Autonomous revenue agents · Live 24/7
Stop leaving money on the table.
Four AI agents work your claims, denials, front desk, and recalls on their own. They find the revenue you already earned, and chase it back. You stay chairside.
The problem
Every practice quietly loses money and time.
Most denied and underpaid claims are winnable: more than half of dental denials are overturned on appeal. But almost no one fights them, so the revenue is quietly written off.
KFF, 2024 · JAMA Internal Medicine, 2026
Insurance verification is the largest and fastest-growing dental admin cost, roughly 29% of all dental administrative spend. A third of practices say they cannot even staff the front desk to handle it.
CAQH Index, 2023 · ADA HPI, 2024
The Dentist ends up running a billing department and a call center, instead of providing superior quality patient care.
How Riiva solves the problem
The money was always there. Nobody is chasing all of it.
Riiva watches two priority budgets that affect your bottom line and turns them into net-positive, measurable results: recovered revenue and reclaimed hours into one obvious return.
Revenue cycle
Claims, denials, underpayments, downcoding, insurance verification: the dollars already booked but never collected.
Front desk & retention
Phone, scheduling, recalls, reactivation, patient communication: the labor and the missed-call revenue.
Most denied claims are winnable. Almost nobody appeals them. We chase every one.
By the numbers
The story hiding in your own data.
of dental claim denials are overturned on appeal
JAMA Internal Medicine, 2026
of denied claims are ever appealed
KFF analysis of CMS data, 2024
spent verifying dental insurance, about 29% of dental admin cost
CAQH Index, 2023
of recommended treatment actually gets completed
Planet DDS Dental Industry Outlook, 2025
inbound calls to dental offices go unanswered
Peerlogic / Planet DDS, 2026
average savings when supply spend is benchmarked
Torch Dental, 2026
Sources are dental-specific where available (ADA HPI, JAMA, CAQH, Planet DDS) and industry-wide otherwise. Pilot figures elsewhere on this page are from one early practice.
The agents
Each agent owns a leak. Together, one Riiva.
Reconciles every 835, catches denials, underpayments, and downcoding, drafts the appeal, and chases it to payment.
Checks every claim against the payer's rules before it goes out, so it pays the first time, with no denial to chase.
Answers and books patients 24/7, handles overflow and after-hours, then writes the appointment straight into your PMS.
Works the treatment patients accepted but never scheduled, sends reminders and follow-ups, and brings them back.
Reconciling 835
How it works
The loop that closes itself, while you stay chairside.
Riiva plugs into your PMS and works the revenue you are losing. It recovers denied claims, prevents the next denial, and answers every call. Your team just approves.
Connect your PMS
Riiva reads your claims, ledger, and schedule. No exports, no new logins.
Riiva goes to work
It catches denials and underpayments, drafts the appeals, and answers your calls. 24/7, on its own.
You approve
Every appeal waits for one tap. Nothing sends until you say go.
It lands in your PMS
Recovered dollars, bookings, and notes show up in your normal workflow. No new dashboard.
Not just a biller. The whole revenue team.
Recover. Prevent. Answer. Reactivate.
Recovery is pure performance. You only pay on the dollars Riiva brings back. No recovery, no fee.
What you get back
Recover the revenue. Reclaim your time.
Recover denied & underpaid claims
Recover parses every 835, sorts paid, underpaid, denied, and downcoded, computes what is recoverable, and drafts the appeal. Staff just approve.
Prevent denials before they happen
Prevent validates every claim pre-submission (Pass, Risk, Likely-Deny), checks attachments and measurements, and generates the supporting narrative.
Answer every call, 24/7
Answer picks up overflow and after-hours calls, books and reschedules against your live PMS calendar, and logs a full transcript and summary.
Reactivate accepted treatment
Reactivate works the treatment patients said yes to but never scheduled: reminders, recalls, and follow-ups that bring them back. Consent-aware, quiet-hours enforced, no duplicates.
AI doesn't replace dentists. It replaces the paperwork, and the patients who slip through the cracks.
Riiva works the claims, the calls, and the follow-ups in the background. The agents take the busywork. You keep the chair, and the relationship with your patients.
Proof
It already works, and it compounds.
From one 4-chair pilot practice running all four agents
Recovered to date, cumulative in pilot
Found this month
Appeals drafted
Invoices flagged
Calls booked
Trust & security
A system that touches your money and your PHI, built to be trusted.
Connects to your PMS
Two-way read and write adapters for Dentrix, Open Dental, Eaglesoft, and more.
HIPAA-ready
Encryption at rest and in transit, signed BAAs, and audited pipelines.
You stay in control
Every appeal, narrative, and message is drafted from your real data and approved by your staff before it sends.
Pricing
The ROI is self-funding. Recovered dollars pay for Riiva in month one.
Recovery is pure performance: a percentage of what we actually bring back. Everything else runs on a flat monthly fee, no per claim charges, $0 upfront.
Performance
we only get paid when you do
A share of the money Riiva actually brings back. We work the denial, draft and file the appeal, and chase it to payment. No recovery, no fee.
Practices
per month
Prevention, the front desk, and reactivation on one predictable monthly fee. No per claim charges, no long contract.
Groups & DSOs
per group
Multi-location coverage across every office, payer, and fee schedule, with no new headcount.
Questions
It reads your remittances, reconciles every line against your contracted fee schedule, and flags underpayments, denials, and downcodes. You see the dollars and approve each appeal before anything is filed.
Yes. Riiva connects to your PMS (Dentrix, Open Dental, and more) to read claims and the schedule, and writes appointments and notes back, so the work shows up in your normal workflow.
It books straight into your practice schedule, reads real availability, reschedules and cancels, and hands off to your team when needed. Every call comes with a transcript and summary.
A Business Associate Agreement is signed before any data moves. Data is encrypted in transit and at rest, and no patient information is ever written to logs. Nothing patient-facing sends without a human approving it.
Send ninety days of remittances and Riiva returns the exact recoverable figure, line by line, before you sign anything.
The money is yours
Find the money. Today.
The money was always there. Recover, Prevent, Answer, and Reactivate work your claims, denials, phone, and recalls on their own, so you can stay chairside.