Invisalign Checklist - Casper Dental
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Invisalign Case Acceptance Checklist

💰 1. Financial Breakdown

  • Total case fee presented
  • Insurance orthodontic benefits verified
  • Lifetime ortho maximum confirmed
  • Age limitations reviewed (if applicable)
  • Remaining ortho maximum calculated
  • Estimated insurance portion explained
  • Patient portion calculated clearly

💵 2. Financial Agreement & Payment Setup

💵 OPTION 1: Paid in Full

  • Total case fee reviewed with patient
  • Insurance portion verified and deducted (if applicable)
  • Pay-in-full courtesy discount applied (if applicable)
  • Final balance confirmed
  • Full payment collected (Cash or Debit/Credit Card)
  • Receipt provided, signed copy saved to file
  • Financial agreement signed

🏦 OPTION 2: In-House Financing

  • Total case fee reviewed
  • Insurance portion verified and deducted (if applicable)
  • Patient portion clearly calculated
  • Minimum down payment collected
  • Non-refundable down payment form signed
  • Remaining balance calculated
  • Monthly payment amount determined
  • Payment term length confirmed (ex: 6, 12, 18 months)
  • Recurring payment dates scheduled
  • Auto-pay authorization form signed
  • Debit/credit card securely stored (per office policy)
  • In-house financing agreement signed
  • Patient informed of late payment policy

💳 OPTION 3: Third-Party Financing

  • Total case fee reviewed
  • Insurance portion verified and deducted (if applicable)
  • Patient applied for financing (HFD, Sunbit, and CareCredit)
  • Approval amount confirmed
  • Promotional term reviewed (if applicable)
  • Financing agreement signed with lender
  • Office processed transaction for approved amount
  • Any required down payment collected (if financing does not cover full amount)
  • Receipt provided to patient and saved to file
  • Financial agreement signed
  • Patient informed that future payments will be made directly to financing company

📝 3. Required Documentation

  • Invisalign consent form signed
  • Copies of ID and insurance card on file
  • Financial agreement signed
  • Treatment plan presented signed
  • AutoPay form filled and signed (If In-house financing chosen)
  • Signed receipt
  • Email/Portal confirmation of Third-Party Payment completed
  • Non-refundable down payment form signed (If In-house financing chosen)

📅 4. Scheduling

  • Delivery appointment scheduled
  • Attachment appointment scheduled (if separate)
  • Follow-up appointments scheduled (6–8 weeks)
  • Retainer appointment tentatively planned

🔐 Final Sale Confirmation

  • Payment collected
  • All documents signed
  • Case submitted
  • Delivery appointment confirmed
  • Case marked as "Accepted" in software