> ## Documentation Index
> Fetch the complete documentation index at: https://docs.clinero.de/llms.txt
> Use this file to discover all available pages before exploring further.

# How Clinero Works: AI Billing Optimization Explained

> Discover how Clinero's AI scans your dental practice billing in real time, identifies missed codes, and expert reviewers maximize your revenue.

Clinero combines real-time AI analysis with certified human billing expertise to find and realize revenue that your practice is currently leaving behind. This page explains the full workflow — from the moment Clinero connects to your Practice Management System (PMS) through to the optimized billing appearing in your revenue.

## AI-Powered Analysis

At the core of Clinero is an AI engine that reads your billing records as they are created and completed. It cross-references every treatment entry against the full GOZ, BEMA, GOÄ, BEB, and BEL frameworks to identify *Ziffernpotenziale* — billing positions that are clinically justified but have not been captured in your current billing.

The AI does not rely on sample data or historical benchmarks alone. It analyzes your live practice data continuously, so every billing cycle is reviewed in full rather than spot-checked. Revenue gaps are flagged in real time, giving experts the earliest possible opportunity to act on each finding before the billing window closes.

No action is ever taken based on AI output alone. Every finding is queued for human expert review before any billing change is made.

## Human Expert Review

Clinero's billing specialists form the second and decisive layer of the process. With over 100 years of combined experience in dental billing across GOZ, BEMA, GOÄ, BEB, and BEL, the team reviews every AI-flagged finding to confirm clinical and regulatory accuracy before implementation.

This dual-layer approach means you benefit from the speed and exhaustiveness of AI scanning while maintaining the judgment and accountability that only experienced human specialists can provide. Clinero's experts understand not just the fee schedules but the practical nuances of KZV compliance — including protection against *Wirtschaftlichkeitsprüfung* (economic viability audits) — so optimizations are always made within safe and defensible boundaries.

Internal quality controls ensure that every billing submission that leaves Clinero meets the highest standard of accuracy.

## Two Ways to Work With Clinero

<Tabs>
  <Tab title="Co-Pilot">
    The Co-Pilot model is designed for practices that already have a billing team and want to maximize what that team captures. Clinero runs in parallel with your existing workflow without replacing or disrupting it.

    Your team continues billing as normal. Meanwhile, Clinero's AI analyzes completed and in-progress billing records, surfacing missed codes and revenue gaps that your team can then act on. Clinero's billing specialists validate every finding, so your team only acts on confirmed, compliant opportunities.

    The Co-Pilot is entirely performance-based. Clinero earns 30% of the additional revenue actually realized — nothing more, nothing less. There are no fixed monthly costs, no setup fees, and no minimum contract. If no additional potential is found, you pay nothing.

    This makes the Co-Pilot genuinely risk-free: the test is built into the product itself. You see exactly which billing positions you have been missing, using your own real practice data.
  </Tab>

  <Tab title="External Billing Team">
    The External Billing Team model gives your practice a fully outsourced billing operation. Clinero's certified remote billing specialists handle your entire billing workload — from routine BEMA and GOZ submissions to complex Heil- und Kostenpläne (HKP) and private billing — all via secure remote access.

    Access is established through encrypted TeamViewer and VPN connections directly into your practice management software. Your team can continue working without interruption — no computer is taken offline or blocked during a billing session.

    The service starts from €1,500/month with modular packages so you can start with a single billing area (for example, dental prosthetics or private billing) and expand as you see results. Packages are cancellable monthly, and every practice is assigned a dedicated Clinero point of contact who learns your individual billing preferences and logic.

    This model is ideal for practices experiencing staff shortages, managing billing spikes, or looking to remove billing administration from their internal team entirely.
  </Tab>
</Tabs>

## Workflow Overview

<Steps>
  <Step title="Connect Your Practice Management System (PMS)">
    Clinero establishes a secure, encrypted connection to your existing PMS. Compatible systems include Dampsoft DS-Win & DS4, CGM Z1 Classic & Pro, Solutio/Charly, Evident, and Ivoris. No software migration, no new tools, and no changes to how your team works are required. Your dedicated Clinero contact handles the technical setup with you step by step.
  </Step>

  <Step title="AI Scans Billing Records">
    Once connected, Clinero's AI begins analyzing your billing records in real time. It checks every treatment entry against the full range of applicable billing frameworks and flags positions that are clinically supported but not yet billed — capturing the *Ziffernpotenziale* that manual review routinely misses.
  </Step>

  <Step title="Expert Review">
    Certified Clinero billing specialists review every AI-generated finding. They confirm clinical justification, regulatory compliance, and KZV conformity before any action is taken. Nothing is submitted without human sign-off.
  </Step>

  <Step title="Revenue Realized">
    Validated billing optimizations are submitted through your PMS. You see the results directly in your revenue — typically within your very first billing cycle after going live. For Co-Pilot clients, Clinero's fee of 30% applies only to the additional revenue confirmed as realized.
  </Step>
</Steps>

## Available 24/7

Clinero's AI operates continuously — it does not take sick days, go on holiday, or get overwhelmed during peak billing periods. Every billing record is reviewed in full, every cycle, without exception.

Human expert oversight is maintained throughout. While the AI runs around the clock, Clinero's billing specialists provide the experience and regulatory judgment needed to act on findings accurately. The result is a billing process that is both faster and more thorough than traditional manual review alone.

<Tip>
  Most practices see measurable revenue improvements in their very first billing cycle after going live with Clinero. The Co-Pilot requires no commitment to get started — your real practice data is the demo.
</Tip>
