01
Verify eligibility before they walk in
EligibilityVerifier · runs 24h before every appointment
Connects to Availity and your payer portals. Returns covered procedures,
remaining benefit, deductible, and frequency limits in plain language.
Before the patient hits the chair.
02
Audit codes before submission
CodingAuditor · reviews CDT codes against the procedure note
Catches downcodes, missing narratives, and payer-specific medical-necessity
language. Industry shows 60–70% of denials are caught here,
before the claim even leaves your practice.
03
Submit clean claims
ClaimSubmitter · via Change Healthcare or Availity EDI
Submits, tracks, and reconciles 837/835. Every claim has a tracking record
with the payer claim ID and status, visible to your team in one inbox.
04
Appeal every denial
DenialAppealer · drafts and submits within 7 days
Reads the EOB, pulls the clinical note, drafts the appeal letter with
payer-specific language, and submits. You approve. We file.
05
Collect aged AR
PatientARCollector · HIPAA-safe SMS payment plans
Offers payment-plan ladders via Stripe. References invoice numbers only,
never clinical detail. Industry recovery rate on aged AR: 30–40%.
06
Close the loop on recall
RecallScheduler · books overdue hygiene quietly
Reaches out to overdue hygiene patients on the channel they prefer, books them
into available chair time, and never spams. Most practices leave 8–12%
of recall revenue on the table.