The Complete Revenue Cycle.
Automated End-to-End.
See every step EDiFi takes from patient scheduled to payment collected — no manual handoffs, no coverage surprises, no revenue left behind.
Dental Practices Lose Thousands Every Month
Revenue leakage happens at every step of the billing cycle — and most practices don't see it until it's too late.
Revenue Intelligence Across the Entire Patient Journey
EDiFi runs in the background of your practice — automating every revenue touchpoint from the moment an appointment is booked to the day a payment is reconciled.
Patient Scheduled
EDiFi connects to your PMS. When an appointment is booked, patient and insurance data flows into the platform automatically — no manual entry needed.
PMS Auto-ImportEligibility Verified
EDiFi submits a real-time eligibility check 24 to 72 hours before the appointment. Coverage gaps, benefit limits, and remaining maximums are flagged immediately.
AI VerifiedChairside Ready
Before the patient arrives, the team sees a complete benefits summary — remaining maximums, deductible status, covered procedures, and estimated patient balance.
Pre-Visit ReadyTreatment Planned
Providers enter procedure codes and EDiFi shows coverage estimates, prior authorization requirements, and exact patient financial responsibility in real time.
Real-Time CoverageClean Claims Submitted
EDiFi scrubs every claim before transmission — catching coding errors, applying correct modifiers, and routing to the right payer. Fewer rejections, faster payment.
AI Claim ScrubPayments Audited
When EOBs arrive, the Payment Audit Engine compares every reimbursement against contracted fee schedules. Underpayments are flagged and queued for recovery.
Underpayment Detection| Category | Coverage | Deductible | Notes |
|---|---|---|---|
| Preventive | 100% | Waived | Cleanings, exams, X-rays |
| Basic Restorative | 80% | After ded. | Fillings, simple extractions |
| Major Restorative | 50% | After ded. | Crowns, bridges, dentures |
| Periodontics | 80% | After ded. | SRP, maintenance |
| Orthodontics | Not covered | — | No ortho benefit |
| Procedure | Limit | Last Date | Status |
|---|---|---|---|
| Prophy / Cleaning (D1110) | 2×/year | 09/14/2025 | ✓ Eligible |
| Bitewing X-rays (D0274) | 1×/year | 04/20/2025 | ✓ Eligible |
| Periodic Exam (D0120) | 2×/year | 09/14/2025 | ✓ Eligible |
| Comprehensive Exam (D0150) | 1×/lifetime | 03/08/2019 | ✗ Not eligible |
| Crown (D2740) | 1× per 5 yrs | — | ✓ Eligible |
| Fluoride Treatment (D1208) | 2×/year | 09/14/2025 | ⚑ Apr 14 |
Know Before the Patient Walks In
EDiFi's MVP module eliminates coverage surprises with real-time payer verification — automatically, 24 to 72 hours before every appointment.
- Real-time payer connectivity — no hold times, no manual lookups
- Full benefit breakdown — maximums, deductibles, waiting periods, frequency limits
- Coverage gap alerts — flags issues before the appointment, not after
- Voice AI fills gaps — Bella calls the carrier automatically for missing data
See Exactly Where Revenue Is Going
EDiFi surfaces the metrics your billing team and office manager need to make fast, confident decisions — production, collections, A/R, and denial trends all in one view.
- A/R aging dashboard with payer-level breakdowns
- Production vs. collection trend analysis
- Denial rate tracking by payer, provider, and procedure
- Exportable reports for leadership and DSO oversight
Recover the Revenue You Are Already Owed
Payers regularly underpay against contracted rates. EDiFi's audit engine catches every discrepancy — and generated $59,000+ in recoverable revenue for a single practice in its first 30 days.
- Automated EOB comparison against fee schedules
- Underpayment flagging with recovery documentation
- Payer-by-payer accuracy reporting
- DSO-ready multi-location audit dashboards
One Platform. Every Revenue Workflow.
EDiFi Enterprise is not a point solution. It is a complete revenue intelligence system — every module works together so nothing falls through the cracks between eligibility, claims, and collections.
Built-In AI Intelligence
Every module in EDiFi Enterprise is powered by AI — not as an add-on, but as the core of how the system thinks, decides, and acts on your behalf.
- Knowledge Compass — AI answers payer questions in real time
- DMAIC Intelligence Agent — Lean Six Sigma revenue leakage analysis
- AI appeal letter drafting with clinical context
- Bella Voice AI — inbound calls, after-hours, outbound payer calls
- Voice perio charting — hands-free clinical documentation
Full Revenue Cycle Operations
EDiFi handles every operational step — from patient scheduling through payment recovery — so your team focuses on patients, not on chasing insurance.
- Eligibility intelligence — coverage confirmed before every visit
- Clean claims — AI scrubbed, CDT/ICD-10 coded, payer-ready
- Payment audit — EOB matched to fee schedules automatically
- Medical billing crossover — $80K–$200K new revenue per practice
- DSO orchestration — multi-location rollup and payer management
Built for Every Role in Your Practice
EDiFi delivers the right intelligence to the right person — whether they are at the front desk, chairside, or managing the billing operation.
Eligibility Before the Call Ends
Verify coverage in under 5 minutes before the patient hangs up. No hold time, no callbacks.
Treatment Plans That Close
Present procedures with exact insurance coverage and patient cost — confidence at case presentation.
Clean Claims, Faster Reimbursement
AI claim scrubbing catches errors before submission. Spend time on exceptions, not rework.
Revenue Visibility That Drives Action
A/R aging, collection trends, and denial rates in one dashboard. Know your numbers every morning.
The Calendar Your Front Desk Has Always Needed
EDiFi's appointment calendar syncs with your PMS and surfaces eligibility status, patient alerts, and financial flags directly on the schedule — so your front office knows exactly what to expect before the day starts.
- Color-coded eligibility status on every appointment block
- Patient balance and coverage alerts at a glance — before check-in
- One-click verification queue — run batch checks for the full day in seconds
- Integrates with Dentrix, Eaglesoft, Open Dental, and Curve — no duplicate entry
Every Procedure. Documented and Billed Right.
EDiFi's Chairside Workspace gives doctors 15 pre-built clinical templates — from perio charting to medical billing crossover — so documentation and billing happen at the chair, not after hours.
- 15 procedure templates: crowns, extractions, implants, perio, OSA, frenectomy, biopsy & more
- Automatic CDT → CPT crosswalk for medical billing — no manual code lookup
- Clinical indicators and ICD-10 codes auto-suggested from documented findings
- One-click CMS-1500 generation for medical payer submission
Everything Your Revenue Team Needs
EDiFi is a modular platform — each component handles a specific phase of the revenue cycle and works seamlessly with the others.
Eligibility Intelligence
Real-time coverage verification via EDI 270/271. Benefit breakdowns, deductible tracking, and pre-appointment coverage gates surfaced to your team automatically.
Voice AI & Automation
Bella AI handles inbound calls, after-hours booking, and outbound payer calls. Voice-driven perio charting lets clinicians dictate findings hands-free.
Payment Audit Engine
Every EOB matched against contracted fee schedules. Underpayments identified, classified, and queued for recovery — automatically.
Claims & Denial Recovery
AI claim scrubbing, denial command center, and AI-generated appeal letters with clinical context. Appeal outcome learning improves win rates over time.
Medical Billing Crossover
Identifies dental procedures billable to medical insurance at higher reimbursement rates. CDT→CPT mapping, CMS-1500 forms, and medical payer enrollment built in.
Enterprise Operations
Morning huddle, AR recovery dashboard, benefit maximization, pre-authorization management, provider scorecards, and unscheduled treatment board — your full ops suite.
Chairside Workspace
Real-time clinical documentation with procedure templates, CDT/auth/coverage inline, vitals tracking, and medical billing signal panel all in one chairside view.
DSO & Multi-Location
Multi-office command center with cross-location revenue rollup, payer agreement management, network compliance dashboard, and provider performance analytics.
Payer Intelligence
Knowledge Compass answers payer questions instantly. 489 CDT codes, 15 payer rule sets, ICD-10 crosswalks, and 50-state regulatory data loaded and searchable.
Works With Your Practice Management System
EDiFi integrates directly with the PMS your team already uses — no migration, no disruption, no retraining required.
More integrations coming — Dolphin, Carestream, Fuse, and others. Request your PMS.
Enterprise-Grade Security for Patient Data
Elite Dental Force maintains rigorous security standards to protect your practice and every patient record — because your patients trust you with the most sensitive information they have.
Real Results From Beta Practices
These numbers come from actual EDiFi deployments with dental offices in Utah — not projections, not estimates.
See the Platform in Action
Schedule a personalized demo and see how EDiFi handles eligibility, claims, and payment audits for your practice.