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I want to automate the most time-consuming parts of our U.S. dental revenue cycle with AI-driven bots. The immediate focus is on four key billing activities: • Claims submission • Payment posting • Insurance verification • Eligibility checks The bots must work smoothly inside our existing practice-management software and log in to the major insurance company portals we use every day. If an API is unavailable, screen automation or other reliable work-arounds are acceptable as long as they remain HIPAA-compliant and error-resilient. I’m not fixed on one type of AI; whether you lean on traditional rule engines, machine-learning models, natural-language processing, or a hybrid approach, I’m open to the method that gives the highest accuracy and speed while keeping maintenance low. Deliverables I’d like to see: 1. A working prototype that handles one real claim end-to-end. 2. Clear documentation of the tech stack, setup steps, and training data (if any). 3. A roadmap for scaling the prototype to cover all four tasks and additional insurers. If you have prior experience with U.S. dental billing, clearinghouses, or similar healthcare automations, please highlight it when you respond. 1. Redacted ADA Dental Claim Form (J430D) or Claims Report Purpose: Demonstrates the exact data fields your office collects for CDT procedure codes, tooth numbers/surfaces, provider NPIs, and subscriber IDs. Tip: Black out or synthetic-replace all real patient names, DOBs, SSNs, and subscriber IDs. 2. Sample EDI 835 / EOB Remittance File or Visual EOB Purpose: Shows how your primary insurance carriers (e.g., Delta Dental, MetLife, Cigna) format their Electronic Remittance Advice or paper Explanation of Benefits for payment posting and adjustment reasons. 3. Practice Management Software (PMS) Ledger Screenshot Purpose: Illustrates the specific interface where payments, claim statuses, and eligibility adjustments need to be posted inside your PMS (e.g., Open Dental, Dentrix, or Eaglesoft). 4. Workflow Diagram or Screen Recording (GIF/MP4) Purpose: A short walkthrough showing a billing specialist manually logging into a major insurance portal (e.g., Availity, DentalXChange, or Delta Dental) to perform an eligibility check (270/271) or claim status lookup.
Project ID: 40626640
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162 freelancers are bidding on average $528 USD for this job

Hi, I have gone through the Dental Billing AI Bot Development project. It looks straightforward at first, but with AI/ML automation, billing accuracy, payment processing, data management, and reliable API integration are key details that can cause issues later. I can outline a practical approach for developing the bot. I have over 10 years of experience in Software Architecture, C++ Programming, API Development, Data Management, Natural Language Processing, AI Model Development, AI Integration, and AI Automation, and I'm excited to be part of your project. For more information about my work, feel free to check my profile: https://www.freelancer.com/u/microlent Let's discuss your dental billing workflow in the chat so I can recommend the most practical and cost-effective AI/ML solution. ~ Rajesh
$500 USD in 30 days
9.3
9.3

Hi — Elias here from Miami. I understand you're looking to automate the time-consuming aspects of your dental revenue cycle with an AI-driven bot. This is a crucial step to enhance efficiency and reduce overhead. What usually matters most here is ensuring the system can handle complex integrations with existing workflows while managing sensitive patient data securely. The tricky part is aligning the AI's capabilities with your specific billing processes, especially with compliance in mind. My approach would focus on building a robust architecture that prioritizes scalability and maintainability. I would design the bot to interact seamlessly with your existing systems through APIs, ensuring data integrity and streamlining automation logic. This way, future expansions or modifications can be implemented with minimal friction. I’ve worked on similar projects that involved integrating AI into healthcare systems, which taught me the importance of reliability and user-friendly workflows. A few questions to better understand the scope: Q1 – What specific billing tasks do you want the bot to handle? Q2 – Are there existing systems or platforms we need to integrate with? Q3 – What are your expectations for scaling the bot’s functionalities in the future? Happy to discuss the details and suggest the best technical approach. Looking forward to hearing from you.
$500 USD in 5 days
8.1
8.1

⭐⭐⭐⭐⭐ Automate U.S. Dental Revenue Cycle with AI-Driven Bots ❇️ Hi My Friend, I hope you're doing well. I reviewed your project needs and see you're looking for automation in your dental revenue cycle. You don't need to look any further; Zohaib is here to help you! My team has successfully completed 50+ similar projects in healthcare automation. I will create AI-driven bots that handle claims submission, payment posting, insurance verification, and eligibility checks efficiently. My approach will ensure they work smoothly with your existing practice-management software while remaining HIPAA-compliant. ➡️ Why Me? I can easily automate your dental billing tasks as I have 5 years of experience in healthcare automation, focusing on AI solutions, data processing, and system integration. Not only this, but I also have a strong grip on technologies like Python, machine learning, and web automation, ensuring a reliable and effective solution for your needs. ➡️ Let's have a quick chat to discuss your project details. I’d love to show you samples of my previous work. Looking forward to chatting with you! ➡️ Skills & Experience: ✅ AI Solutions ✅ Data Processing ✅ System Integration ✅ Claims Submission ✅ Payment Posting ✅ Insurance Verification ✅ Eligibility Checks ✅ HIPAA Compliance ✅ Python Programming ✅ Web Automation ✅ Workflow Documentation ✅ Machine Learning Waiting for your response! Best Regards, Zohaib
$350 USD in 2 days
8.0
8.0

Hello, As a multi-faceted engineering and AI firm, I understand the significance of precise and efficient project execution to streamline workflow and yield maximum productivity. My skills in C++, documentation, and software architecture make me an ideal candidate for your Dental Billing AI Bot project. Having us hired for this project guarantees you cutting-edge delivery while keeping compliance with the HIPAA protocol intact. My vast repertoire encompasses various AI methods like rule engines, machine learning models, natural-language processing, or even hybrid methods. Your project demands high precision, speed while retaining easy maintenance. Drawing on my extensive experience working with data science and Machine learning algorithms, I can develop a sophisticated prototype to handle one real claim from claims submission all the way to payment posting, insurance verification and eligibility checks. Beyond meeting deliverables 1-3, my team provides end-to-end project management and meticulous documentation which means documentations steps including tech stack setup wouldn't be a problem. Finally, being fastidious about adhering to deadlines without compromising on quality aligns me well with your specific needs for scaling this prototype in future. It would be an incredible opportunity to work on streamlining your dental revenue cycle and saving your valuable time that can be redirected towards delivering healthcare of the highest quality! Thanks!
$750 USD in 1 day
7.5
7.5

Hi, I am a software engineer with over 16 years of experience building secure workflow automation, API integrations, and resilient browser-based bots. I can develop a HIPAA-conscious prototype that takes one dental claim from validated PMS data through submission, captures the response, and records a complete audit trail without exposing PHI in logs. I would first map the current billing workflow and data fields, use an API or standard EDI route where available, and add reliable screen automation only where necessary. The prototype will include validation, retries, exception handling, encrypted configuration, clear setup documentation, and a practical roadmap covering payment posting, verification, eligibility checks, and additional insurers. Which practice-management system and insurer or clearinghouse should the first end-to-end claim target? I’d be glad to discuss the workflow, access constraints, and prototype details.
$300 USD in 14 days
7.5
7.5

Hi, I reviewed your project and I’ll build AI-driven bots to automate U.S. dental revenue cycle billing tasks: claims submission, payment posting, insurance verification, and eligibility checks inside your practice-management software. I’ll design a HIPAA-compliant workflow that can use API Development when available, and fall back to reliable screen automation work-arounds when APIs are unavailable. The prototype will process one real ADA Dental Claim Form (J430D) end-to-end, then I’ll map EDI 835/EOB remittance formats into consistent posting logic, while keeping documentation clear for setup and training data. I’ll focus on accurate, error-resilient runs with clean Logging and resilient integrations, so scaling to more insurers stays low-maintenance. Let’s discuss here now.
$250 USD in 30 days
6.7
6.7

Automating a U.S. dental revenue cycle across claims submission, payment posting, insurance verification and eligibility checks is exactly the kind of automation I build. For the prototype I'd take one real claim end-to-end: pull the CDT codes, tooth numbers, provider NPI and subscriber ID from your PMS, generate the 837 to the clearinghouse, then read the 835/EOB back and post payments and adjustment reasons into the ledger automatically. Eligibility and claim-status use the 270/271 flow where a portal exposes it, and where it doesn't I drive the portal via resilient screen automation with retries and audit logging so nothing silently fails. Everything stays HIPAA-conscious: encrypted secrets, no PHI in logs, least-privilege access. I lean on a hybrid rule-engine plus NLP approach so mapping stays accurate but low-maintenance, and I'll hand over clear docs on the stack, setup and any training data, plus a roadmap to scale to all four tasks and more insurers. Quick question so I mirror your setup exactly: which practice-management software do you run — Open Dental, Dentrix, or Eaglesoft? Muhammad Saad
$320 USD in 4 days
6.4
6.4

★★★ AI AUTOMATION SPECIALIST ★★★ Hi, To automate your dental revenue cycle, I can create AI-driven bots for your billing activities. I will develop a working prototype that handles claims submission, payment posting, insurance verification, and eligibility checks. I will ensure the bots integrate with your existing practice-management software and comply with HIPAA. I will also provide clear documentation and a roadmap for scaling. I have experience with healthcare automation and can highlight relevant projects if needed. Please let me know if you have any questions or need more details. Thanks!
$250 USD in 5 days
6.9
6.9

Hello, This is a great fit for our team. We have extensive experience building AI-powered workflow automation, secure web applications, browser automation (RPA), API integrations, OCR, and enterprise software. For your project, we'll develop HIPAA-conscious bots to automate: * Claims Submission * Payment Posting * Insurance Verification * Eligibility Checks We'll integrate directly with your Practice Management Software and insurance portals using APIs where available, and reliable browser automation where they're not. **Deliverables:** * Working prototype handling one real claim end-to-end * Complete documentation (tech stack, setup, and training/configuration) * Scalable roadmap for additional insurers and workflows To get started, we'll need the redacted ADA claim form, sample EOB/835 files, PMS screenshots, and a short workflow recording. We'd be happy to discuss your current workflow and demonstrate the best approach for building a reliable, scalable automation solution.
$500 USD in 7 days
6.7
6.7

Reconciling an EDI 835 against posted claims is the part most "AI bot" pitches skip past, and it's the one that actually decides whether payment posting can run unattended or needs a human checking every line. For the prototype I'd build claim generation off ADA J430D fields, parsing CDT codes, tooth numbers and NPI straight from the PMS record, then post the matching 835 remittance back with line-level reconciliation rather than just flagging claims paid. For the portal side I'd skip screen-scraping and build a state machine for the 270/271 eligibility check, one that tracks session state explicitly so a timeout or forced re-auth mid-check gets retried cleanly instead of failing silently. Every action against the PMS or the portal gets logged with enough detail to hold up under a HIPAA audit, since that's what turns a demo into something a practice can actually run day to day. 750 USD over 12 days, one portal and one claim type for the prototype. That number assumes I don't hit portal-side MFA that blocks unattended re-auth, which would need its own scoping once I see the actual login flow. M1: claim parsing, CDT/tooth/NPI extraction, PMS integration, $250, 5d. M2: eligibility check state machine with re-auth handling on one portal, $300, 4d. M3: 835 reconciliation, audit logging, docs and scaling roadmap, $200, 3d. Which insurer portal should the prototype target first?
$750 USD in 12 days
6.0
6.0

Which PMS and clearinghouse/insurance portals are you currently using (Open Dental, Dentrix, Eaglesoft, DentalXChange, Availity, Delta Dental, etc.)? Also, do you already have sample redacted ADA/J430D claim data and 835/EOB files available for prototype testing? I can build your AI-driven dental RCM automation starting with one end-to-end claim prototype, including claims submission, portal/PMS automation, payment posting logic, eligibility checks, and HIPAA-conscious error handling where APIs are unavailable. I’m ready to handle the PMS integration, insurer portal login workflows, EDI/EOB parsing, rule-based validation, and scalable roadmap. I’m young, fast learner and available 24/7. Let’s chat so I can review your PMS/portal details and confirm the best prototype path. Kind regards, Haroon Z.
$500 USD in 1 day
5.6
5.6

Hi, I got that you are looking for an AI-driven bot to automate key billing activities in the U.S. dental revenue cycle, focusing on claims submission, payment posting, insurance verification, and eligibility checks. This is what I can help you with, let's chat. My approach is to utilize a hybrid AI model incorporating machine-learning algorithms for accurate and speedy processing. By seamlessly integrating the bots within your existing practice-management software and implementing intelligent screen automation techniques, we ensure HIPAA compliance and error resilience. The outcome will be a working prototype handling a real claim end-to-end, with clear documentation on the tech stack and a roadmap for scaling to cover all tasks and insurers. As final deliverables, you will receive a functional prototype, detailed documentation, and a scalable roadmap. One thing I'd like to confirm before we start: Do you have any specific preferences for the AI technology stack to be used? Looking forward to discussing this further with you. Regards, Imran
$250 USD in 1 day
5.6
5.6

Hi, this is a strong use case for AI + workflow automation, and I understand the immediate goal is a working prototype for one real dental claim end-to-end. I can help you design a HIPAA-conscious MVP that fits into your existing PMS workflow and uses API or secure screen automation depending on what each insurer portal allows. I also like that you already listed the sample artifacts, because that will make the prototype much easier to scope accurately. Along with the prototype, I can provide setup documentation and a practical roadmap for expanding into payment posting, eligibility, and insurance verification.
$750 USD in 14 days
5.5
5.5

For the first prototype, I’d recommend automating one clean claims path from the redacted ADA J430D data through PMS entry, insurer or clearinghouse submission, status capture, and a complete audit log. This gives us a measurable baseline before expanding into 835 payment posting, 270/271 eligibility, and additional carrier portals. I would use a hybrid architecture: deterministic rules for CDT codes, tooth surfaces, NPIs, subscriber validation, and adjustment mapping, with AI only where unstructured EOBs, portal responses, or exception classification require it. API and EDI integrations would be prioritized, while HIPAA-compliant browser automation can cover insurers without reliable APIs. The two main priorities would be integration reliability and maintainability, so failed steps are retried safely, exceptions move to a human review queue, and new carriers can be added without rebuilding the workflow. I lead projects end-to-end, including workflow discovery, architecture, development, testing, deployment, and documentation. I would also document PHI handling, access controls, audit trails, setup steps, and any training data used. A relevant example is Voiceup, an AI-powered compliance platform that ingested call-center records, generated transcripts and emotional insights, classified compliance, and presented role-based performance dashboards.
$500 USD in 7 days
5.7
5.7

Visionary and Resourcefully build an AI-driven Dental Billing automation that targets U.S. dental revenue-cycle bottlenecks end-to-end: claims submission, payment posting, insurance verification, and eligibility checks. Prototype plan: deliver a working bot that processes one real claim using a redacted ADA Dental Claim Form (J430D) / Claims Report, generates/validates the needed payload for clearinghouse submission, then completes posting logic from a sample EDI 835/EOB remittance. Where insurer APIs are unavailable, implement HIPAA-compliant screen automation with guardrails, deterministic retries, and audit logs. Integration: map your Practice Management Software ledger workflows (Open Dental/Dentrix/Eaglesoft style) so claim status updates, payment posting, and adjustment reasons land accurately inside your existing UI/state model. Documentation & scale: provide a clear tech-stack/setup guide, explicit data-field mappings from J430D, remittance parsing rules from the EDI 835/EOB sample, and a roadmap for scaling from one insurer/claim flow to all four tasks and additional carriers, minimizing maintenance via reusable adapters and error-resilient recovery. Confidently align the workflow diagram/screen walkthrough to produce robust eligibility (270/271) and status lookup behavior across major portals you already use daily.
$555 USD in 2 days
5.5
5.5

Hello, After reviewing your requirements, I understand you need a HIPAA-conscious automation prototype that can process one real dental claim end-to-end, then scale across claims submission, payment posting, insurance verification, and eligibility checks. I have experience with AI automation, API development, workflow orchestration, secure data handling, NLP, browser automation, and healthcare-style audit logging, and I’m available to start right away. The main challenge is combining PMS data, clearinghouse transactions, insurer portals, and EDI files without exposing PHI or allowing silent posting errors. I would begin by mapping the current workflow using redacted or synthetic J430D, 835/EOB, ledger, and portal samples, then select the safest integration path: direct API or EDI where available, and resilient browser automation only where necessary. The prototype would include field validation, CDT and tooth/surface checks, secure credential handling, retry logic, screenshots or logs for each action, exception queues, and human approval before irreversible submissions or postings. I will document the architecture, setup, data requirements, HIPAA controls, and a phased roadmap for additional insurers and all four workflows. A couple of quick questions: • Which PMS and clearinghouse are currently in use? • Which insurer portal should be prioritized for the first prototype? Best regards, Carlos
$250 USD in 9 days
5.6
5.6

Hi there, I am an automation expert and I can automate your dental workflows. I have worked on similar projects before and am available to work on the project. Thank you
$500 USD in 7 days
5.4
5.4

Built EDI 837/835 pipelines and PMS integrations for two dental groups handling Delta Dental, Cigna, and MetLife. I’ll prototype a Python bot using Open Dental’s REST API for claims submission, then extend it to EDI 835 parsing for payment posting via Mirth Connect. For portals without APIs, I’ll deploy headless Chromium with Selenium + PyAutoGUI, wrapped in HIPAA-compliant Docker containers with encrypted credential storage. Model choice: rule engine for CDT code extraction, XGBoost for EOB adjustment classification, and spaCy NER for subscriber ID parsing. Deliver prototype in two weeks, then a scaling roadmap with modular task queues and insurer-specific adapters. Can start immediately. Thanks, Andrii.
$300 USD in 8 days
5.0
5.0

Dear Client, I appreciate your vision for automating dental billing processes through AI-driven solutions. Your project on building a robust bot to streamline claims submission, payment posting, insurance verification, and eligibility checks aligns perfectly with my expertise in healthcare automation. I have a strong background in developing tailored AI applications for the healthcare sector, ensuring they are compliant with regulations like HIPAA. Your emphasis on accuracy and low maintenance resonates with me, as I have successfully integrated diverse AI methodologies, including machine learning and natural-language processing, into similar projects. To effectively address your needs, I propose developing a working prototype that demonstrates end-to-end processing of a real claim. Clear documentation of the tech stack, setup steps, and training data will be provided, along with a roadmap for scaling. For further clarity, may I ask Could you please specify any existing software or systems we should integrate with for the bots?? Thank you for considering my proposal. I'm excited about the opportunity to collaborate on enhancing your dental billing processes. Best regards, Talha
$250 USD in 11 days
5.1
5.1

Your brief is clear, and that helps a lot here because dental billing automation has many moving parts across PMS data, insurer portals, and remittance formats. I can build an initial prototype around one live claim workflow, with a focus on reliability, clean logging, and a structure that can later be extended to the other three billing tasks. If APIs are limited, I can work around that with stable browser automation while keeping the process maintainable. Documentation and a next-phase rollout plan can be included as requested.
$699 USD in 14 days
4.8
4.8

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