{"id":87923,"title":"🦷 Toothy.ai: Automating insurance verification \u0026 claims for dental clinics","tagline":"Our AI agents automate insurance verifications, claims filing, payment posting (including checks), denials, and follow-ups.","body":"### **Tl;dr**\n\n* [Toothy.ai](http://Toothy.ai) is building HIPAA-compliant AI agents that automate all the back office functions in a dental practice. Our first two agents automate the entire revenue cycle, so dental practices can sit back and watch the insurance payments roll in [😎](https://emojipedia.org/smiling-face-with-sunglasses)\n* Our AI handles everything from insurance verification, claim creation, claim submission, denial correction, claim resubmission, and payment posting.\n* We're already seeing early customers cutting their back office teams by 50-75% within weeks of implementing Toothy.\n\n### **Launch video**\n\n\u003chttps://youtu.be/y5VQe82PdGI\u003e\n\n### **❌ The problem**\n\n* Dental practices **waste 800 million hours** and **$13.2 billion** per year on time-consuming and repetitive back-office tasks. On top of that, dental practices are facing an unprecedented labor shortage and **90**% of them find it extremely or very challenging to fill vacant positions.\n* The largest, most time-consuming, and error-prone part of a dental practice’s back office is revenue cycle management (RCM)—the process of getting paid. **80%** of dental practices face financial concerns due to RCM challenges. Tasks like insurance verification, claim submission, and payment posting are labor-intensive and prone to errors. Frequent policy changes make it difficult to verify coverage, leading to billing discrepancies and delayed payments.\n\n### **✅ The solution**\n\n![uploaded image](/media/?type=post\u0026id=87923\u0026key=user_uploads/2386492/97bc335c-1d5b-4c4a-ab85-e45f800ca7b2)\n\n* Toothy’s AI agents automate the entire RCM process, **saving practices 160+ hours per month and increasing revenue by 5-10%**. Our AI agents handle everything from insurance verification to payment posting, eliminating the largest source of administrative burden.\n* How do our agents work?\n  1. **☎️ Verify Insurance** – Calls payers and check online portals to confirm coverage.\n  2. 📝 **Input data** - Fills out and uploads a comprehensive breakdown form with 50+ codes into your practice management system.\n  3. 📬 **Create and submit claims** - Accesses imaging software, clinical remarks, and plan details to create \u0026 submit comprehensive claims.\n  4. 🛠️ **Correct denials** - Understands denial reasons, updates the claim, and resubmits to payers. Can even draft appeal letters.\n  5. **💰 Payment posting** - Collects, scans, and deposits insurance checks into your bank account.\n* Toothy becomes your full-time RCM team, reducing staff workload and ensuring faster, higher reimbursements.\n\n### **🙏 Our Ask**\n\n* Toothy is already working with dozens of forward-thinking dental practices who never want to deal with insurance again. If that sounds like you, we'd love to talk:\n  * 👉 Book a demo: [Here](https://calendly.com/toothy-ai/toothy-ai-demo)\n  * Learn more: [toothy.ai](http://toothy.ai)\n* For other inquiries, please email [founders@toothy.ai](mailto:founders@toothy.ai)","slug":"Ms7-toothy-ai-automating-insurance-verification-claims-for-dental-clinics","created_at":"2025-02-22T18:42:24.753Z","updated_at":"2026-05-25T03:38:47.364Z","total_vote_count":76,"url":"https://www.ycombinator.com/launches/Ms7-toothy-ai-automating-insurance-verification-claims-for-dental-clinics","share_image_url":"https://www.ycombinator.com/media/?type=post\u0026id=87923\u0026key=user_uploads/2386492/97bc335c-1d5b-4c4a-ab85-e45f800ca7b2","company":{"id":30218,"name":"Toothy AI","slug":"toothy-ai","url":"https://www.toothy.ai/","logo":"https://bookface-images.s3.amazonaws.com/small_logos/1fe65dd62e91bce60fafd27b8e4bea680f8db7d3.png","batch":"Winter 2025","industry":"Healthcare","tags":["Artificial Intelligence","Health Tech","Healthcare","Dental","Conversational AI"],"search_path":"https://bookface.ycombinator.com/company/30218"}}