01 · Why this exists
You're not losing claims
because you're bad at this.
because you're bad at this.
You're losing them because the other side has information you don't. Carriers know exactly which codes they'll deny, on which patients, and they're betting you won't appeal. Most practices don't — less than 1% of denied claims ever get challenged. But when they are appealed, they win. The money was always yours. The only thing missing was knowing how to ask for it back.
22¢
of every dollar billed is what the average GP keeps
ADA HPI 2024 SDP
15.7%
Medicare Advantage initial denial rate (2024)
Premier Inc. 2024
80.7%
of appealed Medicare denials get overturned
KFF · CMS data Jan 2026
<1%
of denied claims are ever appealed
HHS OIG OEI-09-16-00410
02 · The part that makes it different
Privacy isn't a promise.
It's the architecture.
It's the architecture.
Every dentist's first fear is the same: "I'm not sharing my patients, and I'm definitely not sharing anything with the practice down the street." Good. Neither are we. ClaimRail is built on federated AI — the same technology Mozilla, Samsung, and Stanford research labs use. Your patient records physically stay on your side of the wall. Only one thing ever crosses: what the insurance company did.
Stays in your office · always
Your side of the wall
- Every patient record and chart
- Names, dates of birth, anything that identifies a person
- What you charge — your fees are yours alone, never shared, never compared
- Your books. Your business. Off limits, by design.
The only thing that crosses
What the insurer did
- "Delta denied this code — here's the reason they gave"
- "This is the appeal language that overturned it"
- "This is what the payer actually allowed"
- De-identified. No patient. No fee. Just the carrier's own behavior, learned once and shared with everyone.
03 · How it works
No software to install.
Just text us the denial.
Just text us the denial.
The first one is free, and there's nothing to set up. You send a photo of a denied claim or EOB. The network — trained on how every major payer behaves — tells you whether it's worth appealing, why it was denied, and the exact language that wins. One practice cracks a payer's pattern; every practice inherits the win.
STEP 01
Text a photo
Snap the denial letter or EOB and text it to our number. No login, no portal, no onboarding call.
STEP 02
Get the read
You get back: whether it's worth appealing, what the carrier's real reason was, and the appeal that's overturned it for other practices.
STEP 03
Get paid · we win together
You recover the claim. We only earn a fee when you actually get paid. The software line is capped — the part dentists fear owning them is the part we cap.
04 · The deal · and why it's fair
The more you put in,
the more you get back.
the more you get back.
A network is only as smart as what flows through it. So the practices that share what their claims reveal get the full edge. The ones that hold back get less — in proportion to what they hold back. Not because we're policing anyone. Because that's the only way it stays fair to the practice that goes all in.
The small practice, all in
New, solo, only a handful of claims a month — but you share all of them. You get full access. You're never penalized for being small. Being all-in is the whole price of admission, and you paid it.
The one holding back
Big book, shares a sliver, hides the rest. You get a proportional slice — not punished for your size, just for what you're withholding. The paranoid holdout self-selects out, and slowly loses to the practices who didn't.
05 · Why us
A mission
with revenue.
with revenue.
This isn't a SaaS company that found a market. The founder's father died from infected root canals his cardiologist missed — the jaw is "dental," the heart is "medical," and the two systems never talk while the patient pays for the gap. ClaimRail exists to close gaps that have a real cost. It's run by an operator who has filed thousands of these claims by hand and knows exactly what carriers count on you not knowing.
The track record before the network existed
$25M recovered for 6,800 patients — by hand, before any of this was software. The recovery methodology is proven. ClaimRail is what happens when you give every independent practice the same intelligence, and let the network make each of them smarter than any of them could be alone.
Start now · costs nothing
You have a denial
sitting on your desk right now.
sitting on your desk right now.
Send us a photo of it. We'll tell you whether it's worth fighting and exactly how — free. That's the whole first step. No call to book, no form to fill, no software to install.
Text the denial →
Text · 714-623-7422
Every stat on this page is sourced
ADA Health Policy Institute, Survey of Dental Practice 2024 — $942,290 average GP gross / $207,980 net (≈22¢/dollar kept). Premier Inc. 2024 payer denials survey — 15.7% Medicare Advantage initial denial rate. KFF analysis of CMS data, Jan 2026 — 80.7% of appealed Medicare denials overturned in 2024. HHS OIG Report OEI-09-16-00410 — <1% of denied claims appealed. $25M / 6,800 patients — internal recovery records. Federated-learning framework: Flower (open-source, used by Mozilla, Samsung, Stanford/MIT research).