AdjudicateClaims Recovery Calculator
How much is sitting uncollected
in your AR right now?
Tell us about your practice. We'll show you the exact dollar amount Adjudicate would recover this year.
Recovery
Projected Annual Recovery
—
from 120 claims/mo
Chair-Hours Recaptured
—
freed from manual follow-up
No form. Live demo seeded with your practice profile.
Interactive Workflow Comparison
Feel the difference between stuck and moving
Click any row to see the exact claim that changed everything. Five stages. One pipeline. Zero write-offs.
Stage
Current Workflow
With Adjudicate
01
Submission
Manual entry across 2–3 clearinghouses
4.2 hrs/dayBatch delays
Real-time auto-submission with eligibility pre-check
90 secAuto-scrubbed
Real Claim JourneyD2750
MetLifePFM Crown — MetLife
Denial
Missing X-ray attachment
Resolution
Auto-detected missing attachment pre-submission. X-ray attached from PMS imaging module. Submitted clean.
Time · Outcome
< 2 min
Paid first pass · $1,180
02
Tracking
Weekly AR report review, manual phone calls
22 min hold avgBlind spots
Live claim status dashboard, auto-payer outreach
Day 15 alertLive tracking
Real Claim JourneyD4341
CignaPerio Scaling — Cigna
Resolution
Claim stalled at day 18. Auto-status check confirmed processing error on payer side. Automated resubmission triggered. No phone call needed.
Time · Outcome
18 days → 24 days total
Paid · $890 · saved 22-min hold call
03
Denial Management
EOBs pile up in the inbox, triaged by hand
3.5 days avgCode lookup fatigue
Denial code parsed, appeal drafted, sent in 11 minutes
11 min avgAI-drafted appeal
Real Claim JourneyD2740
AetnaPorcelain Crown — Aetna
Denial
CO-4: Missing narrative for necessity
Resolution
Denial parsed automatically. Clinical narrative generated from chart notes. Aetna-specific appeal form pre-filled. Submitted electronically in 11 minutes.
Time · Outcome
11 min
Paid in full · $1,340 · overturned on first appeal
04
Appeal
One coordinator manages all appeals manually
12% deadline missDeadline risk
Multi-level appeal logic, deadline tracking automated
94% overturn rateMulti-level auto
Real Claim JourneyD7210
Delta DentalSurgical Extraction — Delta Dental
Denial
CO-97: Bundled procedure
Resolution
First appeal argued medical necessity with surgical report. Delta denied again. Second-level appeal submitted with ADA guidelines citation. Overturned.
Time · Outcome
2 appeals · 19 days total
Paid · $640 · would have been written off
05
Payment Posting
ERA posting done manually, underpayments missed
$180 avg underpaymentUnderpayments accepted
Auto-posting with underpayment flag and dispute trigger
2 hr auto-postUnderpayment guard
Real Claim JourneyD3330
United ConcordiaRoot Canal, Molar — United Concordia
Resolution
ERA posted $720 vs contracted $960. Underpayment of $240 detected automatically. Dispute filed within 4 hours. Corrected payment issued.
Time · Outcome
4 hrs
+$240 recovered · dispute resolved in 6 days
Every row above is money you're leaving on the table.
See how it moves with your actual claim volume.
Verified Recovery Results
The numbers that ended write-off season
Total Recovered · 2025
$47M+
Across 1,200+ dental practices. Every dollar from denied, underpaid, and aging claims that would have been written off.
94%
First-appeal overturn rate
11 min
Average denial-to-appeal time
4.1%
Average denial rate (industry avg: 17%)
$51,200
"We had $58,000 sitting in 90-day AR when we onboarded. Adjudicate chased every single claim. Six weeks later, $51,200 posted. I stopped dreading Mondays."
RO
Renata Okonkwo
Office Manager · Lakeside Dental Group · Chicago, IL · 4 locations
18% → 4% denial rate
"I used to toggle between Availity, DentalXChange, and the Delta portal before 9am. Now I open one screen. The denial rate dropped from 18% to 4% in 60 days."
MT
Marcus Trevino
Billing Coordinator · Summit Family Dentistry · Austin, TX
Works with every major payerDelta DentalMetLifeCignaAetnaUnited ConcordiaGuardianHumanaBlueCross
Built for Your Practice
The same problem at every scale.
One engine that fixes it.
Solo Practitioner
Stop watching $40K disappear into write-offs
You're the dentist and the billing department. Every hour chasing a denial is an hour you're not in the chair. Adjudicate works in the background — your claims move while you do.
$40K+ avg annual write-offs
No dedicated biller
EOBs piling up
Delta portal, Availity, and PMS open simultaneously
$38,400
avg first-year recovery for solo practices
Group Practice
One billing coordinator. Eight providers. Zero dropped claims.
Your biller is toggling between three clearinghouses before lunch and still missing 90-day follow-ups. Adjudicate handles the chase — your coordinator handles exceptions only.
Multi-provider claim volume
3+ clearinghouse logins
90-day AR piling up
Inconsistent appeal quality across providers
94%
first-pass claim acceptance rate
DSO / Multi-Location
Standardize AR recovery across every location
Each location has different staff, different processes, and different denial rates. Adjudicate brings one engine to all of them — with location-level dashboards and aggregate recovery reporting for your RCM director.
Inconsistent denial management across locations
RCM director flying blind on AR
No standardized appeal process
Staff turnover killing institutional knowledge
$2.1M
avg annual recovery for 10-location DSOs
$47M+
recovered
94%
overturn rate
11 min
avg appeal
Your AR backlog has a last day.
No forms. No sales calls. Click through to a live demo environment seeded with claims matching your practice profile — and watch them move.
HIPAA-compliant demo · No PHI required · Setup in 2 minutes