Full Service Medical Billing
Break Down Billing Barriers
Pristine Medical Billing’s full-service medical billing is designed specifically for practices offering sleep medicine services, TMD solutions, and oral surgery.
From verifying benefits and securing authorizations to submitting claims and fighting denials, we handle every detail for you while keeping you and your practice in the loop at every step.
We’re more than a vendor—we’re your partner in creating a successful, sustainable, and patient-centered sleep medicine program.
The Pristine Partnership
You’re not just outsourcing your billing when you choose our services—you’re entering a strategic partnership.
Our team of seasoned billing professionals—with over 200 years of combined experience—becomes an extension of your office.
Each practice is assigned a dedicated account manager who serves as your daily point of contact and strategic guide.
Our mission is to exceed expectations by delivering not just accurate billing but valuable insurance insights to boost treatment acceptance and accelerate your practice’s success.
How to Get Started
Your Dedicated Account Team
Frequent, clear communication tailored to your workflow
Live status updates on claims, pre-authorizations, and appeals
Patient-by-patient financial coaching
Help to navigate the ever-changing medical insurance landscape
Ongoing training and onboarding support
What’s Included?
Out-of-Network Credentialing
We credential your practice with all private insurance carriers, including specialized programs like Tricare. You can expand your patient base without restrictive networks.
Fee Setting Guidance
Using national and regional benchmarks from the proprietary Pristine Medical Billing database, we help you establish the right fees based on your demographics, ensuring your services are competitive and profitable
Benefit Verification Within 48 Hours
Our team verifies benefits within two business days. We provide fast and accurate coverage details you can use to plan and present treatment confidently.
Pre-Authorizations and Gap Requests
We handle all authorizations before your case presentation to ensure treatment begins without administrative delays. Our system flags and processes gap exceptions as needed, giving your patients more access to care.
Patient Financial Coaching
Our coverage specialists will work with your team on challenging patient situations and help to explain coverage, estimate out-of-pocket costs, and increase acceptance.
Electronic Claim Submission & Proactive Follow-Up
We electronically submit all claims and follow up every week until resolution. You’ll never wonder what’s happening—we keep you updated at every stage with live claim tracking and status updates.
Automatic Appeals
Denials happen. We handle them for you. All pre-authorization and claim denials are automatically appealed and tracked, giving you the best chance at full reimbursement—without extra work on your end.
Live and On-Demand Training
We provide access to a library of online training videos and help your team qualify patients and speak confidently about medical coverage. We also offer live training sessions with experienced DSM billers, customized to your team’s comfort level and goals.
Dedicated Account Manager
You’ll work with a single point of contact who knows your office, your patients, and your goals from day one. You’ll never be passed around from department to department.
HIPAA-Compliant Cloud EMR
We use secure, cloud-based EMR systems for HIPAA-compliant file sharing and record keeping. That means smoother coordination and faster workflows—without compromising on privacy or security.
Access to 30+ Clinical Forms
From sleep and TMD to oral surgery, our clients receive exclusive access to more than 30 essential forms, templates, and documentation tools to streamline the clinical and billing sides of their practice.
Start-Up Packages Built for Dental Sleep Medicine
We Earn Your Business Every Day
No long-term contracts.
Unlike many medical billing companies, we don’t lock you into long-term contracts.
We believe in earning your business every month through strong performance and results.
Dental Sleep Medicine Start-Up Package
Ready to get started?
Our DSM Start-Up Package is perfect for practices of all sizes.
Choose from 3 tiers of In-Network credentialing to pair with enrollment for both Pristine Medical Billing Service and DME Enrollment.
Pricing Information
Support and Software
- Dedicated Account Manager
- Case Presentation Specialist & Team Support
- Pristine EMR Operating System
Patient Setup Cost
- Verification of Benefits (VOB)
- Pre-Authorization (If Needed)
- GAP Submission (If Needed)
Sleep Appliance Claim
- Bundled Flat-Rate Pricing
- Billing for Appliance, Consultation, and Imaging
- Invoiced Only After Claim is Paid
Ready for the next step?
