AIDentalClaims — AI-Powered Dental Claim Intelligence

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

95%+ approval rate. Revenue in your account.

The Problem

Your practice is losing $50-100K every year to denials

0%

of claims denied on first submission

$0B

in dental claims denied annually in the US

0%

of denied claims are never resubmitted

$0

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 13 carriers' rules and writes accordingly.

13 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

Real-time revenue intelligence

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

94% first-pass approval rate tracking
Monthly revenue recovery dashboard
Carrier-by-carrier performance breakdown
Denial trend analysis

Pricing

Less than 3 denied claims

Each denied claim costs $117 to rework. Prevent 3 and it's paid for. No contracts. Cancel anytime.

Practice

$351/mo

$281/mo billed annually (save 20%)

The cost of 3 denied claims. Prevent dozens.

Unlimited claims
13 carriers, 180 CDT codes
AI narratives + denial prediction
Pre-auth generation
Batch processing (50 claims)
Perio staging engine
Appeal generation
Priority support

Get Started

Enterprise

Custom

For DSOs, billing cos & multi-location

Everything in Practice
Dedicated account manager
PMS integration
API access + webhooks
SLA guarantee
Volume pricing
Custom carrier rules
Multi-location dashboard

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

$1,200

Only 2 denied (95% fixed)

Monthly Revenue Recovered

$22,800

That's a 65x return on your $351/mo

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

Deep carrier intelligence

We don't just connect to carriers. We understand each one's unique rules, preferences, frequency limits, and documentation requirements.

Delta DentalCignaMetLifeAetnaBCBSUHCGuardianHumanaPrincipalSun LifeAmeritasGEHAMedicaid

Pre-Authorization

Get pre-auths approved before you treat

Generate carrier-specific pre-authorization requests with AI-optimized narratives, required documentation checklists, and approval probability scores.

Carrier-Specific

Narratives tailored to each of our 13 carriers’ pre-auth requirements, from Delta Dental to GEHA to Medicaid.

Know Before You Treat

See approval odds and turnaround times before starting treatment.

Complete Packages

Auto-generated documentation checklists so nothing gets sent back.

Pre-Authorization Request

Generate carrier-specific pre-auth documentation with AI-optimized narratives for faster approval.

HIPAA Notice of Privacy Practices This form processes Protected Health Information (PHI) as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164. By submitting data, you confirm that: (1) you have authority to process this patient's information; (2) a signed Business Associate Agreement (BAA) is in effect; and (3) all required patient authorizations have been obtained or a valid exception applies. Clinical notes are de-identified using the Safe Harbor method (45 CFR § 164.514) before AI processing. You retain the right to access, amend, and request an accounting of disclosures of PHI pursuant to HIPAA §§ 164.524, 164.526, and 164.528. View BAA · Privacy Policy · Security Practices

This tool provides AI-generated draft content for pre-authorization assistance only. It does not constitute medical, dental, legal, or insurance advice.

1

Carrier & Procedure

Insurance Carrier

CDT Procedure Code

2

Clinical Details

Clinical Notes / Medical Necessity

0/5000

Tooth Number(s)

Quadrant(s)

3

Treatment Plan

Proposed Treatment Date

Urgency Reason (if applicable)

Radiographs available

I have reviewed and verified all information entered is accurate

Insurance Fraud Notice: Any person who knowingly files a statement of claim containing any misrepresentation or false, incomplete, or misleading information may be guilty of a criminal act punishable under law and may be subject to civil penalties.

Select a carrier to continue.

AI-generated narratives are drafts. Review and verify all content before submission.

Try It Now

Analyze a real claim

Enter your claim details below. Get a carrier-specific narrative and risk score in seconds.

HIPAA Notice of Privacy Practices This form processes Protected Health Information (PHI) as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164. By submitting data, you confirm that: (1) you have authority to process this patient's information; (2) a signed Business Associate Agreement (BAA) is in effect; and (3) all required patient authorizations have been obtained or a valid exception applies. Clinical notes are de-identified using the Safe Harbor method (45 CFR § 164.514) before AI processing. You retain the right to access, amend, and request an accounting of disclosures of PHI pursuant to HIPAA §§ 164.524, 164.526, and 164.528. View BAA · Privacy Policy · Security Practices

This tool provides AI-generated draft content for claims assistance only. It does not constitute medical, dental, legal, or insurance advice.

1

Who's the insurance and what's the procedure?

Have a screenshot? Drop it here

AI reads it and fills everything in for you

— or select manually —

Patient's Insurance

What procedure?

Select an insurance carrier and procedure code to continue.

AI-generated narratives are drafts. Review and verify all content before submission.

Batch Processing

Analyze claims in bulk

Upload a CSV of up to 50 claims. Get narratives and risk scores for all of them at once.

Batch Processing

Upload a CSV of claims to get narratives and risk scores for all of them at once. Max 50 claims per batch.

Drop CSV file or click to browse

Required columns: cdt_code, carrier, clinical_notes

Optional: tooth_number, quadrant, probing_depths, bone_loss_percentage, bleeding_on_probing, has_preauth, has_xrays

Perio Staging Engine

Automated AAP staging + financial optimizer

Enter perio chart data. Get AAP/EFP classification, CDT code recommendations, and an insurance-ready narrative.

Patient Information

Patient Age *

Insurance Carrier

Cigarettes/Day

Leave as 0 if non-smoker or unknown

HbA1c %

Date of Last SRP

Leave blank if unknown or patient never had SRP

Remaining Benefits ($)

Leave blank if unknown — system will use carrier's typical annual max

Benefit Year Resets

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.

AI Extraction

Upload a screenshot — AI reads every procedure, tooth, and fee automatically.

Chief Complaint First

Procedures addressing the patient's chief complaint are automatically prioritized.

3 Billing Strategies

Compare submit-all, benefit-year split, and urgent-first approaches side by side.

Patient Estimate PDF

Generate a patient-facing cost estimate PDF with insurance and out-of-pocket breakdown.

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 13 carriers: Delta Dental, Cigna, MetLife, Aetna, BCBS, United Healthcare, Guardian, Humana, Principal, Sun Life, Ameritas, GEHA, and Maryland Healthy Smiles—covering 90%+ of US dental patients. 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.

Dental claimson autopilot

From denied to approved, automatically

Four steps. Under sixty seconds.

Enter claim info

AI scores risk

Get narrative

Submit & collect

Your practice is losing $50-100K every year to denials

Built for how dental offices actually work

Carrier-specific narratives that actually get approved

Know if it'll be denied before you hit send

Real-time revenue intelligence

Less than 3 denied claims

See what you're losing every month

Medical-grade security, built in

HIPAA Business Associate

Bank-Grade Encryption

De-identified AI

Full Audit Trails

Deep carrier intelligence

Get pre-auths approved before you treat

Carrier-Specific

Know Before You Treat

Complete Packages

Analyze a real claim

Who's the insurance and what's the procedure?

Analyze claims in bulk

Automated AAP staging + financial optimizer

Patient Information

Maximize insurance coverage, minimize patient cost

Benefit Year Sequencing

Billing Strategy Comparison

Carrier-Aware Fees

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

AI Extraction

Chief Complaint First

3 Billing Strategies

Patient Estimate PDF

Questions & answers

Ready to stop losing money to denials?

Who's the insurance and what's the procedure?

Patient Information