Toothy

Toothy is a specialized AI assistant designed to revolutionize Revenue Cycle Management (RCM) for modern dental practices. It tackles the most time-consuming and error-prone administrative tasks, allowing dental professionals to focus more on patient care and less on paperwork. By seamlessly integrating with existing Practice Management Software (PMS), Toothy acts as a tireless, highly accurate digital team member, automating the entire billing and insurance lifecycle from start to finish.

The platform is engineered to eliminate the bottlenecks that typically slow down a practice's cash flow. It automates tedious phone calls for insurance verification, meticulously prepares and files claims with necessary attachments, processes Explanation of Benefits (EOB) statements, and proactively manages denials and aging accounts. This comprehensive automation ensures that claims are processed faster, errors are minimized, and payments are received promptly.

How to use Toothy

Getting started with Toothy is designed to be a straightforward and efficient process, requiring minimal disruption to your clinic's operations:

1. Integration: The first step is to connect Toothy to your practice management software. This process is remarkably fast, typically taking less than two minutes. Once connected, Toothy begins learning your clinic's specific workflows, preferences, and expected outputs to ensure it operates just like a seasoned member of your team.
2. Insurance Verification: Once integrated, Toothy automatically takes over insurance verifications. It contacts insurance companies to gather detailed eligibility and benefits information for your patients. This data is then updated directly within your PMS in the format you prefer, freeing your staff from hours spent on hold.
3. Claims Processing: Toothy automates the entire claims lifecycle. It files claims with all necessary attachments and even enhances clinical remarks to improve the chances of first-pass acceptance. When EOBs are received, it processes them and posts payments automatically into your system.
4. Appeals & Aging Management: For any claims that are denied, Toothy handles the entire process. It analyzes the denial reason, writes a compelling appeal, and submits it. It also diligently follows up on aging claims to ensure no revenue is left behind, significantly reducing manual errors and accelerating collections.

Core Features of Toothy

• Automated Insurance Verification: Eliminates manual calls by automatically verifying patient eligibility and benefits.
• End-to-End Claims Automation: Manages claim submission with attachments, processes EOBs, and posts payments directly into the PMS.
• Denial Management and Automated Appeals: Intelligently identifies denial reasons, drafts, and files appeals to recover revenue.
• Proactive Aging Claims Follow-up: Continuously monitors and follows up on unpaid claims to accelerate cash flow.
• Seamless PMS Integration: Connects directly with your existing practice management software without requiring new interfaces or extensive training.
• AI-Powered Accuracy: Operates with near-perfect accuracy to minimize costly billing errors and claim rejections.
• HIPAA Compliant & Secure: Built with multi-layered security protocols by healthcare IT experts to ensure all patient data is protected and compliant.

Use Cases for Toothy

Toothy is ideal for various roles within a dental practice:

• Dental Office Managers: Streamline administrative operations, reduce overhead costs, and reallocate staff time to high-value, patient-facing activities.
• Front Desk Staff: Offload the burden of insurance verification calls, allowing for better patient service and a more efficient check-in process.
• Billing Specialists: Automate repetitive tasks like claim filing and payment posting, enabling them to focus on complex cases and financial reporting.
• Clinic Owners: Significantly improve the practice's financial health by accelerating cash flow, with reports of 99% of accounts receivables paid in under 30 days.

Advantages of Toothy

Toothy offers a significant competitive edge by providing complete automation that works directly within your existing systems. This means no new software to learn and no change to your core workflows. Its AI-driven engine delivers unmatched accuracy, working at a speed and precision that is impossible to achieve manually. The primary advantage is a dramatic acceleration of cash flow, which strengthens the financial stability of the practice. Furthermore, its robust, HIPAA-compliant security ensures that sensitive patient data is always safe.

Pricing and Plans

Toothy operates on a customized pricing model tailored to the specific needs and scale of each dental practice. Pricing details are provided after a consultation and a demonstration of the platform. To receive a personalized quote, interested practices are encouraged to book a demo through the official Toothy website.