Launch and Scale Dental Benefits —
Without Building From Scratch
ToothLens gives insurers a ready-to-deploy dental benefits platform covering AI-powered underwriting, pre-authorisation, claims validation, and fraud detection. One integration. Pan-India network. Live in weeks, not years.
SmartCheck · Claims Dashboard
1,284
Claims Today
94.2%
Auto-approved
₹18.4L
Fraud Prevented
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The Infrastructure Gap in Dental Insurance
Dental benefits are among the fastest-growing insurance segments in India, yet most insurers lack the specialised infrastructure to price, administer, and scale dental products profitably.
No Dental Data or Actuarial Models
Generic health actuarial tables don't account for dental-specific risk, treatment patterns, or regional cost variation.
High Fraud & Leakage Risk
Without clinical validation, over-treatment and duplicate claims go undetected, eroding margins.
No Dental Network
Building a cashless dental provider network from scratch takes years and massive on-ground investment.
Slow Time-to-Market
Designing plan structures, benefit limits, exclusion lists, and pricing from zero delays launch by 12–18 months.
Everything You Need to Launch Dental Benefits
ToothLens provides the complete dental benefits infrastructure, so you can go from concept to live product without building a single component in-house.
SmartCheck — Pre-Policy Risk Assessment
Know oral health before the policy is written. SmartCheck analyses dental photographs and X-rays at onboarding, detecting pre-existing conditions and risk-scoring applicants before a policy is issued.
- AI-powered analysis of dental images at point of enrollment
- Detects pre-existing conditions (caries, periodontal disease, missing teeth)
- Risk score per applicant for underwriting decisions
- Sets appropriate waiting periods based on clinical findings
OlivePro — Claims Validation & Fraud Detection
Stop overtreatment before it becomes a cost. OlivePro automatically validates documentation and cross-checks clinical evidence, catching fraud, upcoding, and overtreatment before settlement.
- Automated fraud and duplicate claim detection
- AI-based coding accuracy and cost reasonability checks
- Clinical evidence cross-referencing against treatment codes
- Real-time dashboards for claims operations teams
Ready-to-Deploy Plan Templates
Skip 12 months of product design. ToothLens provides pre-built, actuarially tested dental plan structures covering preventive, restorative, and major procedures.
- Tiered plan designs (Basic, Standard, Premium, Comprehensive)
- Customisable benefit limits, waiting periods, and co-pay structures
- Coverage for OPD, preventive, restorative, orthodontic, and implant procedures
- Pricing models validated against Indian dental claims data
Pan-India Dental Network
Access an established cashless dental provider network without building your own. ToothLens manages credentialing, standardised tariffs, and provider relations.
- Cashless access across major Indian metros and tier-2 cities
- Standardised network tariff with uniform pricing nationwide
- Ongoing provider credentialing and quality monitoring
- Network expansion driven by utilisation data and demand mapping
OlivePrModular API Integrationo — Claims Validation & Fraud Detection
Integrate ToothLens into your existing core insurance systems without a full rebuild. Our APIs handle enrollment, pre-auth, claims, and reporting.
- RESTful APIs for enrollment, pre-authorisation, and claims
- Webhooks for real-time status updates
- Compatible with major TPA and insurer core platforms
- Typical integration timeline: 4–6 weeks
Compliance & Data Security
Built for regulated environments. ToothLens infrastructure meets global data protection and compliance standards.
- CCPA compliant
- GDPR compliant data handling
- SOC 2 Type II certified
By the Numbers
94.2%
Claims Auto-Approved
Clean claims validated and approved without manual intervention
1.2s
Avg. Decision Time
Real-time AI-powered claim validation per the OlivePro dashboard
Pan-India
Dental Network
Cashless access across metros and tier-2 cities nationwide
Go Live in Three Steps
Design Your Product
Choose from our pre-built plan templates or customise your own. Define benefit tiers, limits, waiting periods, co-pays, and exclusions. Our actuarial models help you price for profitability.
Integrate & Configure
Connect via our modular APIs. SmartCheck handles pre-policy assessment, OlivePro manages claims validation. Your systems stay intact. We plug into them.
Launch & Scale
Go live with cashless dental coverage backed by our Pan-India network. Monitor performance through real-time dashboards. Scale across geographies and segments as demand grows.
Frequently Asked Questions
You can launch voluntary individual/family plans, group/corporate dental OPD, procedure-based coverage, or wellness add-on modules. All plan structures are customisable.
ToothLens provides actuarial models based on Indian dental claims data. You can use our recommended pricing or adjust based on your own risk appetite. We support both fixed-premium and utilisation-based models.
Typical integration is 4–6 weeks from API handshake to production. We provide sandbox environments, documentation, and dedicated integration support.
Our cashless dental network covers major Indian metros and tier-2 cities Pan-India. Specific network maps are available during the scoping phase.
Yes. All member-facing interfaces (apps, portals, communications) can be fully co-branded or white-labelled under your insurance brand.
ToothLens is SOC 2 Type II certified, CCPA compliant, and GDPR compliant. We can provide compliance documentation during due diligence.
Absolutely. We recommend starting with a focused pilot (single geography or employer group) to validate product-market fit and gather claims data before scaling.
Ready to Add Dental to Your Product Portfolio?
Talk to our partnerships team about launching dental benefits on ToothLens. We'll walk you through the platform, share plan templates, and scope a pilot tailored to your market.
