Claim Denial Appeal for Orthodontics Practice Managers with tops Ortho

tops Ortho 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 tops Ortho

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 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

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.

Other tops Ortho Automations