FOJI Eligibility FAQ

How does Foji verify eligibility?

Foji signs in to your insurance portals and checks eligibility for upcoming appointments on a rolling basis. Results flow back into Open Dental automatically.

Where do I see eligibility results in Open Dental?

You will see status indicators on the patient's appointment on the schedule view (F1) showing Active, Inactive, or Needs Attention. "Needs Attention" or "member not found" does not necessarily mean the patient lacks active coverage.

Why does verification feel gradual at first?

Patients tied to each payer begin verifying as we enable that payer's portal. It ramps up as more portals are configured.

Do I have to trigger eligibility checks manually?

No, but you can. If a patient is scheduled, Foji runs the check automatically. You can also trigger a verification from Open Dental using the Foji Verify Insurance button when needed.

What if verification comes back with an error like member not found or incorrect group number?

Common fixes are simple: correct a misspelled name, date of birth, or group number, then rerun the check by clicking the Foji Verify Insurance button at the top of the page in Open Dental.

What happens with payers that use small or unique portals?

Foji supports a wide range of portals. For portals not yet supported, Foji can build out support if you see a good number of patients with that payer. Handle those cases manually in the meantime.

I re-ran a patient's insurance and it is still returning an error.

This is uncommon but can happen. Like a staff member, Foji cannot reach a portal when the site is down or when a small bug appears. We monitor portals and fix issues as they arise. Try running it again once or twice. If it still fails, email us or complete the check manually through the portal.