EDiFi Enterprise Platform

Transform Uncertainty Into Revenue Confidence

EDiFi Enterprise is the complete dental revenue intelligence platform — eligibility verification, voice AI, clean claims, payment audit, medical billing crossover, and DSO operations unified in one system.

100+ dental practices on the waitlist

EDiFi Platform Dashboard: real-time eligibility verification and revenue analytics

Integrates with leading dental practice management systems

Dentrix Dentrix Ascend Open Dental Curve Dental Eaglesoft
EDiFi Enterprise

One Platform. Every Revenue Workflow.

EDiFi Enterprise unifies every layer of dental revenue operations — from eligibility to payment recovery — into a single intelligent system built for dental offices, groups, and DSOs.

Module 01

Eligibility Intelligence

Real-time eligibility verification, benefit breakdowns, and pre-appointment coverage gates. Confirms coverage before the patient walks in — no surprises, no delays.

Real-Time Verification Benefit Breakdowns Coverage Gates Multi-Payer Comparison
Module 02

Voice AI & Automation

Bella AI answers inbound calls, handles after-hours, and books appointments. Outbound AI calls payers directly to verify eligibility. Voice-driven perio charting eliminates manual data entry chairside.

Bella AI Receptionist Outbound Payer Calls Perio Voice Charting Call Transcription
Module 03

Payment Audit Engine

Audits every insurance payment against your contracted fee schedules. Flags underpayments, phantom write-offs, and EOB discrepancies automatically. $59K found in a single validation audit.

Fee Schedule Matching Underpayment Detection EOB Reconciliation Recovery Routing
$59K Found in beta validation
27% Of claims underpaid
Module 04

Claims & Denial Recovery

AI-powered claim scrubbing, risk scoring, and denial command center. Auto-generates appeal letters with clinical context and tracks every appeal through to resolution.

Claim Scrubber Denial Command Center AI Appeal Letters Appeal Outcome Learning
Module 05

Medical Billing Crossover

Identifies dental procedures billable to medical insurance at 40–200% higher reimbursement rates. Generates CMS-1500 forms, maps CDT to CPT/HCPCS, and manages medical payer enrollment — unlocking $80K–$200K in new revenue per practice annually.

CDT → CPT Crosswalk CMS-1500 Builder 9 Crossover Categories Medical Enrollment
Module 06

Enterprise Operations

Morning huddle, unscheduled treatment board, AR recovery dashboard, benefit maximization, pre-authorization management, provider scorecards, and radiograph attachment automation — the full ops suite in one place.

Morning Huddle AR Recovery Dashboard Benefit Maximization Pre-Authorization
Proven Results

Real Money Recovered. Real Practices Validated.

EDiFi's Payment Audit Engine was validated against real dental claims data. The results speak for themselves.

27%
Of claims had payment discrepancies
2,399
Claims audited in validation
Projected Impact $29.5M
Projected recovery across 100+ offices
EDiFi Platform

See the Platform
in Action

EDiFi unifies eligibility intelligence, clean-claim workflows, and real-time payment audit into a single platform — so your team focuses on patients, not paperwork. Every dollar earned, collected.

Request a Live Demo
EDiFi
Billing & Insurance
Live
Claims Performance
Jan
Feb
Mar
Apr
May
Jun
Revenue Recovery
98% RECOVERED
$59K+
Recovered
$2.1K
Pending
N
Nadine Poloa
Office Analytics
How It Works

The Complete Revenue Cycle. Automated End to End.

EDiFi handles every step from patient check-in to payment recovery. Nothing falls through the cracks.

1

Verify Eligibility

Before the patient even arrives, EDiFi confirms coverage, benefits, and authorization requirements, eliminating day-of surprises and front-desk delays.

2

Generate Clean Claims

AI auto-assigns CDT procedure codes and ICD-10 diagnosis codes from clinical findings, formatting every claim to payer-specific submission rules before it leaves your office.

3

Audit Every Payment

EDiFi's Payment Audit Engine compares what you were paid against your contracted fee schedules, flagging underpayments, phantom write-offs, and EOB discrepancies automatically.

4

Recover What's Yours

Findings are classified as Collectible, Appealable, or Adjustable and routed automatically. EDiFi's AI generates appeal letters with clinical context, tracks outcomes, and learns which arguments win — so recovery happens without manual work.

Who We Serve

Solutions for Every Practice Size

One practice or 200 locations, EDiFi standardizes eligibility, claims, and payment auditing across your entire portfolio from day one.

Private Practices

EDiFi audits every payment your payers send against your contracted rates, surfacing underpayments your team would never catch manually. No extra headcount needed.

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Multi-Location Groups

Standardize billing workflows across every location. EDiFi detects cross-office underpayment patterns and surfaces them in one consolidated rollup report.

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DSOs & Enterprises

Built for scale from day one. EDiFi's DSO Orchestration Engine coordinates audits across your entire portfolio, identifying which payers, procedures, and locations are costing you the most revenue.

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Ready to Find Out How Much You're Owed?

Join 100+ practices on the waitlist. We'll show you exactly what EDiFi finds in your claims before you commit to anything.