No Commitment • No Catch
Find out exactly which carriers are underpaying you, by how much, on which procedures, and the appeal deadline for each one. Yours to keep, regardless of whether we work together going forward.
What This Is
PPO carriers underpay dental practices on roughly 3 to 5 percent of insurance revenue. Downcoding, bundling, frequency denials, and direct fee schedule violations are the most common patterns. Most practices never catch this because their billing team is processing too many claims to spot the patterns.
I audit every claim against your contracted fee schedules and document each variance with the appeal deadline. The whole thing takes me 48 hours from the moment I have your files. You keep the report whether or not you decide to engage Solai for ongoing services.
Source on the 3 to 5 percent figure: DayDream Dental billing data, dental industry billing systems analysis.
The Process
Step 1: What You Send
A signed HIPAA Business Associate Agreement is required before any patient-level data exchange. I send it for electronic signature; takes 2 minutes.
Step 2: What You Get Back in 48 Hours
"If we find nothing, you owe us nothing. If we find something, your billing team collects it. Either way, you keep the report."
No commitment to ongoing services. No percentage taken from recoveries. No catch.
Common Questions
Because the audit itself is how I prove value. I'd rather show you the actual work than ask for a meeting first. Practices that engage me afterward do it because the report demonstrated what I can do. Practices that don't, still walk away with a useful document.
Your existing billing team. I'm an accountant and financial controller, not a billing service. The audit hands them a ready-to-work queue with specific appeal language and deadlines. They execute. They get paid for the recoveries that come back.
A signed Business Associate Agreement is required before any patient-level data exchange. Files are transferred via secure upload (not regular email). All PHI is handled per HIPAA standards I've worked under since my Kaiser Permanente days.
Not a problem. I run a UCR-benchmark version of the audit using industry data. The report is slightly less precise but still surfaces the underpayments your team can pursue. If you want fee schedules, your carrier rep can usually email them within a few business days.
No catch. After delivering the report, I'll let you know about my monthly engagement options (Foundation and Growth tiers) if you're interested. If you're not, you keep the report and we go our separate ways. No follow-up sales pressure.
Email me to get the HIPAA paperwork and secure upload instructions. 48 hours after I have your files, you'll have the report.
San Diego, California • Fractional Financial Controller • Dental Practice Specialist