Bitewing.ai provides reimbursement intelligence for dental groups, automatically checking every claim adjudication against its governing fee schedule, contract, and payer route to identify provable underpayments. The platform consolidates evidence from five separate sources into one review-ready record, enabling finance, revenue cycle, and contracting teams to work from a single defensible ledger. Bitewing offers a read-only rollout, source-backed findings, and a centralized review queue that separates candidate variances from evidence-qualified exposure.
Funding
Funding not disclosed
Founders
Product
Problem
Dental groups adjudicate thousands of claim lines daily, yet reimbursement verification requires manually cross-referencing data scattered across five separate sources: fee schedules in spreadsheets, EOBs in scanned PDFs, contracts in binders, payer portals, and email inboxes. This fragmented workflow makes it impossible for staff to check every claim, leaving underpayments undetected and unrecoverable. Finance leaders cannot report on exposure they cannot prove, and revenue cycle teams spend time on unprovable rows instead of actionable findings.
Solution
Bitewing.ai provides reimbursement intelligence that automatically reconciles every claim line against its governing contract, fee schedule version, and payer route, identifying underpayments with a source citation attached to each finding. The platform consolidates all the evidence from a group's existing sources into a single review-ready record, showing the expected amount, actual allowed amount, and the difference alongside the original remittance line for human verification. Findings are categorized into distinct states—candidate variance, reviewable exposure, submitted amount, and confirmed recovery—so finance reporting never conflates potential with proven dollars. Revenue cycle teams work from a prioritized queue where evidence-complete, review-ready rows surface first, while blocked or stale-source findings are held with the specific missing source named. Payer relations and contracting teams can group repeated shortfalls on the same route into one evidence packet for payer conversations, with every finding traceable back to its source line.
Target Audience
Primary customers are dental support organizations (DSOs) and multi-location dental groups, specifically their finance leaders, revenue cycle management teams, and payer relations/contracting departments. The platform serves organizations with centralized RCM operations managing multiple locations under different payer contracts.
Features
- Reads reimbursement sources (fee schedules, EOBs, contracts, payer portals) without manual data entry, keeping each source line attached to its finding
- Reconciliation engine that compares expected vs. actual allowed amounts against the fee schedule version active on the date of service
- Review queue with named states (review-ready, needs evidence, monitor pattern, not actionable) and visible filing deadlines on every row
- Source readiness matrix per location group, flagging missing, stale, or conflicting contract sources with a named owner for each gap
- Route-based pattern grouping that clusters repeated underpayments on the same payer-procedure route into one contracting conversation packet
- Exposure bridge reports that keep candidate variance, reviewable exposure, submitted amounts, and confirmed recovery stages separate and drillable from board deck to EOB line
- Patient Context Data (PCD) linkage showing payer, location, procedure, and remittance line for each finding