Compare every paid claim to the fee schedule that governed the service date. When a payer underpays through leased-network routing, schedule drift, credentialing errors, or bundling logic, Bitewing surfaces the variance and drafts the appeal packet — with the contract line, EOB line, and variance math already cited.
| Claim | Code | Contracted | Paid | Δ | Status |
|---|---|---|---|---|---|
| 0291-E | D2740 | $890 | $651 | −$239 | Suppressed |
| 0287-A | D2750 | $920 | $920 | $0 | Match |
| 0284-C | D4341 | $214 | $189 | −$25 | Suppressed |
| 0281-F | D0150 | $88 | $88 | $0 | Match |
| 0277-B | D2391 | $182 | $182 | $0 | Match |
12 claims auto-bundled with cited contract lines.
Four hops. No black boxes. Each step shows its work in a form your billing lead can audit — contract line, EOB line, variance math, citation.
A raw Explanation of Benefits drops in — 835 remit, payer portal export, scanned PDF, or fax. The routing footnotes, adjustment codes, and TIN attribution are buried in text no one has time to read.
Every line item, every CARC-45 adjustment, every leased-network footnote — extracted into structured data. The EOB stops being a PDF. It becomes evidence you can audit.
Every code is matched against the fee schedule that was supposed to govern the service date — not the one the payer used. The variance is priced to the cent, and the real paying entity is resolved: Aetna PPO submitted, Connection Dental paid via lease.
A pre-drafted appeal packet: contract line, EOB line, variance math, citation. Your team sends it. We track the outcome. Nothing escapes the ledger.
Payer-side tooling is sophisticated. On the provider side, most organizations are still reconciling with spreadsheets and PDF EOBs. The window to build a source of truth is now.
A dentist thinks in terms of Delta, Cigna, MetLife, Aetna — maybe a couple more. The contract reality is 26.6 networks per provider on average. That mismatch is exactly why leased-network routing feels invisible.
78% of billing teams say claim denials or payer scrutiny rose in the last 12 months. Separately, insurance is the top challenge heading into 2026, and more than a third of dentists plan to drop some networks. Set-it-and-forget-it no longer works.
Around 44% of the commercial dental market is self-funded. Network-leasing laws exist in 30+ states — but ERISA preemption means those protections often don't reach the plans leaking the most.
Hover any source to see the full citation. Product numbers in screenshots are illustrative sample data and labeled as such.
Twenty-seven locations. Eleven payers. Six fee schedules. Every EOB needs to land against the right one — by service date, by provider, by location. Bitewing does that work, location by location, until the map turns mint.
An EOB arrives. The agent reads every line, cross-references the contract that governed the service date, prices the variance, and drafts the appeal packet — cited down to the line. No one on your team starts from a blank template.
Not a black box. Every step is inspectable. Every number is cited. Your billing lead can trace any dollar back to the contract line, the EOB line item, and the variance math that surfaced it.
835 remits, payer portal exports, scanned PDFs, faxes. Line items, adjustment reason codes, and routing footnotes, extracted into structured data the math can trust.
Every signed contract, every fee schedule, every effective date. Versioned. Searchable. The single source of "what you were promised" on the date of service.
Matches every EOB line to the contract line that should have governed. Resolves the real paying entity through TIN mapping. Calculates variance. Writes the appeal.
| Claim | Location | Payer | Code | Contracted | Paid | Variance | Status |
|---|---|---|---|---|---|---|---|
| 0291-E | Madison Ave 14 | Aetna PPO → Connection Dental | D2740 | $890 | $651 | −$239 | Ready |
| 0287-A | Brookline 03 | Cigna DPPO | D2750 | $920 | $920 | $0 | Match |
| 0284-C | Austin 21 | Delta Premier | D4341 | $214 | $189 | −$25 | Ready |
| 0281-F | Denver 07 | United Concordia | D0150 | $88 | $88 | $0 | Match |
| 0277-B | Phoenix 12 | MetLife PDP+ | D2391 | $182 | $182 | $0 | Match |
| 0274-G | Chicago 09 | Aetna PPO | D2950 | $348 | $301 | −$47 | Ready |
Contract line, EOB line, variance math, citation. Your team sends it. Outcomes come back into the ledger — so yield per hour of team attention becomes a number, not a vibe.
We start read-only on the data you already have — EOBs, remits, fee schedules. Nothing to rip out. Your PMS and billing team stay in place. The work gets quieter, not louder.
Book a walkthroughIllustrative dashboards · populated with sample data
Reconciled revenue, payer concentration risk, and a board-ready variance line that separates earned-but-not-collected dollars from operational noise.
"How much earned revenue leaks, how predictable is recovery, how little headcount?"
Reading every EOB against every contract, for every location, for every service date, is not work a human can scale to. So it does not get done. The groups that win over the next decade will build a reliable source of truth about how they are actually being paid, where they are leaking, and which payer relationships deserve to be kept, renegotiated, or exited.
Give us read-only access to one location's EOBs and fee schedules. In two weeks, you'll see exactly what's been suppressed — priced down to the line, cited to the contract. No commitment. No rip-and-replace. The work gets quieter, not louder.
