Prior Authorization Submission for Orthodontics Practice Managers with tops Ortho

tops Ortho Orthodontics Practice Manager Orthodontics

The Problem

Prior auths for Orthodontics procedures sit in Dolphin Management queues for days — the patient reschedules, the surgeon's OR time goes unused, and the practice eats the margin.

What We Build in tops Ortho

AI checks payer-specific PA requirements, pulls the chart from Dolphin Management, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours. Purpose-built for teams running tops Ortho — uses the native API or agent integration so nothing leaves the system of record.

tops Ortho Integration Approach

1

Audit your tops Ortho configuration

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

2

Build on the tops Ortho API or agent

Integration happens inside tops Ortho — 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 tops Ortho with enough context to act — AI handles the 80%, your team owns the judgment calls.

See this running in your tops Ortho instance

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

More About This Workflow

Prior Authorization Submission for Orthodontics Practice Managers

AI checks payer-specific PA requirements, pulls the chart from Dolphin Management, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours.

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