment histories through conventional insurance channels.

A startup focused on transforming dental care access by creating a direct payment platform connecting patients and dental providers, reducing reliance on traditional insurance models.

• Create a digital platform enabling uninsured patients to manage dental care payments directly.
• Reduce dental care costs by facilitating pre-funded accounts for patients to pay providers without intermediary insurance claims.
• Enable dental providers to manage patient treatments, verify credentials, and receive payments efficiently.
• Implement a comprehensive administrative dashboard for oversight, payout management, and data tracking.
• Achieve seamless, secure transactions via integrated payment gateways, improving cash flow for providers and transparency for patients.

• Patient account creation and management with secure login and profile editing.
• Funding wallets through credit cards or ACH transfers, with options for one-time or subscription payments.
• Provider registration with credential verification, profile setup, and ACH account management.
• Search functionality for patients to find providers via location-based maps or listings.
• Treatment management module for providers to log treatments, add procedures, and view treatment statuses.
• Transaction history access for both patients and providers to track payments and treatments.
• Administrative dashboard for overseeing user accounts, verifying treatment completion, processing payouts, and updating account balances.

• Stripe API for payments and ACH processing
• HIPAA-compliant search methods for provider and patient data verification

• Data security compliance with HIPAA standards.
• High system availability and uptime (>99%).
• Responsive user interfaces compatible across devices and browsers.
• Secure handling of payment information with encryption and PCI compliance.
• Scalable architecture to support growth in user base and transaction volume.

The platform aims to lower dental care costs for uninsured patients by providing transparent, direct payment options. It is projected to increase provider revenue by streamlining payment collection and reduce administrative overhead. The system could enable a significant shift away from traditional insurance reliance, improving access to dental services and enhancing provider-patient communication, with an anticipated increase in user engagement and treatment completion rates.