Marea Letters turns the patient's chart into letters in seconds. Send them through a HIPAA-compliant portal, track delivery, and keep two-way replies attached to the case.
Trusted by 600+ dental practices across North America
Scribe already heard the appointment and wrote the clinical note. The patient data, findings, and context are right there. Nothing to retype.
Pick a template, hit generate. A clean, professional letter writes itself from the existing note in under 30 seconds.
Send through the Marea Portal. The recipient gets it instantly, can write back, and you see the read receipt. All without touching a fax machine.
One chairside conversation can produce a referral, a treatment summary, an insurance letter, and a follow-up. All from the clinical data Scribe already captured. You do not dictate four times.
Pt reports sharp pain LLQ x2 wks. Cold triggers. No spontaneous pain at rest. Pain 6/10.
Perc + #19. Cold test lingering 12s. EPT exaggerated. PA: widened PDL mesial apex.
Symptomatic irreversible pulpitis #19 with symptomatic apical periodontitis.
NSRCT #19. Risks/benefits discussed. Informed consent obtained. Referral letter sent.
Referred by Dr. Chen for endo eval #19. Sharp pain with cold beverages x2 weeks.
No prior endo tx. Existing MOD composite #19 placed ~3 yrs ago. No trauma hx.
Perc +, palp WNL, cold +/lingering, EPT exaggerated vs contralateral.
Irreversible pulpitis. Recommend NSRCT. Pt consents.
NSRCT #19 completed. LA: 2% lido w/ 1:100k epi, IAN block + long buccal.
Access through existing MOD. 3 canals (MB, ML, D). WL confirmed w/ apex locator.
Canals obturated WVC + BC sealer. Final PA confirms adequate obturation.
Pt tolerated well. Post-op instructions given. F/U with GP in 2-4 wks.
BP 128/82. HR 72. No known allergies. Current meds: none reported.
No facial asymmetry. No lymphadenopathy. TMJ WNL bilaterally.
Soft tissues WNL. Existing MOD composite #19, marginal breakdown noted.
PA #19: widened PDL mesial apex. No periapical radiolucency. No root resorption.
Symptomatic irreversible pulpitis #19. Symptomatic apical periodontitis.
NSRCT #19. D3330. Est. 1 visit. LA + rubber dam isolation.
Temp restoration post-endo. Refer back to GP for permanent crown.
Extraction + implant/bridge. Pt declines. Elects RCT. Consent signed.
D3330. Endo therapy, molar. D0220. PA radiograph.
Delta Dental PPO. Member ID: DDQ-4892731. Pre-auth submitted 03/14.
Patient responsibility est. $340 after insurance. Copay collected at visit.
Pre-auth approved 03/16. Claim submitted 03/21 post-treatment.
Apex Endodontics
1240 University Ave, Suite 300 · Montreal, QC H3B 0G4 · (514) 555-0142
LETTER
March 14, 2026
To: Dr. Sarah Chen, DDS
Smile Dental · 580 Sherbrooke St W, Montreal
RE: Endodontic Evaluation. Patient James Smith (DOB 04/12/1985). Tooth #19
Dear Dr. Chen,
Thank you for referring Mr. Smith for endodontic evaluation of tooth #19. The patient presented with sharp, spontaneous pain in the lower left quadrant persisting for approximately two weeks, with heightened sensitivity to cold stimuli. No history of trauma reported.
Clinical Findings
Diagnosis
Symptomatic irreversible pulpitis, tooth #19, with symptomatic apical periodontitis
Treatment Plan
Non-surgical root canal therapy is recommended. The patient has been informed of risks, benefits, and alternatives and has provided informed consent. Prognosis is favorable. We will coordinate scheduling with your office directly.
Sincerely,
Dr. Michael Torres, DMD, MS
Board Certified Endodontist · Apex Endodontics
Generated by Marea
Ref: RFL-2026-0314-019
Apex Endodontics
1240 University Ave, Suite 300 · Montreal, QC H3B 0G4 · (514) 555-0142
TREATMENT SUMMARY
March 21, 2026
To: James Smith
RE: Root Canal Therapy. Tooth #19 (Lower Left First Molar)
Dear Mr. Smith,
This letter summarizes the endodontic treatment completed on your lower left first molar (tooth #19) on March 21, 2026. The procedure was performed by Dr. Michael Torres under local anesthesia.
Procedure Details
Three canals were located (mesiobuccal, mesiolingual, distal), cleaned and shaped using rotary NiTi instrumentation, and obturated with gutta-percha and bioceramic sealer. The procedure was completed in a single visit with no complications. You tolerated the procedure well throughout.
Follow-Up Instructions
The prognosis for tooth #19 is favorable. A 6-month follow-up radiograph will be taken to confirm periapical healing.
Sincerely,
Dr. Michael Torres, DMD, MS
Board Certified Endodontist
Generated by Marea
Ref: TXS-2026-0321-019
Apex Endodontics
NPI: 1234567890 · Tax ID: 98-7654321 · 1240 University Ave, Suite 300
PRE-AUTHORIZATION
March 14, 2026
To: Delta Dental Insurance. Claims Department
To Whom It May Concern,
Pre-authorization is requested for non-surgical root canal therapy on tooth #19 for the above-referenced member. This letter documents the clinical necessity of the proposed treatment.
D3330
CDT Code
Endodontic therapy, molar (excluding final restoration)
Clinical Justification
Treatment is medically necessary to preserve the natural dentition. Delay may result in acute abscess, cellulitis, or tooth loss requiring extraction and prosthetic replacement at significantly higher cost to the plan.
Sincerely,
Dr. Michael Torres, DMD, MS
NPI: 1234567890
Enc: PA radiograph, pulp test
Ref: INS-2026-0314-019
Apex Endodontics
1240 University Ave, Suite 300 · Montreal, QC H3B 0G4 · (514) 555-0142
POST-OP REPORT
March 21, 2026
To: Dr. Sarah Chen, DDS
RE: Post-Operative Report. James Smith. Tooth #19
Dear Dr. Chen,
Root canal therapy on tooth #19 was completed on March 21, 2026. Below is a summary of procedure details and findings for your records.
Diagnosis
Previously vital tooth. Symptomatic irreversible pulpitis with symptomatic apical periodontitis, #19
Recommendations
Restore with full-coverage crown at earliest convenience. 6-month recall radiograph to assess periapical healing. Prognosis: favorable.
Sincerely,
Dr. Michael Torres, DMD, MS
Board Certified Endodontist
Generated by Marea
Ref: POR-2026-0321-019
Pre-built templates you can use as-is or customize. The bracket-descriptor system means custom letters take minutes to build, not hours.
Send patients to endo, perio, oral surgery, or general practice with the full clinical context already written in.
Recap of findings, procedures performed, and follow-up plan. For the patient, the referring office, or the chart.
Pre-authorization narratives and treatment-plan justifications drafted from the actual clinical note, not a templated guess.
Whatever your practice writes regularly. Recall letters, second-opinion notes, lab requisitions. Build it once with bracket descriptors and reuse it forever.
Every letter is delivered through an encrypted portal. Not email, not fax, not physical mail. The recipient opens the letter, replies in the same thread, and you see every receipt as it happens.
Every letter goes through an encrypted portal. No patient information ever leaves through unsecured email, mail, or fax.
The receiving specialist can ask a question, confirm receipt, or send a treatment update. All in the same thread, all compliant.
See exactly when your letter was received, opened, and replied to. No more wondering if it got through.
Eliminates the HIPAA exposure that comes with mailing or faxing patient information across town.
Patient information is never sent through email, text, or unsecured mail. It lives in the encrypted Marea Portal end-to-end.
Business Associate Agreement available for every customer. Full HIPAA and PIPEDA compliance baked in by default.
Letters are generated from PMS data in real time. Marea does not hold a copy of your patient records on our servers.
Every send, open, reply, and edit is logged with a timestamp. So the audit trail builds itself.
Letters can solve this workflow on its own. But the larger gain comes when Receptionist, Scribe, Forms, and Letters work from the same dental platform. One contract, one bill, one support team, and fewer handoffs for your team to manage.
See Marea OneSee how a chairside conversation becomes a delivered, tracked, fully compliant letter. Without a single retype.