🦷 Toothy.ai: Automating insurance verification & claims for dental clinics

Tl;dr

• Toothy.ai is building HIPAA-compliant AI agents that automate all the back office functions in a dental practice. Our first two agents automate the entire revenue cycle, so dental practices can sit back and watch the insurance payments roll in 😎
• Our AI handles everything from insurance verification, claim creation, claim submission, denial correction, claim resubmission, and payment posting.
• We're already seeing early customers cutting their back office teams by 50-75% within weeks of implementing Toothy.

Launch video

https://youtu.be/y5VQe82PdGI

❌ The problem

• Dental practices waste 800 million hours and $13.2 billion per year on time-consuming and repetitive back-office tasks. On top of that, dental practices are facing an unprecedented labor shortage and 90% of them find it extremely or very challenging to fill vacant positions.
• The largest, most time-consuming, and error-prone part of a dental practice’s back office is revenue cycle management (RCM)—the process of getting paid. 80% of dental practices face financial concerns due to RCM challenges. Tasks like insurance verification, claim submission, and payment posting are labor-intensive and prone to errors. Frequent policy changes make it difficult to verify coverage, leading to billing discrepancies and delayed payments.

✅ The solution

• Toothy’s AI agents automate the entire RCM process, saving practices 160+ hours per month and increasing revenue by 5-10%. Our AI agents handle everything from insurance verification to payment posting, eliminating the largest source of administrative burden.
• How do our agents work?
  1. ☎️ Verify Insurance – Calls payers and check online portals to confirm coverage.
  2. 📝 Input data - Fills out and uploads a comprehensive breakdown form with 50+ codes into your practice management system.
  3. 📬 Create and submit claims - Accesses imaging software, clinical remarks, and plan details to create & submit comprehensive claims.
  4. 🛠️ Correct denials - Understands denial reasons, updates the claim, and resubmits to payers. Can even draft appeal letters.
  5. 💰 Payment posting - Collects, scans, and deposits insurance checks into your bank account.
• Toothy becomes your full-time RCM team, reducing staff workload and ensuring faster, higher reimbursements.

🙏 Our Ask

• Toothy is already working with dozens of forward-thinking dental practices who never want to deal with insurance again. If that sounds like you, we'd love to talk:
  • 👉 Book a demo: Here
  • Learn more: toothy.ai
• For other inquiries, please email founders@toothy.ai