ClaimlyAI checks your claims against real payer denial rules before you submit — and audits what's already been paid against your contracted PPO rates. One report, a dollar figure, and a plain-English fix for every issue.
Every claim is checked against sourced, dated payer rules for crowns, SRP, and night guards — missing documentation, code mismatches, frequency limits, and more.
Paid amounts are compared against your contracted fee schedule to surface underpayments and downcodes — money you've already earned but haven't collected.
Every flag comes with a plain-English reason and the exact fix — no vague "high risk" scores, no guessing what to do next.
ClaimlyAI advises — it doesn't submit claims, touch treatment, or make clinical decisions. One step back from the clinical/liability line, on purpose.