Our Solutions

Claims intelligence that pays for itself.

Three products. One mission: make sure every claim you submit gets paid correctly, the first time.

Core Product

ClaimIQ

Pre-Adjudication Intelligence

ClaimIQ runs every claim through payer-specific adjudication rules before you submit it. You get a clear verdict — will it pay, will it deny, will it downcode — with plain-language explanations and suggested corrections.

Payer Rules Engine Frequency limitations, age restrictions, benefit maximums, waiting periods, bundling/unbundling rules, and downcoding logic for major dental and vision carriers.
Pre-Claim Validation Catch errors that cause denials before they cost you money. Every claim is checked against the patient's specific payer and plan.
Denial Dashboard Track every open denial with reason codes, aging, dollar amounts at risk, and suggested next actions — prioritized by recovery value.
AR Aging & Collections Real-time view of outstanding insurance and patient AR by payer and age bucket. Flag payers that consistently pay slow or deny at high rates.

ClaimIQ Pricing

Starter Solo provider $149/mo
Most Popular Professional 2–3 providers $249/mo
Enterprise 4+ providers / multi-location $349/mo
ROI: Pays for itself by preventing just 2–3 denials per month. Most practices see 10–20 fewer denials.
Add-On

PaperBridge

OCR Claim Digitization

Still processing paper claims or EOBs? PaperBridge uses advanced optical character recognition to scan, extract, and structure claim data automatically — feeding it directly into your workflow or into ClaimIQ for validation.

Scan & Extract Photograph or scan paper claims and EOBs. Our OCR engine extracts patient info, provider details, procedure codes, dates, and amounts.
Auto-Validate Digitized claims are automatically routed through ClaimIQ's rules engine for pre-submission validation.
ERA/EOB Reconciliation Match remittance advice to submitted claims automatically. No more manual payment posting from paper EOBs.
$49–$99/mo add-on
Paper Claim Scanned
Patient Jane M. Rodriguez 99%
CDT Code D0120 — Periodic Eval 98%
Payer MetLife DPPO 97%
Amount $62.00 99%
Routed to ClaimIQ for validation
Coming Soon

PayerPulse

Denial Analytics Network

PayerPulse aggregates anonymized denial data across all ClaimIQ users to surface real-time patterns by payer, region, and procedure code. The more practices that join, the smarter the network gets.

Payer Behavior Trends See how each payer is actually adjudicating claims in your region this quarter — not how their manual says they should.
Denial Rate Benchmarks Compare your practice's denial rates against anonymized averages. Know where you stand and where to improve.
Documentation Intelligence When a payer changes their documentation requirements, you'll know immediately — not after your next denial.
$49/mo premium intelligence feed
PayerPulse — Florida, Q2 2026
Delta Dental PPO D4341 23% denial rate
MetLife DPPO D2750 12% denial rate
Cigna Dental D0274 4% denial rate
Alert: Delta Dental FL now requiring perio charting documentation for all D4341 claims submitted after 4/1/2026.

Works alongside your existing PMS.

ClaimIQ is a specialized intelligence layer — not a replacement. It complements the tools you already use.

Dentrix
Eaglesoft
Open Dental
Curve Dental
Eyefinity
Crystal PM
RevolutionEHR
+ More

See ClaimIQ in action.

We'll show you exactly how it works with your practice's real-world claims.

Request a Demo