Your front desk is busy. Insurance portals are complex. Denied claims pile up, get forgotten, and written off as lost revenue. Meanwhile, your competitors with billing staff are collecting what you're leaving on the table.
A billing coordinator who handles verification, posting, and chasing denials — between phone calls, scheduling, and patient questions. Denials get a quick retry, then buried.
An AI agent that monitors your denied claims queue, identifies the reason for each denial, applies the correct fix, and resubmits — automatically, every hour, every day.
Three steps from denied claim to recovered revenue.
DentaFix pulls denied claims from your clearinghouse feed, categorizes the denial reason, and flags the dollar value at stake.
The agent applies the correct correction — unbundles codes, adds missing narratives, adjusts CDT codes, flags frequency limit issues — and drafts the appeal.
Clean claim resubmitted. Payment reconciled back to your PMS. Weekly report shows exactly what was recovered and why.
Identifies procedures incorrectly bundled by payer rules and re-files as separate claims with correct CDT codes.
Detects when procedures exceed plan frequency limits and flags for review or applies medical necessity documentation.
Catches missing tooth clause rejections, identifies the bridge/abutment context, and appends the required narrative.
Flags when insurers downgrade crowns or restorations and generates appeal letters with clinical justification for the higher fee.
Cross-references claim codes against pre-authorization on file, identifies mismatches, and resolves before resubmission.
Detects COB errors where primary/secondary ordering is wrong, corrects filing sequence, and resubmits to the right payer first.
Everything you need to know about dental insurance appeal letters and denied claim help.
Dentists and billing coordinators use DentaFix to recover revenue that would otherwise sit in a denied queue.
"We had $14,000 in denied claims sitting in our queue that billing staff didn't have bandwidth to work. DentaFix identified all of them and generated appeal letters in an afternoon. The bundling violations alone accounted for $6,200."
"The appeal letters DentaFix generates are better than what our billing service was producing. Clinical rationale, CDT code citations, and payer-specific formatting — it handles all of it. We just copy-paste and submit."
"Our rejection rate went from 12% to 4% in three months. DentaFix catches frequency limit issues and bundling violations before they become denials — not after. That's where the real money is."
Practices using AI-driven denial management recover an average of $3,200–$8,000 per month in previously written-off claims — without hiring additional billing staff.
Tell us about your office and we'll set up a personalized demo — or get you started on a free trial.
Paste your EOB text or fill in what you know. DentaFix handles the rest.
Every denied claim is a decision someone made to not pay you. DentaFix is an AI agent that fights back — systematically, correctly, and without getting tired.