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Property Management

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

Toothy.ai is building HIPAA-compliant AI agents that automate all the back office functions in a dental practice. The first two agents automate the entire revenue cycle, handling everything from insurance verification, claim creation, claim submission, denial correction, claim resubmission, and payment posting. Early customers are cutting their back office teams by 50-75% within weeks of implementing Toothy.

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, with 90% of them finding 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

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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 our agents work

  1. Verify Insurance – Calls payers and checks 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 and 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.

Get started

Toothy is already working with dozens of forward-thinking dental practices. To learn more or book a demo, visit toothy.ai or email founders@toothy.ai.