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.
| Claim ID | CDT | Expected | Actual | Variance | Conf. | Status |
|---|---|---|---|---|---|---|
| CLM-2847 | D2740 | $890.00 | $651.20 | -$238.80 | 94% | Underpaid |
| CLM-2848 | D2750 | $1,125.00 | $1,125.00 | -- | 99% | Match |
| CLM-2851 | D1110 | $142.00 | $98.50 | -$43.50 | 87% | Underpaid |
| CLM-2853 | D0274 | $78.00 | $78.00 | -- | 98% | Match |
| CLM-2856 | D2391 | $265.00 | $197.00 | -$68.00 | 91% | Pending Review |
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.
How Bitewing works
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.
From detection to recovery
Every claim analyzed automatically
Systematic underpayments identified across leased network routing, fee schedule mismatches, and credentialing errors
Evidence-backed appeal packets
Contract-cited, EOB-referenced, routing-attributed documentation prepared for each recoverable variance
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.”
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
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.