Case Studies/Origin Practice

Origin practice — not an arms-length case study

Where ZenHub was built.

This is Dr. Karuna Peravali's practice in Frisco, TX — Kishore's wife's practice, and where every ZenHub workflow was pressure-tested in a live environment before being offered to anyone else.

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Dr. Karuna Peravali, DDS — Owner, White Lotus Dental

Dr. Karuna Peravali, DDS — Owner, White Lotus Dental

What was built

The system he built.

A 4-stage daily rhythm developed in this practice — now run for every ZenHub client.

Stage 01 · 48 hrs before

Pre-visit verification & planning

Every patient verified two days out. Benefits entered. Treatment plans calibrated against actual coverage so the front desk never improvised at check-in. Created after a string of denials that traced back to "we assumed they were still on the same plan."

Stage 02 · Day before

Confirm, flag, route

Confirmations sent, anything needing pre-auth flagged with enough lead time to submit. Built after a $4,200 denial sat for six weeks because no one caught that the procedure required prior authorization.

Stages 03–04 · Same day & next day

File, post, audit, appeal

Same-day claim submission, end-of-day payment posting, walk-in verifications in real time. Yesterday's claims audited, denials triaged, aged AR pushed on a fixed schedule — because reactive AR work always lost to whatever was urgent that morning.

Results

What the discipline produces.

AR agingUnder 30 days, consistentlyMaintained quarter-over-quarter since the daily workflow went live.
Pre-visit verification100% verification rateEvery patient, every visit, verified before they sit in the chair.
Coverage modelSingle point of contactChannel manager handles every escalation — no calls bouncing across teams.

These are real numbers from a real practice. The quote below reflects what changed once the daily workflow went live.

Why this practice still matters

This is still our live testing ground.

Dr. Peravali's practice is where we test new workflows before rolling them to other clients. When we say something works, it's because we've already run it here.

"Before this system existed, we were always reacting — denials we didn't see coming, AR aging past 60 days, verifications happening at check-in when it was already too late. Now every patient is verified before they sit down, claims go out the same day, and there's one person to call when something needs attention. It didn't just change who does the work — it changed how the front office runs."
Dr. Karuna Peravali, DDS — Owner, White Lotus Dental · ZenHub origin practiceDr. Karuna Peravali, DDS — Owner, White Lotus Dental · ZenHub origin practice

Ready when you are

Want this discipline in your practice?

Book a call. We'll walk through what we'd do in your AR, your verifications, and your credentialing — specifically.

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