Start from the EOB.
Designed to use the remittance, claim details, and payment amounts as the basis for reconciliation.
The planned workflow
AI for the routine.
Your team for conflicts.
We're building AI-powered dental insurance payment reconciliation that follows your office's rules. Routine work is designed to proceed automatically, with staff involved only when a conflict requires intervention.
Join the early-access listAn illustration of the idea
Read the EOB. Apply the rules. Handle conflicts.
Select a step to explore the planned workflow using a fictional office rule and sample payment records.
The NinjaDent conceptSynthetic example
Payment reconciliationND–DEMO–014
01 / REMITTANCE DETAILS
Start with the payment details.
Three fictional EOB documents created for this reconciliation example.
Sample EOBsPayment
Delta DentalDEMO-101$420.00
MetLifeDEMO-102$360.00
AetnaDEMO-103$280.00Remittance total$1,060.00
The planned workflow starts from the EOB and applies office-defined rules.
02 / OFFICE RULES
A routine match by office rules.
Sample office rule: match the claim reference and amount.
Sample paymentDEMO-101$420.00
Sample claimDEMO-101$420.00
Matches the sample office ruleIn this illustration, the reference and amount match. The planned workflow would continue without staff approval for this routine step.
03 / CONFLICT HANDLING
A conflict needs attention.
The sample deposit is $60 below the remittance total.
Three sample payments$1,060.00
Sample deposit$1,000.00
Conflict to resolve$60.00
$1,060 − $1,000 = $60
Staff intervention needed
This sample conflict requires staff intervention. Your team investigates the $60 difference and decides how to resolve it.
Illustration of the planned AI-powered workflow. The office rule, amounts, and references are fictional.Fictional examples using real insurer names. No affiliation or confirmed integration implied.
How the work is designed to flow
Your rules guide
the reconciliation.
The intended workflow uses office-defined rules to handle routine work. Staff step in only when a conflict needs their attention.
Remittance details
Apply the office rules.
Your office defines the rules. AI is being designed to handle routine matching and reconciliation within those rules, and automatically update insurance fee schedules from incoming EOB allowed amounts.
Flag a conflict for staff.
When a conflict requires intervention, the planned workflow brings the supporting details to your team to investigate and resolve.
In development.
NinjaDent has not publicly launched. Features, supported systems, and availability have not been finalized. AI-powered reconciliation, automatic insurance fee-schedule updates from EOBs, office-defined rules, and conflict handling describe the intended workflow.
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