Common Practice Revenue Management Pain Points and How to Solve Them: High A/R Due to Challenging Patient Co-Payment Management  

Share article

high a/r
Table of Contents

Find out why over 35,000 Canadian dental professionals trust ClearDent to keep their practices running smoothly.

Find out why over 35,000 Canadian dental professionals trust ClearDent to keep their practices running smoothly.

It’s late afternoon and your front desk is trying to close out the day. One patient is wrapping up a filling and heading out the door. Insurance coverage for the procedure is unclear, and the admin team doesn’t want to risk misquoting, so they say, “We’ll email you the statement later.” An email goes out that evening—but no payment comes in. 

A few weeks pass. Still no response. The email was sent, but there’s been no follow-up—and no payment. 

Meanwhile, another patient is sitting in the chair, recommended for a crown. But the treatment plan estimate is vague. When they ask how much they’ll owe out-of-pocket, your staff stumbles through a confusing explanation. The patient decides to “think about it” and never books. 

A third patient is already on a payment plan—but it’s tracked in a spreadsheet, and someone forgot to send the next reminder. That balance is now overdue, too. 

Staff are juggling too many tasks, spending hours manually tracking outstanding balances and sending reminders—when they remember. But despite their effort, accounts receivable (A/R) is creeping up. The team is doing their best, but without the right tools, payments keep slipping through the cracks. 

Co-Payment Management Challenges Drive Up A/R

When it comes to managing your practice’s revenue, few things create as many headaches as co-payment collection. Co-payments are often one of the most misunderstood, miscommunicated, and poorly tracked parts of the billing process—and when they’re not handled well, it directly contributes to ballooning accounts receivable (A/R), inconsistent cash flow, and frustrated staff: 

  • Patients don’t always pay the full amount at the time of service. While some practices enforce upfront payments, insurance uncertainty often forces teams to charge a fixed or estimated amount. Without confirmation from the insurer, the practice must either manage reimbursements later or carry a credit balance on the account—something patients aren’t always comfortable with. This leads to follow-up, confusion, and delays in payment collection. 
  • Staff struggle to explain co-payments. Insurance coverage is complicated, and without integrated estimates, staff lack the confidence and clarity to clearly communicate patient responsibility. 
  • No easy way to collect off-site. Practices often wait for patients to return—if they do. 
  • Manual tracking of outstanding balances. Follow-ups and reminders are often done manually, leading to inconsistency and human error. 
  • Inconsistent follow-ups. Without automation, patients fall through the cracks, and payments get forgotten. 
  • Poorly structured payment plans. While flexible options are helpful for patients, they’re difficult to manage without a structured, automated system. 
  • Lack of visibility into A/R trends. Without real-time reporting, practices don’t know where they stand until it’s too late. 

These issues don’t just create a little extra work—they lead to high A/R, unpredictable cash flow, and burned-out staff. 

The ClearDent Pain Killer 

Solving co-payment challenges doesn’t have to mean more work for your team—it just means having the right system in place. ClearDent’s platform is built with these financial pain points in mind, offering a suite of integrated tools that help you simplify collections, reduce administrative workload, and ensure patients understand and fulfill their financial responsibility. From real-time billing clarity to automated payment tracking, ClearDent turns one of the most frustrating parts of practice management into one of the easiest: 

Send Payment Links via Text or Email (ClearDent Pay): Send patients a secure payment link via text or email before they even leave the office. No more waiting for them to come back or hoping they respond to a statement. 

EOB Auto Adjust: Automatically applies insurance adjustments to the patient ledger based on the Explanation of Benefits, so staff can confidently collect the correct amount at the time of service. 

Integrated Treatment Planning & Estimates: Staff can clearly show patients what insurance covers and what they’ll owe out-of-pocket—boosting trust and treatment acceptance. 

Automated Payment Reminders & A/R Tracking: Keep follow-ups consistent and timely without adding more to your team’s plate. 

Contract Billing (Payment Plans): Create structured, recurring payment plans that are tracked and managed automatically within the system. 

A/R Reports & Dashboards: Get a clear picture of your financials, track overdue accounts, and identify opportunities to improve collections. 

With ClearDent, collecting payments isn’t just easier—it’s built into the workflow. 

The Pain-Free Practice

Imagine your front desk team closing out the day without stress, knowing that co-payments have been explained clearly and collected in real time. 

 Imagine patients receiving a secure payment request by text or email the moment their actual balance is confirmed—whether that’s five minutes after their appointment or two days later—giving them the convenience to pay from their phone at their earliest opportunity, without needing to come back into the office. 

Imagine knowing exactly how much is outstanding, what’s trending, and where your revenue is going. 

That’s what happens when your co-payment management tools work with you, not against you. 

Stronger Tools. Smarter Payments. Lower A/R. 

High A/R isn’t just a numbers issue—it’s a sign of system inefficiencies that burden your staff and disrupt your cash flow. With the right technology in place, collecting co-payments can be simple, consistent, and built into every step of the patient journey. 

ClearDent helps you get paid faster, reduce administrative burden, and empower your team to work smarter—not harder. From automated reminders to accurate EOB adjustments, integrated estimates to real-time payment links—every feature is designed to eliminate the friction in getting paid. 

Because when payment is easy, A/R doesn’t stand a chance. 

Keep reading