Prior Authorization Submission for Orthodontics Practice Managers with OrthoFi
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 OrthoFi
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 OrthoFi — uses the native API or agent integration so nothing leaves the system of record.
OrthoFi Integration Approach
Audit your OrthoFi configuration
We map the specific OrthoFi objects, custom fields, and workflows the automation needs to touch for your orthodontics practice.
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.
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.