Case study
Smile Doctors cut hands‑on credentialing time by 56% with AI agents.
The leading orthodontic support organization in the US ran billing and provider enrollment on spreadsheets and retyped forms. Integrity put AI agents on the repetitive steps.

Our billing ran on spreadsheets and manual work. Integrity replaced it with AI agents that handle the repetitive steps, and they understood our systems and operations well enough to do it without disrupting the team.

- less hands‑on time per credentialing case
56%
- hours for a six‑provider location add
23 → 10
- saved per patient on each benefits check
10+ min
- in production at Smile Doctors
Live
At a glance
The short version.
Problem
Billing and provider enrollment ran on spreadsheets, phone calls and forms retyped for every insurer.
What we delivered
AI agents for benefits checks and claims steps, and credentialing that fills every insurer form.
Outcome
56% less hands‑on time per credentialing case, now live.
The challenge
Growth meant more paperwork, not more capacity.
580+
Growth adds paperwork
Every new orthodontist or office is enrolled with every insurer the practice accepts, then recredentialed every few years.
4
Ortho billing is slower
Each benefits check confirms the lifetime ortho maximum, age limit, waiting period and how the plan pays over treatment.
28
The same data, retyped
Specialists typed the same provider details into a separate form for each of 28 insurers, per provider.
What we delivered
Two automations, one partner.
Revenue cycle
10+ min
saved per patient on each benefits check
Before
Benefits checks and claims on phone calls, payer portals and Excel, some of it offshore.
After
AI agents check benefits and work claims steps. Staff handle the exceptions.
Credentialing
56%
less hands‑on time, 23 → 10 hours for six providers
Before
The same provider data retyped into 28 insurer forms per provider.
After
Data entered once. Every form filled automatically, then reviewed and submitted.
How we worked
Without disrupting the team.
Mapped the work
Timed each step with the billing and credentialing teams.
Chose and built
Bought where tools were mature, built where they fell short.
Kept it compliant
Isolated services, keyed access, every run logged.
Rolled it out
Followed the existing workflow, so there was little to relearn.
Expertise and speed. No compromise.
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