Automated Insurance Breakdown Auditor
Instant Dental Verification & Procedure Code Breakdown
Upload carrier breakdowns, fee schedules, or insurance web portal eligibility screenshots. Our RCM auditor extracts comprehensive procedure codes, benefit tiers, waiting periods, downgrades, and formats PMS notes.
1
Upload Insurance Document(s)
Accepts one or multiple PDFs, scanned letters, or portal eligibility screenshots (Max 10 files, 25MB total)
Select, drag & drop, or press Ctrl + V to paste screenshot(s)
Upload single breakdown or paste multiple portal snips directly from clipboard (PDF, PNG, JPG, WEBP)
1 File Attached
2
Select Network Benefit Tier
Target the specific network schedule if the breakdown includes dual-column comparison tables
Auto-Detect
Automatically inspect and extract the policy status indicated in the document.
In-Network (PPO/Premier)
Force extraction from In-Network benefit tables & contracted deductible amounts.
Out-of-Network
Force extraction from Out-of-Network fee tables and non-contracted maximums.
Auditing Dental Breakdown...
Initializing Gemini 2.5 Flash pipeline...
Verification Notice
Verification error details.
Patient & DOB
Katherine Birdwell
DOB: 04/12/1988 (Age: 37)
Employer / Group & #
N/A
Group #: N/A
Network Status (Pre-Set)
In-Network
Carrier Verified
Effective / Termed Date
01/01/2026
Active
Termed: None (Active)
Plan Benefits
Calendar Year
Resets Jan 1st
Fee Schedule (Pre-Set)
Delta Dental PPO
Contracted Tier
Pay To
Patient or Office
Assignment of Benefits
Claims Address & Payor ID
🔒 Wired
P.O. Box 9051 Farmington Hills, MI 48333
Payor ID: 05430
Annual Maximum
$1,500
Remaining: $1,125
25% used
Individual Deductible
$50
Remaining: $0 (Met)
100% Met
Ortho Max
50%
$1,000
Ortho Rem: $999
Age limit: 26
Terms: N/A
Deductible Scope:
Basic & Major
Prev waived from deductible
Benefit Coverage by Clinical Category (Excel Breakdown Standard)
| CDT Code | Clinical Description | Benefit % | Deductible | Frequency Limitation | Age Limit | Eligibility Status | History on File | Downgrade Clause | Auditor Notes |
|---|