Claims thatdon't get denied

carriers supported

180

CDT codes

314

carrier rules

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Claim Analysis

D4341 · Delta Dental

Approval Probability94%

Sample output. Your results will vary.

Pre-authorization documented

Bone loss % included (25-30%)

AAP staging documented

Add radiograph for faster approval

AI Narrative

“Patient presents with generalized Stage III, Grade B periodontitis. Probing depths 5-7mm with BOP at 60%...”

From denied to approved, automatically

How It Works

Four steps. Under sixty seconds.

Step 1

Enter claim info

CDT code, carrier, clinical notes. Takes 30 seconds.

Step 2

AI scores risk

Checks carrier rules, frequency limits, and documentation gaps.

Step 3

Get narrative

Carrier-specific language optimized for first-pass approval.

Step 4

Submit & collect

Submit through your clearinghouse. We track the result and surface denials you can actually fix.

The Problem

$17B in dental claims are denied every year. Here's where it goes.

20%

of claims denied on first submission

$17B

in dental claims denied annually in the US

65%

of denied claims are never resubmitted

$117

average cost to rework a single denial

Features

Built for how dental offices actually work

Core Feature

Carrier-specific narratives that actually get approved

Delta Dental wants bone loss percentages. Cigna requires pre-auth for premolar crowns. MetLife prefers original clinical notes. Our AI knows all 95 carriers' rules and writes accordingly.

95 carriers with unique rules per code
180 CDT codes across all specialties
Not templates—built from YOUR clinical notes
Copy-paste ready for your claim form

Delta Dental · D4341 · SRP

“Patient presents with generalized Stage III, Grade B periodontitis. Clinical examination reveals probing depths of 5-7mm in quadrant 1, with bleeding on probing at 60% of sites. Radiographic evaluation demonstrates 25-30% horizontal bone loss. Scaling and root planing is indicated to arrest disease progression and prevent further attachment loss.”

Optimized for Delta Dental approval criteria

D4341 · Delta Dental

94% likely approved

D2740 · Cigna

Pre-auth missing. Add before submitting.

D4341 · BCBS

Frequency limit: 8 months remaining

Core Feature

Know if it'll be denied before you hit send

Green, yellow, red. Instantly. The system checks frequency limits, pre-auth requirements, missing documentation, and 50+ carrier-specific denial triggers.

Checks before submission, not after
Tells you exactly what to fix
Frequency limit tracking per carrier
Pre-auth requirement alerts

Analytics

Claims performance dashboard

Track approval rates, monitor recovered revenue, and see exactly how your claims performance improves over time.

First-pass approval rate tracking
Monthly revenue recovery dashboard
Carrier-by-carrier performance breakdown
Denial trend analysis

Pricing

About a dollar a claim

You pay $1 when a claim is accepted — and nothing when it's rejected. No contract, no minimum, cancel anytime.

Pay as you go

No setup fee

$1 / claim

No contract · no minimum · cancel anytime

Prefer one flat bill? Flat monthly plans from $149/mo.

$1 per accepted claim — rejects are free
All 95 carriers, 314 carrier rules
Denial prevention + AI narratives
Pre-auth + appeal generation
Batch processing + Kanban workflow
Treatment Plan Optimizer
30-day free trial — 10 real claims
No credit card to start

Start free trial

Groups & billing companies

$0.85 / claim

15% off for 10+ locations — or a share of recovered dollars

Everything in Pay as you go
$0.85/claim at 10+ locations (15% off)
Or pay only on dollars we recover
Dedicated account manager
Multi-location dashboard
Custom carrier rules
Annual committed-volume options
Priority + phone support

Contact Sales

ROI Calculator

See what you're losing every month

Drag the slider to match your practice volume.

Monthly claims submitted200

50500

Without

$24,000

40 denied/mo at $600 avg

With AIDentalClaims

$12,000

About 20 denied (illustrative — half resolved)

Illustrative Monthly Recovery

$12,000

At $1/claim that's about $200/mo in fees

Illustrative numbers based on a ~20% industry-average denial rate (ADA Health Policy Institute) and a ~$600 average denial value. Your actual results will vary. AIDentalClaims does not guarantee any specific denial rate, recovery rate, or revenue outcome.

Trusted Infrastructure

Medical-grade security, built in

Your patients' data deserves the same protection as their health records.

HIPAA Business Associate

Signed BAA required for all customers

Bank-Grade Encryption

AES-256 at rest, TLS 1.3 in transit

De-identified AI

Patient data stripped before any AI processing

Full Audit Trails

Every access logged with 6-year retention

Carrier Network

Carrier rules, all 95 of them

Every carrier has unique rules, frequency limits, and documentation requirements. We encode all of them so your narratives match what each carrier actually wants.

Delta DentalCignaMetLifeAetnaBCBSUHCGuardianHumanaPrincipalSun LifeAmeritasGEHAMedicaid

Financial Optimizer

Maximize insurance coverage, minimize patient cost

Benefit Year Sequencing

Split treatments across benefit years to stay within annual maximums. System calculates the optimal split and patient savings.

Billing Strategy Comparison

Compare standard vs. phased vs. adjunct-enhanced billing. See revenue impact side-by-side before choosing a treatment plan.

Carrier-Aware Fees

Estimated reimbursement per code adjusted for each carrier's typical payment rates. No surprises after submission.

Treatment Plan Optimizer

Upload a treatment plan. Get a billing strategy in seconds.

Screenshot from your PMS or enter procedures manually. AI extracts codes, phases treatment by urgency, sequences across benefit years, and compares 3 billing strategies.

Try the Optimizer

FAQ

Questions & answers

No. It makes them dramatically faster. They still submit claims—they just submit better claims that don’t get denied.

We support 95 carriers: 27 national commercial plans (Delta Dental, Cigna, MetLife, Aetna, BCBS, UnitedHealthcare, Guardian, Humana, and more), all 52 Delta Dental state affiliates, and 16 state Medicaid programs. 180 CDT codes across all specialties.

Not even close. ChatGPT doesn’t know Cigna requires pre-auth for premolar crowns. We have carrier-specific rules that generic AI doesn’t.

No. Works alongside Dentrix, Eaglesoft, Open Dental, Curve—anything you already use.

AES-256 encryption, TLS 1.3, mandatory MFA, full HIPAA compliance with BAA. Data is de-identified before AI processing.

Ready to stop losing money to denials?

Start your 30-day free trial. No card required.

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