Every rejected
claim is a
recoverable dollar.
Ledger is the back-office engine that chases every CDT code, every attachment, every denial — until the insurance check clears.
See what your practice is leaving on the table.
What is your practice
leaving on the table?
Enter three numbers. We'll show you the exact dollar amount Ledger recovers in the first 90 days.
Your Current Numbers
Your Savings Card
Adjust the sliders on the left to match your practice, then hit Calculate to see your exact revenue leak — in dollars, not percentages.
Three types of practices.
One engine.
Drowning in ERA files
You're the dentist, the owner, and somehow also the billing manager. ERA files pile up. Denied claims sit in a queue you haven't touched in two weeks.
Ledger handles every ERA, every denial, every follow-up. You see a clean dashboard, not a backlog.
Aging reports past 90 days
You're watching the 90+ day bucket climb. Three locations, two billers, and a payer mix that changes every quarter. The spreadsheet is lying to you.
Ledger surfaces every 90-day claim automatically, files appeals before the window closes, and gives you one accurate report across all locations.
No single source of truth
Forty locations. Forty PMS instances. Forty aging reports. You need a number — total A/R, by payer, by CDT code, right now — and you can't get it.
One dashboard. Every location. Drill from $12M total A/R to a single claim in three clicks. Real-time, not yesterday's export.
Your workflow today
vs. the Ledger workflow
Five operational gaps. Quantified impact. Every row is a dollar amount you recognize.
Staff manually keys payment data from ERA files into your PMS — 45 minutes per batch, error rate ~6%.
ERA files hit Ledger's parser, match to open claims, and post to your PMS in under 90 seconds. Zero keystrokes.
Denials pile in a queue. Staff reviews Friday afternoon. By Monday, payers have already moved the window.
Every denial triggers an immediate triage: CO-4, CO-16, CO-97 — each routed to the correct appeal template automatically.
Fax perio charts, X-rays, and narratives. Lose 12% in transit. Re-fax. Wait 14 days. Repeat.
Ledger detects CDT codes requiring attachments before submission. Bundles X-rays and charts. Delivers via NEA FastAttach or Vyne.
Claims sit at 30, 60, 90 days. Staff calls payers in bulk. Half the time spent on hold. High-dollar claims fall through.
Ledger monitors claim status daily. Day 14: status check. Day 21: escalation. Day 28: appeal filed. All logged, all documented.
Each location runs its own aging report. Comparing performance means exporting CSVs, building pivot tables, and hoping nothing changes by Tuesday.
One live view across all locations. Filter by provider, payer, CDT code, or aging bucket. Drill from total A/R to a single claim in three clicks.
Every row above is a recoverable dollar.
The question is whether it flows to your practice or stays with the payer.
Numbers that hold up
under audit.
We were at 68% collection rate with 44 days in A/R. After 90 days with Ledger, we're at 92% and 26 days. That's not a percentage improvement — that's $340,000 we didn't leave with Aetna.
Upload your aging report.
We'll find every dollar.
Send us a redacted aging report — no patient names, no PHI. Our billing team runs a full A/R analysis and delivers a recovery roadmap within 48 hours. No contract required.