🦷 Alphiniti Dental Continuityβ„’Medical-Dental Continuity Intelligence
THE DENTAL CONTINUITY PROBLEM

Dental and medical records live in separate worlds.
The patient pays the price.

Oral health is a window into systemic health, yet dental and medical systems barely communicate. Periodontal disease worsens diabetes, dental abscesses trigger cardiac events, and Medicare Advantage members leave preventive dental benefits unused. Every gap in the medical-dental record is a missed diagnosis, a missed intervention, and a missed dollar. Alphiniti Dental Continuity unifies both sides before the patient falls through the crack.

For Medical Practices & MA Plans

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Disconnected Records

Your diabetic patient's periodontal chart sits in a dental EHR you cannot see. The clinical correlation stays invisible until it becomes an inpatient admission.

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Unused Member Benefits

MA members with embedded dental benefits utilize them at less than 30%. STAR measure gaps widen while preventive benefits sit untouched.

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Manual Clearance Friction

Dental procedures on medically complex patients stall for days while offices fax paperwork back and forth. 48-hour urgent timelines are impossible.

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Risk You Can't Score

No composite dental risk model exists in the medical record. Periodontal stage, medications, and behavioral factors never combine into a single actionable score.

For Self-Insured Employers & Brokers

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Hidden Medical Cost Drivers

Untreated periodontal disease inflates diabetes and cardiovascular claims by 25–40%. These costs surface as medical claims with no dental context.

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Fragmented Vendor Silos

Dental, medical, vision, and pharmacy vendors each keep their own records. No single view of the member's total health and cost trajectory.

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No Oral-Systemic Analytics

Stop-loss renewals never factor in dental-driven medical risk. Employers cannot defend or reduce exposure from the dental side of the ledger.

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Benefits Designed in a Vacuum

Dental benefit designs are optimized for premium, not for downstream medical cost avoidance. Preventive utilization stays low; emergency spend climbs.

Untreated Dental Disease β†’ Annual Medical Cost Drag by Population Segment
Diabetic members with periodontal disease+38% medical cost Β· Critical
Cardiac patients with active dental abscess+31% medical cost Β· Critical
MA members; unused preventive benefit$1.2M unused benefits Β· Elevated
Pregnant members w/ untreated gingivitis+19% adverse outcomes Β· Elevated
Polypharmacy patients with xerostomia+12% caries treatment Β· Moderate
Healthy adults; annual cleaning gap$340K downstream risk Β· Low
Average Preventive Utilization (MA panel)
3 segments driving measurable medical cost drag
29%
🦷 Alphiniti Dental Continuityβ„’Medical-Dental Continuity Intelligence
The Solution

Alphiniti Dental Continuityβ„’
Medical-Dental Continuity Intelligence

Dental and medical care are separated by fragmented records; leaving clinical correlations undetected and benefits underutilized. Dental Continuity bridges the gap, integrating dental findings with medical history, managing MA dental benefits, and automating clearance for high-risk procedures.

For Medical Practices & MA Plans

Your Medicare Advantage members have dental benefits they rarely use. Your diabetic patients have periodontal disease you never see. Dental Continuity reveals the clinical connections and captures the value both sides leave on the table.

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DS-4 Dental Risk Scoring

Composite risk model combining periodontal, diabetes, medication, behavioral, and access factors. Quarterly trending with priority outreach flags.

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MA Benefit Utilization Manager

Track every plan's dental benefits; annual maximums, deductibles, coverage tiers. Identify non-utilizers and close STAR measure gaps.

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Medical-Dental Alerts

8 clinical correlation rules fire real-time alerts; periodontal-diabetes, abscess-cardiac, xerostomia-medication, and more.

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Surgical Clearance Automation

Pre-populated clearance requests auto-routed to PCPs, cardiologists, and endocrinologists. 48-hour urgent track, 5-day routine.

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Population Dental Analytics

Risk tier distribution, utilization rates, STAR measure performance, and outreach conversion across your entire dental-eligible panel.

DENTAL PRACTICE REVENUE

$56K+

Per 1,000 patients annually

Utilization Improvement

+40%

Of previously unused benefits

STAR Measure Impact

+1.5 stars

Average quality improvement

CLEARANCE TURNAROUND

< 48 hrs

Urgent clearance requests

For Self-Insured Employers & Brokers

Your stop-loss exposure doesn't stop at medical claims. Undetected oral-systemic connections; periodontal disease with diabetes, dental abscesses with cardiac events; add hidden costs to your health plan. Dental Continuity surfaces these risks before they become claims.

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Oral-Systemic Risk Detection

Correlate dental findings with medical claims data. Flag members where dental disease is driving medical spend before it hits stop-loss thresholds.

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Medical Cost Impact Modeling

Project annual medical cost impact from untreated dental disease per employer group. Quantify the ROI of dental intervention.

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Benefit Design Intelligence

Analyze dental utilization patterns across your book. Recommend benefit designs that increase preventive care and reduce downstream medical costs.

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Employer Dental Analytics

Risk-tiered dental population dashboards per employer group. Track conditions, utilization, and projected cost avoidance.

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Dental-Medical Integration

Unified view of member's oral and systemic health. Identify integrated interventions that reduce total cost of care.

MEDICAL COST AVOIDANCE

$72K+

Per 1,000 members annually

PLAN SAVINGS POTENTIAL

$400K+

Combined medical-dental ROI

BENEFIT UTILIZATION

+65%

Preventive visit conversion

TIME TO INSIGHT

< 5 min

From upload to dashboard

Platform Capabilities

DS-4 Risk Engine

Composite dental risk scoring across 5 dimensions. Quarterly assessments with trend tracking and priority flags.

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Correlation Alerts

8 medical-dental rules; periodontal diabetes, abscess cardiac, xerostomia meds. Auto-routed to relevant providers.

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Benefit Analytics

MA plan benefit tracking, utilization monitoring, STAR measure campaigns, and outreach conversion analytics.

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Clearance Automation

Pre-populated surgical clearance requests. Medication, lab, and vital sign review. 48-hour urgent turnaround.

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Outreach Engine

Multi-channel outreach to non-utilizers and high-risk members. SMS, email, phone with delivery tracking.

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Record Integration

Periodontal charting, restorative history, oral pathology, radiography. All dental records synced with medical context.

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Population Dashboard

Risk tier distribution, provider performance, STAR measure gaps, and outreach ROI across your entire panel.

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Compliance Tracker

HIPAA-aligned dental-medical data handling. Audit logs, consent tracking, and regulatory documentation.

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Dental Continuity Progress

Live enrollment trends and total active users from your dental enrollment data

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Total Enrollments
0
Active Users
0
Pending Review
0
Enrolled (30 days)
Monthly Enrollment Trends (Last 12 Months)

No enrollment records yet. Trends will appear here as enrollments are created.

How Dental Continuity Works

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STEP 01

Sync Records

Dental records and medical data synced via FHIR and secure API. Periodontal, restorative, pathology, and MA benefits ingested.

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STEP 02

AI Correlation

DS-4 risk engine scores every patient. Correlation rules fire when dental findings signal medical risk.

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STEP 03

Dashboard & Alerts

Population analytics update in real-time. Clinical alerts routed to PCPs, dentists, and care managers.

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STEP 04

Intervene & Convert

Outreach campaigns activate. Clearance requests process. Patients scheduled. Benefits utilized. Outcomes tracked.