FAQ
Questions dental teams ask first.
The basics
How is DentalRobot different from newer AI verification tools?
Seven years in production, verification and claim submission live today, write-back to any PMS (cloud or server), and dual-channel portal + voice verification. Many newer tools are portal-only, cloud-only, and still in beta on claims.
Does the AI really replace the work, or just help with it?
Agents complete up to 95% of verification end-to-end and submit claims automatically — automating up to 90% of the repetitive back-office workload. Specialists review only the edge cases, so your team focuses on judgment, not portals and hold music.
Will it work with our PMS?
Yes. DentalRobot reads and writes back to every major PMS brand and version, whether it's cloud-based or installed on your own server. No system switch required.
What is the difference between Mila and DentalRobot?
DentalRobot is the company, in production since 2018. Mila is DentalRobot's AI Insurance Verification 3rd Generation Platform — the product you buy. The multi-agent engine underneath Mila is branded Cortex.
Coverage & integrations
Does Mila work with Dentrix, Eaglesoft, or Open Dental?
Yes — all three, plus CareStack, Denticon, Curve, and Cloud9. Mila reads and writes back to any PMS brand and version, cloud-hosted or installed on a server in your practice. Server-hosted support matters here: many newer verification tools integrate only with a handful of cloud systems.
Which payers does Mila support?
140+ US dental payers, covering national carriers, regional plans, and smaller TPAs. Verification is sourced through five channels — payer portals, call AI plus a call center, direct payer APIs, faxback, and clearinghouse EDI — so payers without a usable portal are still covered.
How is this different from the eligibility check in our clearinghouse?
A clearinghouse EDI 270/271 transaction returns fast but usually thin data — often active/inactive status and top-level coinsurance. Mila uses EDI as one of five channels and adds portal and voice agents to capture what EDI omits: waiting periods, downgrade provisions, frequency measured from last date of service, missing tooth clauses, and remaining annual maximum. Those are the fields that decide whether a treatment estimate is right.
Is Mila only for large DSOs?
No. The AI Maturity Curve runs from Level 0, group plan data as a reference, up to Level 4, a fully autonomous digital insurance specialist. Solo practices and small groups typically start at the lower levels; multi-location groups and DSOs are the primary users of Levels 3 and 4.
Workflow & accuracy
What happens when a payer portal is down or incomplete?
The voice agent calls the payer directly and captures what the portal can't show. Dual-channel coverage is why automation rates stay high even on difficult carriers.
Does human QA slow things down?
No. AI handles the volume in parallel; humans only touch flagged edge cases. Most verifications complete in under 15 minutes.
Can we start with just verification?
Yes — start with verification on a focused set of payers, then add claim submission when you're ready. You don't have to switch everything on day one.
Does Mila handle denials and appeals?
Denial management is an expanding layer, not yet a fully live one. Insurance verification and claim submission are live in production today. Payment posting, denial management, and patient outreach extend the same agent architecture and are rolling out — ask about current status for your payer mix before you plan around them.
What happens to claims that get rejected or denied?
A rejection fails a format or data check before adjudication and can be corrected and resubmitted. A denial was adjudicated and refused, and needs an appeal with documentation. Mila's scrub agent is designed to prevent the first category before submission by checking claims against payer rules and plan limits.
Pricing & getting started
How much does Mila cost?
Pricing is volume-based rather than per-seat, so it replaces back-office labor cost instead of adding to it — DentalRobot cites 50–90% lower cost than an in-house team and 50% lower than a BPO. There are five levels on the AI Maturity Curve and no public price list; pricing is quoted against your payer mix and volume. Every level includes a 30-day pilot, no setup fee, and a signed BAA.
How long does implementation take?
Typically live within about two weeks on your key payers, with a parallel rollout and no downtime.
Do we have to commit up front?
No. Every level starts with a 30-day pilot and no setup fee, so you can measure automation rate and turnaround on your own payer mix before committing.
Security & compliance
How is patient data protected?
HIPAA compliant with AES-256 encryption, role-based access, full audit logging, and a signed BAA for every customer.
Are you SOC 2 certified?
SOC 2 is in progress, targeted for December 2026. HIPAA compliance, AES-256 encryption, role-based access control, full audit logging, and a signed BAA per customer are in place today.
Where does our data go, and who can see it?
Access is governed by role-based access control, and every action against patient data is written to an audit log. A Business Associate Agreement is signed with every customer before any protected health information is processed.
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