Large DSOs · 26 to 75 locations

Give central RCM a complete, auditable view of insurance verification.

Needletail combines payer portals, carrier calls, human specialists where automation falls short, and PMS write-back, so your offices aren't left managing incomplete benefits data on their own.

Talk to Our Co-Founder About Your Rollout

30 minutes with Jofin Joseph, Co-Founder and CEO, on how verification would run across your locations.

~2%

error rate

100+

US dental carriers covered

99.99%

uptime commitment

Writes back intoCareStackOpen DentalDentrix
Payer portalsCarrier callsSpecialists, if neededPMS write-back

One governed layer

One auditable record of every verification

portal checklogged
carrier calllogged
specialists, if neededcompleted
Location 1Location 2Location 3Every location

Trusted by dental groups

Morrison Dental Group logoDr. Dan's Pediatric Dentistry logoDental Depot logoRocklin Comprehensive Dentistry logoActive Dental logoKids Tooth Team logoPortland Children's Dentistry logoBeam Dental logoSan Francisco Dental Wellness logoSound Surgical Arts logoStar Dental Institute logoCapehart Family Dentistry logoMorrison Dental Group logoDr. Dan's Pediatric Dentistry logoDental Depot logoRocklin Comprehensive Dentistry logoActive Dental logoKids Tooth Team logoPortland Children's Dentistry logoBeam Dental logoSan Francisco Dental Wellness logoSound Surgical Arts logoStar Dental Institute logoCapehart Family Dentistry logo

26 to 75

locations

Who this is for

Built for central RCM teams and their buying committee.

Six to eight people will weigh in on this decision. Your question isn't how to make fewer calls. It's how to give one central team accurate, auditable data across a large network, without interrupting patient flow.

Pick your role

Growth without adding admin headcount at every new location.

Operating model
The core problem

Why portal checks alone aren't enough for central RCM.

Portal data isn't verified benefit data. When a central team works only from portals, offices still end up calling payers, interpreting exceptions, and correcting records.

Portals only★ With Needletail
When the portal falls shortOffices still call payersOur AI voice agent calls the carrier
ExceptionsOffices interpret and correct recordsSpecialists complete anything automation cannot
Source of truth for estimatesVaries by officeOne standard across every location
EvidenceWhatever each office keptA record of how each detail was obtained

Govern it as one function. Verification works best when eligibility budget and office-level call handling are owned together.

Payer complexity

Payer rules that make estimates hard to standardize.

Each of these makes a single estimate standard harder to hold across a large network.

01

Medicaid provider assignment

Coverage depends on which provider the patient is assigned to.

02

Rules tied to the appointment date

What applies today may not apply on the day of the visit.

03

Month-boundary rule changes

Eligibility and limits that shift when the month turns.

04

Coverage by subscriber status

Benefits that change with the subscriber, not the patient.

05

Plan type misidentification

The wrong plan type attached means the wrong estimate.

06

Carrier naming inconsistencies

One carrier, several names across offices and portals.

Every plan year

Benefit year rollover

A stale-data event that hits every office in the same narrow window. Needletail reverifies against the new plan year.

Dec

31

old plan year

Data quality

Why messy PMS data matters more at 40 offices.

Duplicate plans and inconsistent carrier setup are an annoyance at five offices. At forty, they're a governance gap. At your scale, a data entry convention isn't a preference. It's policy.

Plan cleanup is not automated. When our team finds duplicate or obsolete plans, we tell your team, so the fix follows your own convention.

A governance gap

Duplicate plansInconsistent carrier setupWrong plan typeIncorrect coverage defaultsUnstructured notes

Each square is an office. Highlighted squares have a duplicate plan or setup issue: the same share at both sizes, many more offices to reconcile.

illustration, not customer data

Jofin Joseph, Co-Founder and CEO of Needletail

Talk through how verification would run across your network.

Jofin Joseph · Co-Founder and CEO

Workflow

How Needletail completes and records each verification.

Up to five steps per verification, each one recorded. The carrier call happens when the portal falls short, and a specialist steps in only when automation can't finish.

Verification record · one appointment
retained
  1. Intake

    New appointment picked up from the location's PMS schedule.

    logged
  2. Portal check

    AI

    Portal agents collect what the payer portal provides.

    logged
  3. Carrier call

    AI

    The portal fell short, so our AI voice agent called the carrier.

    logged
  4. Specialist completion

    Human

    If automation couldn't finish, our specialists complete it.

    if needed
  5. Written to PMS

    The full breakdown is written into the PMS, evidence retained.

    written
A retained record of how each benefit detail was obtained
Benefit detail

The benefit detail central RCM needs.

You can't govern estimates or prepare fee schedules from partial portal data. Needletail writes the full breakdown into the PMS, captured the same way everywhere.

  • Govern patient estimates

    From one data standard instead of partial portal data.

  • Prepare fee schedules

    Against what plans actually pay. Fee schedule write-back is available on CareStack.

  • Plan treatment

    The case is priced with the exceptions already accounted for.

  • Stop reconciling office by office

    One standard prevents exceptions captured forty different ways.

Your PMS · patient insurance
written by Needletail

General coverage

BenefitAllowedRemaining
Individual maximum$1,500.00$1,250.00
Family maximumNot applicableNot applicable
Individual deductible$50.00$0.00
Family deductible$150.00$100.00
Ortho lifetime maximum$1,000.00$1,000.00

Preventive

100%

Basic

80%

Major

50%

Maximums and deductibles, with remaining benefit, in the PMS's own coverage fields. Illustrative example data.
Operating model

Central control, no change for your offices.

Centralize the verification standard. Keep patient flow local.

Central RCM team

One governed standard

  • One write-back convention for every location
  • One retained record of evidence
  • One named delivery contact

Front offices

Front desk workflow unchanged

  • Verification runs from the PMS they already use
  • The breakdown is in the patient record before the visit
  • Appointments verified at least 5 days in advance
Pilot

How the 30-day pilot works.

A 30-day pilot on selected locations, at no cost, with your current process running alongside. Expansion follows in stages. There's no day count on the full rollout, because that depends on your network.

1

step 1

Choose the scope

A representative sample of locations, or the carriers your vendor misses.

2

step 2

Run alongside

Your current process keeps running.

3

step 3

Validate

Accuracy and write-back, against your current output.

4

step 4

Expand in stages

By carrier or by location.

Choose your pilot scope

Pick the one that matches the question your committee needs answered.

answersWill one standard hold across our network? Either way, we validate accuracy and write-back against your current output.

For risk, IT, and finance

Vendor review for your committee.

Every verification can be explained after the fact, by someone who wasn't there when it happened.

Traceability

A retained record of how each benefit detail was obtained, through to the PMS write-back.

Ownership

A named delivery contact when a discrepancy is reported.

Access

Role-based access with audit logging over who saw what.

Vendor review pack

HIPAABAA
  • HIPAA compliant
  • BAA signed with every customer
  • AES-256 encryption at rest and in transit
  • Role-based access with audit logging
  • Production hosted in the US, PHI in US data centers
  • PHI not used to train third-party foundation models
  • US Technology E&O and Cyber liability insurance
  • SOC 2 Type II controls in progress
Customer story

How a 10-location group runs verification with Needletail.

Alison Morrison, CFO of Morrison Dental Group
Watch their story
“Having insurance benefits verified five days in advance makes the appointment seamless. The patient knows their copay, and it reduces AR on the back end. Needletail has been absolutely phenomenal as a partner in achieving it.”
Alison Morrison

Alison Morrison

CFO · Morrison Dental Group

10

locations

90+

carrier spread

6,000+

verifications a month

Next step

Plan a 30-day pilot on selected locations.

Choose a representative sample, or the carriers your current vendor doesn't cover. At no cost, with your current process running alongside.

Jofin Joseph

Your call is with Jofin Joseph,
Co-Founder and CEO.

Frequently asked questions

An eligibility tool confirms coverage is active. A control layer combines portal automation, carrier calls, human specialists for anything automation cannot finish, and structured write-back into one auditable record for central RCM.

Carrier calls when a portal can't answer, specialists who complete anything automation cannot, one write-back standard across every location, and a record of how each benefit detail was obtained.

No. Verification runs ahead of the appointment from the PMS your offices already use.

Captured detail includes treatment history, frequency limits, waiting periods, missing tooth clauses, coverage by CDT code, and coordination of benefits. Fee schedule write-back is available on CareStack.

A 30-day pilot on selected locations, at no cost, with your current process running alongside. Scope it as a representative sample of locations, or as the carriers your current vendor doesn't cover. Expansion follows validation.

Needletail is live on CareStack, Open Dental, and Dentrix (desktop). Additional PMS integrations are in development.

Scheduled appointments are verified at least 5 days before the visit. Same-day appointments are verified within 4 business hours, for a small surge fee per verification. Business hours are 8 AM to 4 PM US Central; requests outside business hours are completed the next business day.

Plan cleanup is not automated. When our team finds duplicate or obsolete plans, we tell your team, so the fix follows your own data convention.

Needletail is HIPAA compliant and signs a Business Associate Agreement (BAA) with every customer. Data is encrypted with AES-256 at rest and in transit, with role-based access and audit logging. SOC 2 Type II controls are in progress. We carry US Technology E&O and Cyber liability insurance.

Production infrastructure is hosted in the United States, and PHI is stored in US data centers. Needletail does not use PHI to train third-party foundation models.