🦷 Toothy.ai recently launched!

Launch YC: 🦷 Toothy.ai: Automating insurance verification & claims for dental clinics

"The world's first AI Insurance Coordinator for dental clinics"

TL;DR:
  • Toothy.ai is building HIPAA-compliant AI agents that automate all the back office functions in a dental practice. Their first two agents automate the entire revenue cycle, so dental practices can sit back and watch the insurance payments roll in 😎
  • Their AI handles everything from insurance verification, claim creation, claim submission, denial correction, claim resubmission, and payment posting.
  • They are already seeing early customers cutting their back office teams by 50-75% within weeks of implementing Toothy.

Founded by Johnny Chen, Tejas K & Matt Kerrigan

Launch video

https://youtu.be/y5VQe82PdGI

❌ The problem

  • Dental practices waste 800 million hours and $13.2 billion per year on time-consuming and repetitive back-office tasks. On top of that, dental practices are facing an unprecedented labor shortage and 90% of them find it extremely or very challenging to fill vacant positions.
  • The largest, most time-consuming, and error-prone part of a dental practice’s back office is revenue cycle management (RCM)—the process of getting paid. 80% of dental practices face financial concerns due to RCM challenges. Tasks like insurance verification, claim submission, and payment posting are labor-intensive and prone to errors. Frequent policy changes make it difficult to verify coverage, leading to billing discrepancies and delayed payments.

✅ The solution

Image Credits: Toothy.ai

  • Toothy’s AI agents automate the entire RCM process, saving practices 160+ hours per month and increasing revenue by 5-10%. Their AI agents handle everything from insurance verification to payment posting, eliminating the largest source of administrative burden.
  • How do their agents work?
    1. ☎️ Verify Insurance – Calls payers and check online portals to confirm coverage.
    2. 📝 Input data - Fills out and uploads a comprehensive breakdown form with 50+ codes into your practice management system.
    3. 📬 Create and submit claims - Accesses imaging software, clinical remarks, and plan details to create & submit comprehensive claims.
    4. 🛠️ Correct denials - Understands denial reasons, updates the claim, and resubmits to payers. Can even draft appeal letters.
    5. 💰 Payment posting - Collects, scans, and deposits insurance checks into your bank account.
  • Toothy becomes your full-time RCM team, reducing staff workload and ensuring faster, higher reimbursements.

Learn More

🌐 Visit www.toothy.ai to learn more.
👉 Toothy is already working with dozens of forward-thinking dental practices who never want to deal with insurance again. If that sounds like you, book a demo here.
🤝 Get in touch with the founders here.
👣 Follow Toothy.ai on LinkedIn.

Posted 
February 28, 2025
 in 
Launch
 category
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