Challenge
“I’ll finish the note tonight.”
Tonight becomes Thursday. Thursday becomes an unsigned pile.
How we help: Live transcription in the operatory with a structured note before the next chair.
Details · Real-time transcription
Transcription, codes, and eligibility — while you still have the handpiece.
This is the chairside stack behind Susan: live words → structured note → licensed CDT → payer check → one filed procedure report.
01 · Live transcription
Chairside talk becomes a structured note
Tooth, surfaces, materials, anesthesia — captured as you say them. No sticky-pad replay on the drive home.
- Streaming capture Words land while the visit is still happening — not as a homework assignment after the last patient.
- Quote-backed lines Every proposed line keeps a quote from the transcript. No quote, no line.
- Questions, not fiction Missing tooth number? We ask. We don’t invent D3330 because it “sounded like a molar day.”
02 · CDT codes
Licensed catalog — not guessed codes
Suggestions come from the CDT list the practice is allowed to use. Humans accept before anything submits to a payer.
- Table lookup first Aliases map spoken work to catalog rows. Ambiguity becomes a question, not a creative code.
- Payer crosswalk later Allowed amounts and frequency rules hang off the office’s payer sheet — “not payable here” stays visible.
- Person in the loop Clinician confirms the note; biller confirms the codes. The model never submits the claim.
03 · Eligibility
Know the patient portion before checkout
Live dental eligibility for the codes on today’s visit — annual max, deductible, frequency limits — so the front desk isn’t the bearer of bad news alone.
- Chairside timing Check while the glove is still on — not after the patient is in the parking lot.
- Code-aware benefits Coverage isn’t a vague “active” flag; it’s how this plan treats these lines.
- Estimate language Patient share, plan share, aftercare — calm numbers, SAMPLE watermark on demos.
04 · One procedure report
Transcript + clinical + codes + eligibility + estimate
Billing is not a second shift. Everything from the visit lands together so nobody reconstructs the afternoon from three apps and a sticky.
- Single packet Open one report: hear what was said, see what was coded, know what the plan may pay.
- Hours back SAMPLE tours show the hours-and-money story — napkin math, not a guarantee.
- Tour it Sally walks the sample report out loud if you want the product story with headphones.
Challenges → how we help
What this stack quietly removes
Named without shame. Fixed without a six-vendor RFP.
Challenge
“We missed a code — again.”
Revenue hides in undocumented surfaces and forgotten buildups.
How we help: Catalog-backed CDT suggestions tied to spoken work; humans still accept.
Challenge
“Max was gone; we found out at the desk.”
Trust takes the hit, not just the ledger.
How we help: Eligibility on the codes for today’s visit before checkout.
Challenge
“Billing rebuilds the visit from scraps.”
Audio here, fee there, sticky on the monitor.
How we help: One procedure report — transcript, clinical, codes, eligibility, estimate.
See it
Sample patient procedure report
Walk Sally Nguyen’s SAMPLE packet — or let Sally narrate the tour. Fictional Lumen. No PHI.
Susan + this stack
Same assistant, deeper plumbing
Susan is the presence. Real-time transcription is how the words become money-safe charts. Meet her personality page, or join the waiting list when you’re ready for both.