From 60-Day to 15-Day Average Reimbursement Cycles with Automated Dental Sleep Billing
Oral appliance therapy billing crosses the dental-medical divide. We built a unified code engine that suggests the right CDT/CPT/ICD combination, blocks non-compliant pairings, and auto-generates claims.
Get StartedAbout the Project
A California practice ran a 40% rejection rate and 60-day reimbursement cycles because staff were untrained in dental sleep cross-coding. The unified code engine suggests the right CDT/CPT/ICD set per visit, blocks non-compliant pairings, auto-generates claims, and OCRs EOBs to flag underpayments — cash cycle now 15 days.
Healthcare / Dental Sleep Medicine
Oral appliance therapy billing that crosses the dental-medical divide.
Mid-Size Practice
A California practice submitting 200+ claims a month with an audit-shy billing team.
Billing & Claims Automation
Auto-generated claims from clinical visit data with compliance validation built in.
CDT, CPT and ICD-10 in one code library
AI suggestions pick the right combination and guardrails block non-compliant pairings.
EOB OCR with Underpayment Flagging
Scanned EOBs reconcile against submitted claims and flag every discrepancy.
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Scope your own claims automation build with our healthcare billing team.
The Challenge: A 40% Claim Rejection Rate
Cross-coding errors drove a 40% claim rejection rate.
Bill with confidence.
Get paid faster.
Eliminate coding errors.
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Why They Chose Us
The practice needed a billing solution that understood dental sleep medicine — not generic dental billing software that treated OAT like a filling. Our system was built from the ground up for the unique cross-coding requirements of sleep dentistry.
Sleep Medicine Code Library
A curated library of CDT, CPT, and ICD-10 codes specific to dental sleep medicine — not a generic code database with thousands of irrelevant entries.
Compliance Guardrails
The system actively prevents non-compliant code pairings, protecting practices from audit risk and rejected claims.
EOB Intelligence
OCR scanning of explanation of benefits documents with automatic reconciliation catches every underpayment that manual review would miss.
End-to-End Automation
From code suggestion to claim generation to submission to reconciliation — the entire billing lifecycle is automated within a single workflow.
The Results
Every number below was measured in production after launch — not projected in a pitch deck.
15 days
Average Reimbursement Cycle — Down from 60 days
6%
Claim Rejection Rate — Down from 40%
98%
Coding Accuracy — Up from ~55%
$150K
Revenue Recovered from Denials — In the first year