AI dental payment reconciliation software: Every deposit, tied out to the claim and the books.

ScoutIQ matches every EFT, check, virtual card and card payout to the ERA or EOB behind it and to the posting in your PMS, explains whatever does not tie out, and books it to QuickBooks or Xero by location.

Bank deposit, Sep 3 Lakeview operating ··4410$8,412.60

DELTA DENTAL HCCLAIMPMT TRN*1*0921847

  1. Step 1: Matched to the ERAMatched

    Delta Dental, trace 1*0921847, 23 claims, $8,625.00 paid

  2. Step 2: Each claim tied to its posting23 of 23

    • Maria A. D2740$754.00posted
    • Jon C. D4341$412.00posted
    • Priya N. D2950, D2740$1,186.40posted
    • Sam O. D1110, D0274$268.80posted
    • 21 more claims19 more claims$6,003.80$7,459.00posted
  3. Step 3: Short amount explainedTo the biller

    −$212.40 recouped for an earlier overpayment, read off the ERA. Owner: Lakeview billing.

  4. Step 4: Booked to QuickBooksBooked

    Location Lakeview, insurance deposits, $8,412.60

Illustrative, sample data.

Proven in practice

Of insurance payments matched with no human review
95%
Historical customer numbers
Of card payouts matched to the bank, 49 of 49
100%
Todaro Dental, Livonia, MI
Of electronic insurance dollars matched, 178 of 185 deposits
98%
Todaro Dental, Livonia, MI
To go live
48 hrs
Guided onboarding. Keep your PMS, nothing to switch

See the Todaro Dental results

Why dental reconciliation is so hard to do by hand.

Payers and processors pay in lumps, net of fees, days after the visit, into whichever account they have on file. Your PMS records each claim and each patient payment one by one. Getting the two to agree is the job.

Lakeview operating ··4410, first week of September

What the bank shows, and why it won’t tie on its own

  • Sep 3DELTA DENTAL HCCLAIMPMT TRN*1*0921847$8,412.60Lump-sum EFT One deposit pays 23 claims, less a recoupment. The trace number is the only thread back to the ERA.
  • Sep 4MOBILE DEPOSIT CHK 30418$1,286.00Paper check The check and its EOB travel apart, and one check can pay claims for several patients.
  • Sep 5MERCHANT DEP VCARD 0905$623.84Virtual card The payer sent a card number, not cash. Once charged, it lands less a processing fee, so it never equals the EOB.
  • Sep 8CARD PROCESSOR PAYOUT 0908$14,920.33Card payout, net of fees Two days of patient cards from three terminals and the online page, bundled into one payout after fees.
  • Sep 9ACH CREDIT PAYMENT PLANS$2,140.00Patient payment plans Autopay installments from 18 families arrive as one credit, each owed to a different patient ledger.
  • Sep 10DEPOSIT REF WESTSIDE ··7782$5,300.00Another location’s money Westside’s deposit landed in Lakeview’s account. The books are right in total and wrong by office.

23hrs a month

matching deposits, card payouts and virtual cards, then closing the books, at one location collecting $100,000 a month. From ScoutIQ customers.

Illustrative bank statement, sample data.

Match, explain, book, close.

Four steps, every day, for every deposit at every location. Your team sees only what needs a person.

  1. 1Match

    Every deposit to its remittance

    Each EFT, check, virtual card and card payout is matched to the ERA or EOB behind it by trace number, payer, amount and date, and each claim on it to its posting in your PMS.

    Bank$8,412.60
    ERATRN 1*0921847
    PMS23 claims posted
  2. 2Explain

    Whatever doesn’t tie out

    A recoupment, a card fee, a deposit never posted, money in the wrong location’s account: each gets its reason and an owner. Nothing is plugged.

    ERA paid$8,625.00
    Recouped−$212.40

    Owner: Lakeview billing

  3. 3Book

    Deposits and fees, by location

    Deposits, card and virtual card fees and recoupments are booked to QuickBooks, Xero, Sage Intacct or NetSuite, each to its own location, so the books agree with the bank.

    LocationLakeview
    Insurance deposits$8,412.60
    • QuickBooks
    • Xero
    • Sage Intacct
    • NETSUITENetSuite
  4. 4Close

    The month, location by location

    At month end each location shows posted, banked and booked side by side, with the open items listed. Close it when it ties.

    Posted
    Bank
    Books

    Every difference named

Illustrative, sample data: the same Delta Dental deposit as above.

Every way money reaches a dental practice.

Insurance and patient money, by every rail, tied to the remittance or payment behind it and booked to the location that earned it.

  • Insurance EFT Insurance

    Arrives as
    One ACH deposit for many claims, with a trace number
    ScoutIQ ties it to
    The ERA with the same trace number, then each claim to its PMS posting
    In your books
    An insurance deposit for its location, with recoupments named
  • EFT with no ERA Insurance

    Arrives as
    An ACH deposit from a payer that sends no remittance file
    ScoutIQ ties it to
    The posting with the same trace and amount, marked as a weaker match until a statement backs it
    In your books
    An insurance deposit for its location, with the gap in proof named
  • Capitation Insurance

    Arrives as
    One flat payment a month from a plan, for every member assigned
    ScoutIQ ties it to
    The plan roster for that month, member by member
    In your books
    Capitation income for the location, with roster differences listed
  • Insurance check Insurance

    Arrives as
    A paper check and EOB, at the office or the ScoutIQ PO Box
    ScoutIQ ties it to
    The EOB, read line by line, and the deposit the check went into
    In your books
    An insurance deposit for its location
  • Virtual card Insurance

    Arrives as
    A card number from the payer, to be charged
    ScoutIQ ties it to
    The EOB, the card charge and the processor deposit
    In your books
    The full payment, with the card fee split out as an expense
  • Card processor payout Patient

    Arrives as
    One payout for a day or more of card payments, net of fees
    ScoutIQ ties it to
    Every payment inside it, each to its patient ledger in the PMS
    In your books
    Gross payments and fees, booked apart, by location
  • Patient financing Patient

    Arrives as
    A funding deposit from a lender such as CareCredit, net of its discount
    ScoutIQ ties it to
    The financed treatment in the PMS, and the discount the lender kept
    In your books
    The full payment, with the financing discount booked as a fee
  • Patient payments Patient

    Arrives as
    Terminals, online, text-to-pay, card on file, plans, cash and check
    ScoutIQ ties it to
    The patient and procedure in the PMS, and the deposit it landed in
    In your books
    Patient receipts for the location that earned them

It will not fake a match. Every gap gets a name.

Every dollar carries the proof behind its match. Only the two strongest kinds count as reconciled, and whatever is left becomes one of six open items, ranked by dollars, with the payer, claim, location and age on every line.

The proof behind each match

Exact and Strong are verified at the bank. Close and Guess are proposals: never accepted automatically and never counted as reconciled.

  1. ExactCounted as reconciled

    The trace or check number on the bank line equals the one on the remittance or payout.

  2. StrongCounted as reconciled

    Amount, date and payer agree, and only one bank line fits.

  3. CloseNeeds a person

    A payer alias, a small difference or a financing discount. Proposed, and a person accepts it.

  4. GuessNeeds a person

    Atlas read the bank line and the payer history and has a theory. A person decides.

The six open items

  • Deposited, never posted The money reached the bank, and nobody posted it in the practice software.
  • Posted, never deposited Posted in the practice software, with no bank deposit behind it.
  • Unidentified credit A bank credit nobody has named yet. Held in suspense, never spread across patients.
  • Unapplied cash Insurance or patient money received and not yet applied to a claim or an account.
  • Unmatched claim A remittance line that does not match a claim in the practice software.
  • Patient not found A payment for a patient the practice software does not know by that name or ID.

Atlas stages the fix for each one and shows why it stopped, so your team corrects and posts it on the same screen. The month-end close is not certified while one of them blocks it.

The month-end close, every location on one screen.

Posted in the PMS, deposited in the bank, booked in the ledger: side by side for each location, with every difference named and owned. Nothing is plugged to make the month close.

September 2026 close, Lakeview Dental Group

Not close ready

$11,939.02

4 open items, 2 material

Payments tied out

1,408 of 1,412

PMS to bank to ledger

Bridge to the bank feed

$0.00

difference after timing and fees

Group total

PMS posted
$422,380.00
Bank verified
$416,277.60
Booked
$409,140.00
Open
$11,939.02

Drawn to scale. Open is 2.8% of what was posted, in 4 items with an owner.

By location

  • DowntownClose ready

    Dentrix · $128,410.00 posted

    $0.00 open
  • LakeviewAttention

    Open Dental · $112,980.00 posted

    $4,812.40 open
  • WestsideReview

    Eaglesoft · $96,330.00 posted

    $310.00 open
  • NorthAttention

    Dentrix · $84,660.00 posted

    $6,816.62 open

Open items, each with an owner

  • Delta Dental EFT in the bank, not yet posted

    $6,204.18Material

    Dana K., BillerNorth2 days

  • Aetna check posted, never deposited

    $4,812.40Material

    Luis P., Office managerLakeview26 days

  • Unidentified bank credit

    $612.44

    Sam T., ControllerNorthIn research

  • NSF not reversed

    $310.00

    Rosa M., Office managerWestside14 days

Unattributed cash is never spread by percentage. Nothing is plugged to make the month close.

Illustrative reconciliation, sample data. Every row and column adds up.

A close your controller and your auditor can sign.

Matching is half the job. The other half is proving it: who signed the month, that nothing changed after, and that every legal entity in the group agrees with the others.

  • Three people sign the close

    A preparer, a reviewer and an approver, and they have to be three different people.

    • Whoever posted the payments cannot approve their bank match
    • Whoever posts a journal entry cannot approve it
    • Reopening a certified close needs a controller to ask and the CFO to approve
  • A record nobody can quietly edit

    Every event is chained to the one before it with a SHA-256 hash, so any edit, removal or reordering shows.

    • Your auditor can export the log and recompute every hash
    • Late remittances after certification appear as restatements, never as edits to certified numbers
    • Journal entries are drafted from the open items and post only after approval
  • Every legal entity balances

    Each practice entity and the management company keep their own books, bank accounts and close.

    • A deposit that landed in another entity’s bank account is flagged and moved
    • What one entity owes another is booked on both sides and nets to $0.00 across the group
    • Management fees and settlements between entities are booked as due to and due from

Todaro Dental’s books, reconciled four ways.

One office in Livonia, Michigan on Open Dental, running all three ScoutIQ modules. Every deposit and payout followed from the PMS to the bank to the general ledger, measured in its own records.

Todaro DentalOne office · Open Dental

Todaro Dental reconciliation results

of card payouts matched to the bank, 49 of 49, $152,083
100%
of electronic insurance dollars matched automatically, 178 of 185 deposits
98%
deposits, $4,358, found in the bank but never posted in Open Dental
7
of the books reconciled four ways to the general ledger
96%

Running:Insurance Billing AutomationPatient Billing AutomationAI Analytics + Atlas Assistant

Read the Todaro Dental case study

Electronic insurance deposits178 matched, 7 never posted

The 7 in gold, $4,358, reached the bank but were never posted in Open Dental. Reconciliation is how they were found.

Card payouts to the bank49 of 49, $152,083

Every one of the 680 payments inside them accounted for.

Matched automaticallyFound never postedOne square per deposit or payout, measured.

By hand, outsourced, or done by software.

Three fair ways to get dental reconciliation done. Outsourcing is a sound choice when you want the work off your team entirely: billing services such as eAssist, Wisdom and DayDream, and many regional billing companies, match payments to claims for you. ScoutIQ is software: the matching runs on its own, and your team keeps sight of every match.

  • By hand Your biller or bookkeeper

    Who matches the deposits
    Your team, deposit by deposit, with the bank portal and the PMS side by side
    How often
    When there is time, often only at month end
    What you can see
    A spreadsheet, and whatever the person who built it remembers
    Your books
    Entries keyed by hand
    Across locations
    Each office its own way
  • Outsourced service eAssist, Wisdom, DayDream and others

    Who matches the deposits
    The service’s staff, on your behalf
    How often
    On the service’s schedule
    What you can see
    The reports the service sends
    Your books
    Depends on the service and its access
    Across locations
    Depends on the service
  • ScoutIQ Reconciliation software

    Who matches the deposits
    ScoutIQ, automatically. Your team decides only the exceptions
    How often
    Every day, as deposits land
    What you can see
    Every match, with its ERA or EOB, its PMS posting and the reason for any difference
    Your books
    Deposits and fees booked to QuickBooks or Xero by location
    Across locations
    Every location on one close screen

What is dental payment reconciliation software?

Software that ties every dollar a dental practice receives to the claim or patient payment behind it, to the bank and to the books. ScoutIQ matches each EFT, check, virtual card and card payout to its ERA or EOB and to the PMS posting, names and assigns whatever does not tie out, and books deposits and fees to QuickBooks or Xero by location.

A few questions.

  • Three matches for every payment. First, the bank deposit to the ERA or EOB that explains it: by trace number for an EFT, by check number for a paper check. Second, each claim on that remittance to its posting in the practice management system. Third, the deposit to its entry in the books. Anything that differs, such as a recoupment, a card fee or a payment never posted, is named and resolved. ScoutIQ does all three automatically: 95% of insurance payments match with no human review, and the rest are flagged with the reason rather than posted wrong.

  • EFT reconciliation is matching each insurance EFT deposit to the electronic remittance advice (ERA, or 835) that explains it, using the trace number that appears on both, and then to the claims posted in the practice management system. One EFT usually pays many claims and can be reduced by recoupments or offsets, so the deposit rarely equals any single claim. It needs EFT and ERA enrollment with each payer. ScoutIQ matches every EFT to its ERA and each claim to its posting, and names any difference.

  • Yes. ScoutIQ books deposits, card and virtual card fees and recoupments to QuickBooks Online or QuickBooks Desktop, each to its own location, so the books agree with the bank. It works the same way with Xero, Sage Intacct, NetSuite and Microsoft Dynamics 365 Business Central.

  • By hand, matching deposits, card payouts and virtual cards and then closing the books takes about 23 hours a month at a single location collecting $100,000 a month. With ScoutIQ, matching runs every day as deposits land, and month end becomes a review of the open items. ScoutIQ is live in 48 hours.

  • A virtual card is a card number a payer sends instead of a check or EFT. ScoutIQ can process it for you, matches it to its EOB and to the processor deposit, and books the full payment with the card fee split out as an expense. Patient card payouts work the same way: one payout, net of fees, is broken back into every payment inside it. At Todaro Dental, 49 of 49 card payouts, $152,083, matched to the bank automatically.

  • Yes. Patient payments by terminal, online, text-to-pay, card on file, payment plan, cash and check are each matched to the patient and procedure in the practice management system and to the deposit they landed in. 99% of patient payments reconcile with no human touch.

  • Yes. Each location keeps its own practice management system, bank accounts and location in the books. ScoutIQ works across 59 practice management systems, flags a deposit that landed in the wrong location’s account, and shows the month-end close location by location as well as for the whole group.

  • It becomes a named open item with the reason and an owner: a recoupment, a fee, a short pay, a deposit never posted or money in the wrong account. Nothing is plugged to make the month close. At Todaro Dental, reconciliation found 7 deposits, $4,358, that reached the bank but were never posted in Open Dental.

  • Every match carries the proof behind it. Exact means the trace or check number on the bank line equals the one on the remittance or payout. Strong means amount, date and payer agree and only one bank line fits. Only those two count as reconciled. A close match, such as a payer alias, a small difference or a financing discount, and a guess from Atlas are proposals a person accepts or rejects. They are never accepted automatically, and the close report shows every dollar by the proof behind it.

  • A bank credit with no remittance, payer or patient behind it is held in suspense and listed as an unidentified credit, with its amount, date and bank account. It is never spread across patients to make a number agree. Once someone names the sender, ScoutIQ matches and books it like any other deposit.

  • Yes. Atlas follows every payment from the practice software to the payer statement, the bank and the books, lists every open item with its owner, age and dollar amount, and exports the open items as a file your accountant can check line by line. If something blocks the close, such as a check posted but never deposited, Atlas says so and names it instead of certifying the month.

  • Three people: a preparer, a reviewer and an approver, and ScoutIQ requires them to be three different people. Whoever posted the payments cannot approve their bank match, and whoever posts a journal entry cannot approve it. Once certified, the close is locked. Reopening it needs a controller to ask, with a reason, and the CFO to approve, and every earlier sign-off stays in the history.

  • Yes. Every event in the close is chained to the one before it with a SHA-256 hash, so any edit, removal or reordering changes every hash after it. An auditor can export the log and recompute the chain. Remittances or postings that arrive after the close is certified appear as restatements against the certified numbers and are never written into them.

  • Yes. Each practice entity and the management company keep their own books, bank accounts and close. A deposit that lands in another entity’s bank account is flagged, and what one entity owes another is booked on both sides as due to and due from, netting to $0.00 across the group. Management fees and settlements between entities are booked the same way.

Bring a month of deposits. See it tied out.

See your own deposits matched, explained and booked in a 30-minute demo.Live in 48 hours, one location or several.

Book a demo

Includes a free 30-day trial on your own data.

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