CLAIMFLOW

The main check. ClaimFlow reviews the claim against your saved carrier rules first, then a set of built-in 2026 rules (instant and free), then your X-ray if one is attached — and only runs a deeper AI review when it is actually needed. You get a clear status, a denial-risk %, and a recommended next step.

Opens a paste window. Drop in any clinical note, EOB snippet, or referral text and the engine auto-extracts the CDT code, tooth number, carrier, bone loss, age, fee, and surface — filling the form instantly. Also calculates age from date of birth.

A free, instant scan using only the built-in rules — nothing is sent to AI. Catches deleted codes, age limits, anatomy mismatches, and obvious frequency problems in under a second. Use it for a fast sanity check before the full review.

Shows the full list of scrubbing rules applied to this CDT code — age validation, bone loss thresholds, frequency limits, anatomy checks, note quality — each marked pass ✓ or fail ✗ against what you've entered.

Appears automatically for imaging-relevant codes. Drag in a PA, BWX, or intraoral photo and ClaimFlow analyzes the image against carrier-specific rules — measures bone loss, checks decay depth, verifies tooth match. Scores 0–100. Blocks weak evidence before submission.

Appear on CLEARED claims only. Export EDI 837D downloads a properly formatted claim file ready for your clearinghouse. Copy to PMS puts a clean audit summary on your clipboard — paste directly into Open Dental, Dentrix, or Eaglesoft.