E liliu e le Atamai o Tagi au lava faʻamaumauga tagi ma talafaasolopito o tupe o lau galuega faʻafomaʻi i malosi tupe maua — pepa sikoa o payer, suʻesuʻega o tau PPO i kone taʻitasi, tusi fetalai faʻaAI, ma suʻega o aʻafiaga o le teena i luga o tagi uma aʻo leʻi alu atu.
O mea uma i lalo e fuafuaina mai au lava tagi moni, faʻafoʻi tupe, ma tala o tupe o lau galuega faʻafomaʻi — e le o averesi o pisinisi uma.
Fua faʻatasi o le teena, fua faʻatasi o le aoina, ma mafuaʻaga sili ona tele o teena mo payer uma e te totogiina — e fuafuaina mai au lava talafaasolopito o tagi, ina ia e iloa saʻo le payer e faʻaalu le tele o tupe ma le mafuaʻaga.
Tau e totogi ma tau e taliaina mo kone taʻavale uma, i payer taʻitasi, aʻoaʻoina mai au faʻafoʻi tupe ma tala o tupe PMS. O kone e taliaina itiiti ai e le payer nai lo lau konekarate sili ona lelei e faʻailogaina otometi lava.
Tusi e lomia mai au lava faʻamaoniga o le toe totogi, sauni mo lau iloiloga ma saini. O se siʻomaga tuʻufaʻatasia e mulimuli i le taamilosaga atoa — lomiga, lafoina, faʻafeiloaʻi, taliaina — ma fua le siʻitia pe a faʻatumauina se tau fou.
Leai ni pepa faʻataʻitaʻi, leai ni faufautua, leai ni tuʻuina o faʻamaumauga. Faʻafesoʻotaʻi faʻatasi ma fai lava lona ia le suʻesuʻega.
E faitau e le Atamai o Tagi tagi, faʻafoʻi tupe, ma talafaasolopito o tala o tupe o loʻo nonofo i lau polokalama o le puleaina o le galuega faʻafomaʻi.
O pepa sikoa o payer ma faʻataʻitaʻiga o tau i kone taʻitasi e faʻapipiʻi i le pito i tua aʻo tafe atu tagi ma totogi i totonu o lau galuega faʻafomaʻi.
O numera uma e faʻaalia e le Atamai o Tagi e sau mai au lava talafaasolopito o lau galuega faʻafomaʻi — au tagi tuʻuina atu, au faʻafoʻi tupe, au tala o tupe. E leai ni faʻataʻitaʻiga o pisinisi uma e tuu mo le mea moni: o aofaʻiga o tupe e taʻua i se tusi fetalai o aofaʻiga o tupe na totogi moni e se payer, pe na teena, i luga o au tagi.
Claims Intelligence is $299.99/month as an add-on to any plan. The Insurance Suite at $399.99/month bundles it with Insurance Verification ($199.99/month on its own) ($100/month below buying both) and the AI Dental Office plan includes the full Suite.
O le toe fefaʻataulaʻiga manuia o se code e tasi e masani ona ufiufi ai le totogi o le saofaga.
Vaʻai uma tau faʻatauMai lau lava ofisa faʻafomaʻi: o claims na e tuʻuina atu, o totogi na toe faʻafoʻi mai e payers, ma lau PMS ledger. E le faʻaogaina e le Claims Intelligence ni faʻataʻitaʻiga o le pisinisi poʻo ni fuafuaga — o denial rates uma, collection ratios, ma allowed amounts e fuafuaina mai lau lava talaʻaga o claims moni.
Mo payers uma e te totogi atu ai: denial rate, collection ratio, ma mafuaʻaga autu o denial — uma e fuafuaina mai au lava claims. E te vaʻaia ai payers o loʻo sili ona denial, o ai e tele le tuai i le totogi faʻapea foi ma ā mafuaʻaga o denial o loʻo faʻaauau pea ona tupu.
E aʻoaʻoina billed vs. allowed amounts i le procedure code taʻitasi, i le payer taʻitasi, mai au remittances ma le PMS ledger. A itiiti ifo le allowed amount a le payer i luga o se code nai lo lau feagaiga sili ona lelei mo lena code, ona faʻailogaina lea o se palota mo fetalanoaga — faʻatasi ai ma faʻamaoniga o tupe.
Leai — e lomia e le AI taʻitasi lava tusi mai au lava faʻamaoniga o totogi, ma e te toe iloiloina aʻo leʻi alu i se isi mea. Mai lea mea, o se tracker e mulimuli i le taamilosaga atoa: lomiga, tuʻuina atu, taliʻaga, taliaina, ma le fuaina o le siitia pe a amataina se totogi faʻafoʻu.
O claims uma e fuaina aʻo leʻi tuʻuina atu, ma lamataʻia lamataʻia e oʻo mai ma le igoa manino o le toe faʻaleleia: o se faʻapipiʻi ua misi, o se tapulaʻa o le taimi e mafai ai, o se vaitau faʻatali e leʻi ausia, poʻo se manaʻoga o le faamaonia muamua. O le sini ia faʻaleleia le faʻafitauli aʻo leʻi vaʻaia e le payer le claim.
E fuaina tagi uma aʻo leʻi alu atu, ma o aʻafiaga uma e faʻailogaina e sau ma le faʻasaoga patino e taʻua — faʻapipiʻi ua le o ai, tapulaʻa o le auai, taimi faʻatali, poʻo le faʻatagaga muamua — ina ia saʻo aʻo leʻi vaʻaia e le payer.
Tatala le suʻesuʻega o tau ma vaʻai po o fea kone o fea payer e totogi itiiti — faʻatasi ma au lava aofaʻiga o tupe e fai ma faʻamaoniga.
Faʻatupuina le tusi fetalai mai lena faʻamaoniga, lafo i le payer, ma mulimuli i le taamilosaga seʻia oʻo i se tau e taliaina.
$299.99/month as an add-on to any plan. The Insurance Suite ($399.99/month) bundles it with Insurance Verification for $100/month less than buying both, and the AI Dental Office plan includes the full Suite. Many practices find that one successfully renegotiated code covers the subscription, though results depend on your payers and contracts.
Faʻasoo lau PMS ma tuʻu atu ia faʻaalia mai e lau lava talaʻaga o claims o payers o loʻo totogi itiiti — ma le mea e tatau ona fai.
