Prevent denied claims before they drain your revenue.
Basira AI reviews every orthodontic claim before submission, explains the denial risk in plain English, and helps your team fix the highest-value issues first.
Maria L. · Aetna PPO
- Lifetime max nearly exhausted: $1,800 of $2,000 already used.
- Coverage timing mismatch: banding date is 9 days before active coverage.
- Missing pano attachment: payer pattern indicates high denial probability.
Hold submission, verify benefits, attach pano, and resubmit as continuation of treatment.
Billers start each morning with the claims most likely to become write-offs.
Payer-specific patterns get flagged before the claim leaves your practice.
Fewer rejected claims means fewer rework loops and cleaner A/R aging.
Run Basira against real claims and measure denial-rate impact before committing.
The cost of doing nothing
Every preventable denial creates a second job your team never needed.
Rules engines catch obvious formatting mistakes. Basira focuses on the payer-specific, timing-specific, evidence-specific issues that turn clean-looking ortho claims into delayed revenue.
ortho claims can be denied or delayed on first submission across the industry.
can disappear annually through preventable denials, rework, delayed collections, and write-offs.
is the kind of A/R delay teams fight after a claim has to be corrected and resubmitted.
What customers notice first
A calmer billing workflow with fewer surprises.
Work is prioritized by revenue risk
Instead of checking every claim manually, your team sees which claims are likely to deny and what the financial exposure is.
Revenue is protected before submission
Coverage timing, lifetime max, missing attachments, CDT combinations, and payer behavior get surfaced before the EOB arrives.
Every recommendation is explainable
Basira gives your biller the risk reason and recommended action, not a black-box score they have to interpret.
How it works
From PMS data to cleaner A/R in three steps.
Basira fits around your existing billing workflow, so your team can keep working where they already work.
Connect your PMS
Cloud 9, Dolphin, OrthoTrac, read-only API, or nightly export. We pull only the fields needed to score a claim.
Score every claim before it goes out
A deterministic rules engine catches known issues, while an AI second opinion detects patterns buried in payer behavior and claim context.
Fix the highest-risk claims first
Billers get a prioritized queue with denial reasons, suggested fixes, and an audit trail for every score and override.
What's inside
Built for ortho billing, not generic medical claims.
Per-payer tuning
Aetna doesn’t deny like Delta Dental. Basira learns the patterns of every payer your practice bills.
PHI-scrubbed AI review
A frontier model can review claim context after PHI is scrubbed, giving you AI judgment without unnecessary exposure.
Audit log for managers
Every score, flag, override, and action is queryable for coaching, audits, and quarterly revenue reviews.
Security
PHI stays controlled, minimized, and auditable.
Built HIPAA-aligned from day one. We minimize what we read, scrub what we send, and log every action.
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HIPAA-aligned architecture, BAA-ready
Encryption in transit and at rest. SOC 2 in progress.
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Data minimization by default
We pull only fields needed to score a claim, not the full chart.
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No raw PHI to third-party LLMs
Names, DOBs, member IDs, and other identifiers are scrubbed before external model review.
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Full audit log of every read, score, and action
Exportable, queryable, and built for manager review.
Stack & infrastructure
Built on the platforms your IT team already trusts.
- Anthropic
- OpenAI
- Google Cloud
- Vercel
- Stripe
FAQ
Common questions.
Does this replace my biller?
Which practice management systems do you support?
How does pricing work?
How fast can we pilot?
What if I don’t want AI in the loop?
Voices from the field
What ortho billing teams expect from a denial-prevention layer.
Representative of pilot conversations. Real customer quotes will replace these as pilots conclude.
“Our denial rate dropped enough in the first quarter that I stopped budgeting for write-offs as ‘normal.’ The AI catches things our rules engine kept missing.”
“The morning queue tells us exactly which claims to fix first. We stopped touching the green ones and started recovering the reds we used to write off.”
“Every score has a reason and a recommended action. My team trusts it because it doesn’t feel like a black box — it feels like a senior biller looking over their shoulder.”
See Basira on your own claims.
Fifteen minutes. No commitment. Show us last week’s denials and we’ll tell you which ones Basira would have flagged before submission.
- ✓A walkthrough of the claim-risk queue
- ✓A pilot plan for your PMS setup
- ✓A denial-rate measurement approach