When the plan says no, ask again properly.
Pick the treatment, paste the refusal and tick what the plan looks for. In a minute you have a clear letter from your own findings, what's still missing, and the 60-day clock running. For dental offices in Canada.
Start your 7 free daysNo card for 7 days. Then $79 a month for the office, cancel any time.
What the plan looks for
- No active gum diseaseProbing 2–3 mm, no bleeding
- Periodontal supportCrown-to-root under 1:1, no furcation
- Margin and ferrule3 mm from crest, 1.5 mm ferrule
- Mesio-distal space kept
- Can't take a direct fillingMOD amalgam, DL cusp fractured
- No other treatment needed
Last day to send
Still missing
How it works
Three steps, between patients.
Pick, paste, tick
Pick the treatment, paste the refusal and tick what the plan looks for, with a word or two from the chart for each.
A letter in a minute
You get a clear letter in the plan's order, from your findings only, and a list of what's still missing.
The clock keeps itself
It keeps the 60-day clock and sends you your open cases every Monday, with a note at 14 and 3 days left.
50% of complete preauthorization requests are denied, according to the Canadian Dental Association's October 2026 report (CTV News). On the federal plan you get one reconsideration, within 60 days, with new clinical information (Dental Benefits Guide, Appendix C).
What you get
Everything the second request needs, in one screen.
The plan's criteria as a short checklist
Each treatment shows what the plan's Dental Benefits Guide looks for, in plain words, with what each one needs from you, and the attachments it lists. Try it: pick a treatment.
- No active gum diseaseProbing depths and bleeding around the tooth.
- Adequate periodontal supportCrown-to-root ratio of 1:1 or better, no furcation involvement.
- Room for a margin and ferruleAbout 3 mm from the alveolar crest, and a 1.5 mm ferrule.
- Mesio-distal space keptNone lost to caries or crowding.
- Can't take a direct fillingThe existing restoration and why a direct one won't hold.
- No other treatment neededNo crown lengthening, root resection or orthodontics.
- Periapical and bitewing radiographs, dated within 12 months
- Periodontal chart within 12 months, or a PSR with six-site readings for the tooth
- Treatment plan, and the claim form
- Enough teeth missingOne or more anteriors, or two or more posteriors in a quadrant (not counting 7s and 8s).
- Basic treatment doneCaries, perio and periapical disease controlled; abutments repaired.
- Enough spaceAt least as large as the teeth replaced, vertically and horizontally.
- Dated radiographs, or the alternatives the Guide lists
- All missing teeth noted, or a panoramic
- Planned extractions, the treatment plan and the claim form
- Why this tooth qualifiesRe-treatment: none before on this tooth. Third molar: 6 and 7 missing, and it occludes.
- No active gum disease, adequate boneNo furcation involvement.
- Restorable afterwardsStructure for a margin, space kept, no other treatment needed.
- Caries and perio risk controlledNot high caries risk; no uncontrolled generalized perio.
- Clinical notes and rationaleSymptoms, tests and periapical findings.
- Periapical radiographs, dated within 12 months
- Periodontal chart or PSR
- Clinical notes, the treatment plan and the claim form
- Units above the limitHow many beyond the four a year, with root planing.
- Current severityPocket depths, bone loss and bleeding from the last 12 months.
- Medical conditions and medicationsWhat's relevant, and how it's addressed.
- Periodontal chart with six readings per tooth, within 12 months
- Clinical findings and notes, and the claim form
A letter from your own findings
It goes through the criteria one by one, using only what you typed, with blanks for the patient's name and client ID. It lists what to attach and the last day to send it. Change a line, or ask it to rewrite, then copy or print. The dentist reads and signs every letter.
Your open cases, every Monday
Each case is saved under your own short label, never a patient's name. Every Monday morning you get the open ones by email, nearest last day first, and a note when a case has 14 days left, then 3. Mark each one approved or refused again when the plan answers.
| Case | Treatment | Left |
|---|---|---|
| Upper partial · Fri | Partial denture | 3 days |
| Crown 46 · Mon | Crown | 8 days |
| RCT 37 retreat | Root canal | 31 days |
| Crown 36 · Tue | Crown | 50 days |
What's still missing, before you send
A criterion with nothing behind it goes on the missing list instead of into the letter, and so does an X-ray or perio chart with no date or older than 12 months. On a second request with nothing new, it writes no letter and says why: the plan only reconsiders with new or additional clinical information.
- Adequate periodontal support
- Room for a margin and ferrule
- Date of the periodontal chart
What it covers today
- Crowns
- Partial dentures
- Root canals on third molars, and re-treatment
- Extra scaling
- First requests and second requests (reconsiderations)
What it doesn't do
- It doesn't file anything or contact the plan.
- It can't promise an approval.
- It uses only what you type; the dentist reads and signs every letter.
- It isn't connected with Sun Life or Health Canada.
- It's for dental offices, as businesses.
Price
One plan for the office.
$79 CAD a month
- All your letters, first and second requests
- Every case and its 60-day clock
- The Monday list and the 14- and 3-day notes
- Rewrites, copy and print
7 days free with no card. Cancel any time. Taxes may apply.
Questions
What offices ask.
How many chances do we get?
On the federal plan, one. A reconsideration has to come from the office at the patient's request, within 60 days of the refusal, with new or additional clinical information. That decision is final.
What if we have nothing new to add?
Then it says so and doesn't write a letter. A second request without anything new won't meet the rule. It shows which criteria your first request didn't show, so you can see what would count.
Does it write first requests too?
Yes. It's the same form, and a first request that shows every criterion leaves less to ask again.
Does it invent clinical findings?
No. The letter uses only what you type. Where a criterion isn't covered, it says so instead of filling it in.
Do you keep patient names?
No, and please don't type them. Letters have blanks for the name and ID, filled in after you copy it. Cases go under your own short label.
Does it work with private insurers?
Yes for the letter. The criteria and the 60 days are the federal plan's, so for a private plan it's a plain, well-organised letter without them.
How does the letter get to the plan?
You send it with your attachments, the way you send your other requests. It doesn't connect to anything.
What does it cost?
$79 a month for one office, for all your letters. The first 7 days are free with no card, and you can cancel any time.
Who can sign up?
Dental offices, as businesses. It isn't for patients.
Where do the criteria come from?
From the federal plan's Dental Benefits Guide (effective April 1, 2026) and its reconsideration process (Appendix C), summarised in our own words. The Guide is the authority: check it when in doubt. The letter itself is written by AI from what you typed, and nothing else.