Toothy AI

What is Toothy AI?

Toothy AI is a HIPAA-compliant artificial intelligence platform designed specifically for dental practices to automate the entire revenue cycle management (RCM) process. It seamlessly integrates with existing practice management software to handle insurance verifications, claims creation and submission, denial corrections, appeals, and payment postings. By automating these repetitive and error-prone tasks, Toothy AI reduces administrative workload, accelerates cash flow, and improves revenue collection efficiency, allowing dental clinics to focus more on patient care.

Key Features

• Seamless Integration

  Connects to practice management systems in under two minutes with zero workflow disruption.

• Comprehensive RCM Automation

  Automates insurance eligibility checks, claims filing with attachments, EOB processing, and payment posting.

• Intelligent Denials Management

  Automatically identifies denial reasons, updates claims, drafts appeals, and resubmits to payers.

• High Accuracy and Speed

  Delivers near-perfect accuracy and processes tasks at AI speed, reducing errors and delays.

• Enhanced Financial Performance

  Enables 99% of accounts receivable to be collected within 30 days, improving cash flow and reducing aging claims.

• Enterprise-Grade Security

  Ensures full HIPAA compliance with multi-layered data encryption and secure cloud infrastructure.

Use Cases

• Insurance Verification : Automates calls and online checks to confirm patient coverage and benefits, updating records in real time.
• Claims Processing : Creates and submits detailed claims using clinical data and imaging, streamlining reimbursement.
• Denial Management and Appeals : Handles claim denials by identifying issues, correcting claims, drafting appeals, and following up.
• Payment Posting : Processes and posts insurance payments efficiently, accelerating revenue collection.
• Back Office Workload Reduction : Cuts administrative hours by over 40%, enabling staff to focus on patient care rather than paperwork.

FAQs