Underpayment Recovery for Dental Groups

You were already owed this money. We recover it.

Bitewing audits payer reimbursements against your contracts, detects underpayments from leased routing, fee schedule mismatches, bundling, and credentialing issues, and prepares evidence-backed appeals — without replacing your PMS or billing workflow.

Read-only setupNo PMS replacementEvidence-backed appeals
Claims Reconciliation
CLM-2847D2740
Underpaid
Expected $890.00Actual $651.20-$238.80
CLM-2848D2750
Match
Expected $1,125.00Actual $1,125.00
CLM-2851D1110
Underpaid
Expected $142.00Actual $98.50-$43.50
CLM-2853D0274
Match
Expected $78.00Actual $78.00
CLM-2856D2391
Pending Review
Expected $265.00Actual $197.00-$68.00
Underpayment Detected — CLM-2847
Expected Allowed
$890.00
Actual Allowed
$651.20
Variance
-$238.80
Confidence
94%
Paid By
Connection Dental
Resolved from Cigna DPPO
Appeal Deadline
Apr 15, 2026

No PMS replacement

Bitewing connects alongside your existing practice management system — no migration, no data loss.

No workflow overhaul

Your billing team keeps working exactly as they do today. We surface findings; they decide what to act on.

Read-only start

We begin with read-only access to claims data. No writes, no risk — just insight from day one.

Confidence-ranked worklists

Every flagged underpayment is scored and ranked so your team works the highest-value claims first.

A paid claim can still be the wrong payment.

Your practice negotiates a direct contract with Blue Shield — $890 for a crown (D2740). Six months later, Blue Shield cuts a new leased network arrangement. Claims that were paying at $890 start coming back at $651 through a different entity. No notification. The EOB just shows a different payer name and a lower number.

The billing team — processing hundreds of EOBs a week — doesn’t catch it. They’re scanning for denials, not for correct-but-lower payments.

Why it stays hidden

The average dentist participates in ~6 benefit plans but 26.6 networks. That mismatch is exactly why routing complexity feels invisible.

D2740 CrownYour PracticeEXPECTED PATHBlue Shield$890.00ACTUAL PATHConnection Dentalleased network$651.20-$238.80per-claim loss

How Bitewing works

PMS Records
EOB PDFs
835 Remittances
Contract PDFs
Fee Schedules
Bitewing Ingestion Engine

Precision is the product

Not every variance is recoverable. We separate real underpayments from plan logic, COB, capitation, bundling, and frequency limits.

Versioned contracts

Never compare 2026 payments against a 2025 fee schedule. Every reconciliation uses the contract version effective on the service date.

Entity resolution

Submitted-to vs paid-by identity mapping. When you submit to Cigna DPPO and the payment comes from Connection Dental, we resolve the routing.

Confidence tiers

High-confidence → action. Borderline → human review. Suppressed → documented exclusion. No false-positive noise.

Audit trail

Every flag, every suppression, every decision is logged. Read-only, role-based, tenant-isolated.

Claim Reconciliation Detail
Confidence
94%high-confidence
Fee Schedule
Practice-specific
Version 2026.2(effective 01/01/2026)
Paid By
Connection Dental
resolvedvia TIN mapping
Status Labels
High confidenceSecondary pendingNeeds reviewSuppressed

From detection to recovery

Step 1Found

Every claim analyzed automatically

Systematic underpayments identified across leased network routing, fee schedule mismatches, and credentialing errors

Step 2Appealed

Evidence-backed appeal packets

Contract-cited, EOB-referenced, routing-attributed documentation prepared for each recoverable variance

Step 3Recovered

Real dollars returned

Contingency model — we only earn when you recover. No recovery, no fee.

“When you compare expected versus paid claim by claim, the deltas are real enough that operators care immediately once they can see them.”

— Design partner, 24-location DSO

3-8% typical revenue lift on analyzed claims

Weeks, not months, to first analysis

Contingency — no recovery, no fee

Built for the entire buying committee

How much earned revenue leaks, and how predictable is recovery?

Bitewing surfaces the total recoverable delta across every payer, location, and period — giving finance teams a clear line of sight into revenue that was earned but never collected. Board-ready exports are generated automatically.

  • Aggregate recovery value broken down by payer, location, and variance type
  • Payer-mix visibility with trend overlays for quarterly reviews
  • One-click board-ready reports — no manual assembly required
Revenue Recovery
$251,900
Delta Dental$142,300
MetLife$58,200
Cigna$31,800
Aetna$19,600

Recovery is the beginning. Intelligence is the destination.

Underpayment Recovery

Contract-aware claims reconciliation that detects underpayments, generates evidence-backed appeal packets, and tracks every dollar from flag to recovery.

Payer Scorecard

How your payers perform vs. the market

Contract Intelligence

Fee schedule benchmarks and renewal scenario modeling

Network Optimizer

Drop, keep, or renegotiate — modeled by location and margin impact

Revenue Forecast

Payer-mix analytics and cash flow projections

Silent PPO Detector

Claims repriced through leased networks you never agreed to

Front Desk Copilot

Benefits-aware scheduling at the point of booking

Every claim processed adds to the cross-DSO payer intelligence graph.

Security is infrastructure, not a checkbox

Read-only integrations

We ingest claims data through read-only connections. No write-back to your PMS. No bidirectional sync. Minimum necessary access.

Role-based access

Granular permissions by role and location. Your billing team sees their worklist. Your CFO sees the portfolio. Nobody sees what they shouldn’t.

Encryption & BAAs

AES-256 encryption at rest, TLS 1.3 in transit. Business Associate Agreements with every customer. Subcontractor controls for all downstream vendors.

Auditability & isolation

Full audit trail on every action. Tenant-level data segregation. No cross-customer data leakage. Every decision logged and traceable.

Frequently asked questions

See what your payers actually owe you

Start with a read-only analysis of your claims data. No integration required for an initial assessment.

hello@bitewing.ai