| Factor | Healthcare RCM | Dental RCM |
| Coding Systems | ICD-10 + CPT/HCPCS | CDT codes only |
| Insurance Coverage | Multiple payers with complex medical policies | Limited coverage; many procedures are out-of-pocket |
| Claim Complexity | More documentation, clinical notes, and prior authorizations | Fewer authorizations but high denial risk for coding errors |
| Verification Requirements | Comprehensive deductibles, medical necessity, and benefit checks | Frequency limits, waiting periods, and coverage caps |
| Denial Management | In-depth appeals, medical necessity justification | Mostly coding, frequency, or coverage-related corrections |