DenQAI decision lab
Payer offer comparison
Compare allowed amounts code by code using actual volume, collection probability, direct cost, and chair time.
The governing test
The governing testWhich source or constraint could change this result?- Clear the non-negotiable gates.
- Normalize capacity, cash, and clinical transfer.
- Price workforce and payer friction as operating facts.
Fictional example
Model v3.2.0Results use the entered assumptions. Evidence and safety checks still require review.
No input edits yet. Unchanged example values remain fictional assumptions. No changes since the last download or opening state.
Assumptions, evidence still needed, and local saving
This case stays in this tab only. Reloading, navigating away, or closing the tab can erase it. Download the case file to keep or reopen it. DenQAI does not upload it, autosave it, or store it in your browser. Browser exit warnings are a backup and may not appear on every device.
Planning case — assumptions and evidence require review. Includes fictional example assumptions. Formula v3.2.0.
Blank means unknown. Enter 0 only for a known zero or an item that does not apply and has no cost or use. Example values and modeled estimates are assumptions until supported by your records.
Calculator 04
Insurance fee-schedule comparator
Do not judge a network by a headline discount. Weight every offered code by the practice’s real utilization, collection, time, and direct cost—and read the contract that controls how claims are processed.
Use the template headers for the cleanest import.
| Procedure code | Office fee | Current allowed | Offered allowed | Annual units | Variable cost | Chair min. | Offer / office | Annual allowed change before collection | Contribution / chair hr. | Signal | Row |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 75% | -$1,000 | $131 | Review |
- Which codes drive the most total revenue and write-off?
- Are preventive codes attractive while high-cost or high-time services are deeply discounted?
- Does the offered schedule beat the current contract after real utilization?
- What access, wait-time, location, or patient-volume leverage can be documented?
- Bundling, downcoding, LEAT, alternate benefits, and non-billable policies
- Network leasing, silent PPO access, most-favored-nation terms, and plan hierarchy
- Unilateral amendments, notice, termination, appeals, audits, recoupments, and records
- Noncovered-service limits, assignment, virtual-card fees, and credentialing after a sale
Use licensed data and code only what the record supports.
CDT content is copyrighted. This tool does not ship code descriptions; upload the fee schedule and utilization data your practice is authorized to use. AI can compare, rank, and identify questions. The dentist remains responsible for diagnosis, documentation, coding, and compliance.
Next action
Use the result to request the missing evidence.
Verify the exact product, code-level allowed amounts, expected volume, collection history, and administrative cost before modeling cash continuity.
Review payer continuityRecord the source, period, responsible reviewer, and assumption that would change your decision in the case review note.