A single-purpose back-office tool for dental front desks. Plaqnoir decodes benefit breakdowns on Delta Dental, MetLife, Cigna, Aetna, Guardian, UnitedHealthcare, and Humana so the coordinator stops dialing and starts checking.
Without Plaqnoir
20 min
On hold with payer IVR, repeating a member ID, transcribing benefit grids from a phone rep — for one patient.
With Plaqnoir
90 s
Name + DOB in. Active plan, group, waiting periods, preventive coverage, annual max used & remaining, frequency limits, downgrade clauses — out.
What you get
A Plaqnoir run returns the same short list of fields the eligibility-check demo produces — the ones the coordinator reads aloud, the biller deduplicates against, and the clinician uses to decide what to recommend.
Which payer and plan is in force on the date of service — including secondaries on file.
The exact group/subscriber ID, so re-checks later in the plan year match the same record.
Whether the patient has met the benefit-class waits (preventive usually none, major up to 12 months).
Percent covered and any rider notes for D1110/D0120 — the codes the check-in asks about first.
Used-to-date against the plan year maximum, with the dollar figure the front desk reads aloud.
When the patient is next eligible for each service — cleanings, exams, bitewings — not just "covered".
Composite→amalgam, posterior composite downgrades, and other quietly-costly plan language, flagged.
Payers on the wire
Delta Dental, MetLife, Cigna, Aetna, Guardian, UnitedHealthcare, and Humana — at launch.
Or just try it
The demo runs the same seven-field snapshot, on a synthesized payer response. No signup, no portal — just a name and a date of birth.
The check takes a name and a DOB. The snapshot returns in well under a minute.
Try a live check →Join the waitlist
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