Dental Claim Software: Why Submitting Faster Won’t Make You Rich

October 04, 2025
Topics: Dental
Written by: Keilani

The Insurance Hamster Wheel

Dentists are obsessed with efficiency. You’ve probably heard it:

  • “If we just get better dental claim software, insurance payments will come faster.”

  • “If we streamline claims, cash flow will stabilize.”

  • “If we automate submissions, life will be easier.”

And sure—dental claim software makes filing faster, tracking smoother, and rejections less of a nightmare. But here’s the ugly truth: insurance is still insurance. It’s slow. It’s messy. And no matter how fast your claims fly out the door, they still crawl back into your bank account weeks later.

If you want real predictability? You need to step outside the hamster wheel and build recurring revenue with a membership program.


Dr. Alvarez and the Claim Game

Dr. Alvarez invested in the latest dental claim software. Her staff was thrilled—no more endless faxing, fewer denials, and way fewer calls to insurance companies.

But when she looked at the books? Cash flow was still inconsistent. Insurance reimbursements came late, patients dropped off after one or two visits, and profitability was flat.

Then she layered BoomCloud™ into her practice. Instead of chasing insurance money, she launched a membership plan. Patients signed up for affordable monthly or yearly care packages.

The results after 10 months:

  • 330 patients enrolled

  • $33K MRR (Monthly Recurring Revenue)

  • $396K ARR (Annual Recurring Revenue)

  • Membership patients spent 3.1X more than non-members

  • Stress over “waiting on claims” dropped like a bad habit

Her accountant literally said: “For once, your revenue looks like a SaaS company, not a casino.”


From Waiting to Winning

At first, Dr. Alvarez thought dental claim software would solve her problem. She believed efficiency was the path to growth.

The epiphany came when she realized:
Submitting claims faster doesn’t mean you get paid faster.
Insurance dependency = unpredictable cash flow.
Membership revenue = predictable growth.

BoomCloud™ turned her practice from insurance-dependent to membership-powered.


Why Dental Claim Software Alone Isn’t Enough

Pros of Dental Claim Software

  • ️ Faster submissions

  • Cleaner tracking

  • Fewer rejections

  • Easier integration with PMS

Cons (The Part Nobody Talks About)

  • ❌ Still dependent on insurance delays

  • ❌ Doesn’t improve patient loyalty

  • ❌ Doesn’t generate recurring revenue

  • ❌ Solves efficiency, not profitability

Claim software organizes your insurance mess. BoomCloud™ eliminates the mess altogether.


Data That Matters

Here’s the kind of data your insurance company doesn’t want you to see:

  • Membership patients spend 2–4X more annually (BoomCloud™ data).

  • 300 members × $100/month = $30K MRR = $360K ARR.

  • Retention increases 2–3X with memberships.

  • Practices using membership models average 50% higher margins.

  • Subscription businesses grow 5X faster than traditional ones (Zuora Subscription Economy Index).

Insurance pays you eventually. Membership pays you every month on autopilot.


The Power Combo — Claims + Membership

Don’t get me wrong: dental claim software is important. It keeps your insurance workflows efficient. But if you want growth, stack BoomCloud™ on top.

With BoomCloud™, you:

  • ️ Create custom membership plans for patients

  • Automate recurring billing

  • Track MRR & ARR like a SaaS business

  • Retain patients longer

  • Escape insurance dependency step by step

Think of claim software as managing yesterday’s revenue. BoomCloud™ creates tomorrow’s.


Cool Ways to Combine Claims + Membership ⚡

Here’s how to build a practice that wins both ways:

  • Segment uninsured patients → push membership offers instead of relying on insurance.

  • Automated reminders: “Skip the claims. Join our membership plan today.”

  • Tracking KPIs: Monitor both claim turnaround AND ARR/MRR for full visibility.

  • Insurance escape plan: Aim to replace 30–50% of insurance revenue with memberships.

  • Tiered plans: Offer preventive, perio, and family packages to maximize patient value.


Case Study: Before vs After Membership

Before (Claim Software Only):

  • $120K/month revenue

  • 70% insurance-dependent

  • Average patient spend: $800/year

  • Cash flow = unpredictable

After (Claims + BoomCloud™):

  • Same claim software

  • 330 patients in membership

  • $33K MRR → $396K ARR

  • Average patient spend: $2,400/year

  • Cash flow = smooth, predictable, scalable

Insurance made her efficient. BoomCloud™ made her profitable.


Stop Submitting, Start Subscribing

The truth about dental claim software: it makes your life easier. But it won’t grow your practice by itself.

The real growth comes when you:

  • Turn patients into subscribers

  • Create predictable income

  • Increase revenue per patient 2–4X

  • Escape the chokehold of insurance

That’s what BoomCloud™ delivers.


Your Next Step

If you’re serious about practice growth:
✅ Keep using your dental claim software for efficiency
✅ Add BoomCloud™ for membership profitability
✅ Track MRR & ARR in addition to claims KPIs
✅ Grow patient value instead of waiting for reimbursements


Mic Drop

Here’s the one-liner nobody puts in dental claim software reviews:

Claims keep you waiting.
BoomCloud™ keeps you winning.

Insurance dependency is a trap. Membership revenue is the exit door.


Resources & Next Steps

My Top Podcasts

How Smart Practice Owners Attract, Retain & Create Recurring Revenue

Get the book that’s helping over 65,000  practices ditch insurance, boost cash flow, and create financial freedom with a patient membership program.

Membership Plans For Optometrists

vision-membership-plan-ebook Creating a patient membership plan is the smartest strategy to implement in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & increase sales!

Fire The PPOs!

Say goodbye to PPOs and hello to a thriving, independent dental practice. Don’t miss out – your journey to financial freedom starts here!

Subscribe to Our Podcasts!

Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

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