Claim Denial Appeal for Orthodontics Practice Managers with OrthoFi

OrthoFi Orthodontics Practice Manager Orthodontics

The Problem

Orthodontics denials pile up in Dolphin Management — each appeal takes 45 minutes of billing-team time and most die in the to-do pile because there aren't enough hours.

What We Build in OrthoFi

AI classifies denials by reason code, drafts the appeal letter with chart-cited clinical support, resubmits with corrected info, and tracks the payer response — appeal capture rate doubles. Purpose-built for teams running OrthoFi — uses the native API or agent integration so nothing leaves the system of record.

OrthoFi Integration Approach

1

Audit your OrthoFi configuration

We map the specific OrthoFi objects, custom fields, and workflows the automation needs to touch for your orthodontics practice.

2

Build on the OrthoFi API or agent

Integration happens inside OrthoFi — no data leaves the system, no parallel tool for your team to learn, no license changes.

3

Human-in-the-loop handoff

Every automation routes exceptions back to a human in OrthoFi with enough context to act — AI handles the 80%, your team owns the judgment calls.

See this running in your OrthoFi instance

30-minute call. We'll look at your actual OrthoFi setup and show exactly how this workflow fits.

More About This Workflow

Claim Denial Appeal for Orthodontics Practice Managers

AI classifies denials by reason code, drafts the appeal letter with chart-cited clinical support, resubmits with corrected info, and tracks the payer response — appeal capture rate doubles.

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