Ventus AI
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SOC 2HIPAA

Ventus is the AI revenue engine for DSOs and MSOs. Today its AI agents verify insurance, submit claims, chase payment and resolve denials across 300+ payers, so groups get paid faster, collect more and spend less to collect. Next, the same engine brings revenue in: marketing, new patients, scheduling and treatment follow-up. Live across 500+ offices. SOC 2 Type II and HIPAA. Backed by a16z, WndrCo and Samsung NEXT.

NewWe released our case study with Tend

AI-native revenue engine for healthcare groups.

AI agents take over insurance checks, claims and payer follow-up, so you get paid faster without adding billing staff.

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Kids Care, a Ventus customer
Anne Arundel Dermatology, a Ventus customer
Tend, a Ventus customer
The Smilist, a Ventus customer
Absolute Dental, a Ventus customer
Thrive Dental Group, a Ventus customer
Piccadilly Dental Alliance, a Ventus customer
EmpiRx, a Ventus customer

One engine runs your whole revenue cycle.

Insurance verification

Most checks stop at the portal. Ventus also calls the payer for what the portal leaves out.

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Tomorrow, 9:00 am
Jordan Rivera · Implant, tooth 19
Written to the PMS
1PrimaryMetLife PPO
2SecondaryDelta Dental
Major services50%
Annual maximum left$620
What most checks miss
Dr. Patel’s network statusOut of network
Missing tooth clauseApplies, tooth 19
Treatment historyCrown on 30, 2021

Prior authorization

Spots each procedure that needs approval and builds the request on its own: it writes the narrative from the chart note, pulls the x-rays and perio chart, and submits it.

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Pre-auth for a crown, tooth 30
Submitted
Chart note
X-ray
323212334322322334212323
Perio chart
Narrative

Fractured cusp and recurrent decay on tooth 30. A crown is needed to restore it.

323212334322322334212323
Auto-assembled and submitted

Claim submission

Codes each claim, checks it against that payer’s latest rules, and attaches the x-rays, perio charts and notes the payer will ask for.

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Dental claim form
Sent 4:40 pm
2. Preauth number
PA-77120
3. Plan
MetLife PPO
Tooth
Code
Description
Fee
30
D2740
Crown
$1,240.00
39. Enclosures
323212334322322334212323
Rule since Oct 28
Every MetLife rule passed

A/R follow-up

Checks every open claim by EDI, payer portal and AI phone call, then takes the next step itself, like resubmitting through the portal.

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Claim 48213 · tooth 30
Paid
Status checked
X-ray missing
Resubmitted
$620Paid
Nothing written off
84%shorter
Days in A/R
69%lower
Cost to collect
71%fewer
Denial write-offs
25%higher
EBITDA a year
Tend
“What really sets Ventus apart is the depth and accuracy of their verifications. They’re capturing the details our RCM team actually needs.”
Joanna Fritz · Director of Revenue Cycle Management, Tend
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Joanna Fritz, Director of Revenue Cycle Management at Tend
The Smilist
“Their approach allows them to ramp up quickly in the messy middle of RCM, helping us pull timely statuses on open claims so we can act faster.”
Philip Toh · Co-founder & President, The Smilist
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Philip Toh, Co-founder and President of The Smilist
The Smilist
“We broke our own record. We used to end every day with hundreds of claims still waiting on attachments. Now our queue is 3× smaller.”
Raquel Shuler · Director of Revenue Cycle Management, The Smilist
Read The Smilist’s story
The Ventus and Smilist teams at a Smilist office

Built on payer intelligence. The best strategy for each payer, the best outcome for each claim.

Works with 300+ payers

Each field shows where it came from: the portal, EDI or a call.

Checks the portal, then calls

It reads the payer’s portal first, and calls the payer when the portal doesn’t have the answer.

New payers in about a week

If we don’t cover a payer yet, we can add it in about a week.

01
Verify coverage
02
Submit claims
03
Track payment
04
Resolve denials

It gets smarter with every claim

Every denial becomes a rule for the next verification and claim, at every office.

Works inside the systems you already run

It needs no vendor APIs or plugins, and runs with cloud and desktop systems. Official partner of Dentrix, Open Dental and Denticon, and works with 90+ other PMS and EHR systems.

See all systems
Aetna
Eaglesoft
Delta Dental
Slack
Archy
Cigna
CareStack
Open Dental
Availity
ModMed
tab32
Curve Dental
Dentrix
MetLife
Flex Dental
Guardian
NexHealth
Denticon
DentalXChange
SoftDent
Humana
Oryx Dental
AdvancedMD
Microsoft Teams
DentiMax

All your offices and payers on one screen

Ventus Trace shows where each claim’s money is right now, and who needs to act next.Shown with a sample group of 268 offices. Illustrative data.
Search claims and patients⌘K
ViewingAll offices5V
Revenue cycle
268 offices, Tue Aug 4, trailing 30 days
Today7 days30 days
Net collection rate
96.3%+0.3 pts
collected against allowed
Days in AR
14.7-0.5 days
insurance balance over daily charges
First-pass rate
90.6%-0.1 pts
paid without rework
AR over 90 days
9.0%+0.2 pts
of insurance balance
From visit to ledger
Dollars through each stage, trailing 30 days, 268 offices. The flow narrows where money leaves it; the exits below open the queue that holds it.
Verification and treatment
Submission
AR
Posting
Production
$108M
238,014 visits
Billed to payers
$85M
205,212 claims
Allowed
$75M
197,469 claims adjudicated
Insurance paid
$54M
15,897 remittances
Posted to ledger
$52M
190,848 payments applied
Self-pay
$24M, 52,363 visits not billed to a payer
Held for review
$372k, 902 claims waiting now
Denied or underpaid
$3.2M, 7,743 claims to appeal or resubmit
Patient responsibility
$18M, 115,104 patient statements
Held for variance
$195k, 1,050 payments in audit
$85M billed$75M allowed after contract$54M insurance paid$18M patient responsibility$52M applied to the ledger
Where work waits
Open claims by who has the next move, Submission and AR together
Billing team reviews, resubmissions and appeals1,313 claims, $645,758.25
Offices records, sign-offs and retakes732 claims, $385,356.75
Payers pre-authorizations, appeals and reviews1,373 claims, $683,232.75
Escalations
Oldest 5 of 951 open, 268 offices
DueTaskPatientOfficeOwner
12:30pConfirm external root canal before the crown seat. Payer-reported maximum likely overstatedRiversideFront desk
10:30aCollect the current insurance card at check-in. Plan termed 6/30RiversideFront desk
17hSign the drafted buildup narrative (D2950), rule P-201Summit RidgeDr. Baptiste
17hLocate the Jul 27 pre-op PA of #19. Billed, never filed to the chartHarbor PointFront desk
18hAttach a current perio chart. SMS sent 9:42aHarbor PointFront desk
Offices off pattern
5 of 268, rest on pattern
RiversideMetro8 exceptions open
Cedar ParkMetro10 exceptions open, 3 verifications in review
Harbor PointShoreline6 verifications still running
North Dental Group 18North3 verifications in review
North Dental Group 41North7 exceptions open
Throughput
Claim touches, 14 days. 95% ran without a person.
AutomatedRouted to staff
Jul 22232425262728293031Aug 123today
Today since 6:00a
Eligibility runs11,104 / 11,33461 to review
Claims scrubbed and submitted8,870902 held
Status checks on pended claims4,988384 found paid, 85 escalations
Payments matched and posted9,08850 variances flagged
Requests sent to front desks113answered in about 2h
1108 denials prevented this month, $501.9k billed protected
Payer rules
5 in force
All payer rules
Principal, new Aug 3P-201
Narrative now required with D2950 (core buildup)
16 flagged on today's books, 19 held and fixed

We run it, or you build on it.

We run your revenue cycle.

Our agents do the payer work at every office. Your team only steps in on the exceptions.

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Build on the engine.

One API for healthcare software teams: benefits, claim status and denials from 300+ payers, read and write access to PMS and EHR systems, and voice calling.

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“Either we disrupt ourselves or someone will disrupt us — that’s why we brought Ventus in. This is what a real AI partnership looks like for a DSO.”

Dave DrzewieckiDave DrzewieckiCEO, Absolute Dental