What claim documents can Dental Claims read?

It ingests both electronic remittances (ERA 835s) and paper EOBs, posting each individual claim line against your contracted CDT fee schedule.

How does it catch underpayments and downcodes?

Every posted line is compared to your contracted allowance. When a payer downcodes a procedure or pays below the fee schedule, the shortfall is flagged with the recoverable dollar amount and the root cause diagnosed.

Does it write the appeal for me?

Yes. Each flagged line arrives with the resubmission or payer-specific appeal already drafted, citing the code, the contracted fee, and the payer's own denial pattern. You review, send, and track the response.

Can I try it without signing up?

Yes. The live demo runs on a full clearinghouse feed with no card needed, so you can see your first flagged shortfall in under a minute.

Dental ClaimsKynth OS

Every EOB posted against your contracted fees the moment it lands.

ERA 835s and paper EOBs post against your CDT fee schedule automatically — underpayments, downcodes, and denials flagged, with the appeal already drafted.

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Free to start — no credit card.

dental-claims · recovery ledger

$2,275

Recoverable this cycle

$1,705

Denied

$230

Downcoded

Variance ledger

PatientCDTVarianceStatus

Devon BrooksD2750$880Denied Marcus LaoD3310$825Denied Sarah WhitfieldD2740$230Downcoded Priya NairD4341$60Underpaid

This is the real ledger — every denied, downcoded, and underpaid line ranked by recoverable dollars. The demo has a full clearinghouse feed waiting.

Catch the quiet downcodes

A crown paid at the base-metal allowance looks fine on the check. Dental Claims posts it against the contract, flags the shortfall, and diagnoses the real root cause — with the recoverable dollars attached.

EOB line vs contracted fee schedule

$1,100

Billed

$950

Contracted expected

$720

Payer paid

$230

Recoverable variance

Contracted fee for D2740 (Crown — porcelain/ceramic) is $950. Delta Dental paid $720 — a $230 shortfall.

AI-diagnosed root cause

Delta downcoded the porcelain/ceramic crown (D2740) to a base-metal allowance. The clinical record documents an all-ceramic restoration, which supports the billed code. Appeal with the lab invoice and the pre-op narrative to recover the $230 differential.

The appeal is already written

Every flagged line arrives with the appeal or resubmission drafted — citing the code, the contracted fee, and the payer's own denial pattern. You review the letter, send it, and track the payer's response.

Appeal letter

Drafted by ClaudeRebuts the payer adjustment · Cigna · CDT D2750

Appeal — Cigna

Stop letting underpayments slip away.

The demo ledger is live — free, no card. See your first flagged shortfall in under a minute.

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