For independent dental and veterinary practices
Patchwell gives you the back office the corporate groups have, without selling to one. Our agents work inside your practice systems, recover the money slipping through, and show you every dollar in your own numbers within 90 days.
Two weeks. Read-only access. The report is yours to keep, whether you hire us or not.
Opportunity ledger
Example practice
Accepted treatment, never booked
31 patients · named list ready
$38,400
Patched
Overdue hygiene recall
146 patients past due
$21,300
Running on a standing order
Insurance claims over 90 days
22 claims · rebill or appeal
$17,950
Awaiting your OK
Card processing fees above market
1 vendor · renegotiation drafted
$3,100/yr
Awaiting your OK
Illustrative example, not client data. Every line in a real ledger names the patient, claim or vendor behind it.
The groups buying up practices win partly because they have a back office: billing teams, pricing analysts, recall campaigns, someone renegotiating vendor contracts. You compete with all of that by yourself, between appointments.
Consultants
Hand you a report, send an invoice and leave. You still have to do the work.
Dashboards
Show you the numbers, then wait for you to find the time to act on them.
Selling to a group
Gets you their back office. It costs you your equity and your say.
Patchwell
Does the work, then shows you what it was worth. You keep the practice.
How it works
Setup is one call with your office manager. After that, Patchwell runs the same loop every month.
01
Read-only links to your practice software, QuickBooks, payroll and Google profile. No new software for your team to learn.
02
On day one we freeze a snapshot of your numbers, straight from your own data. Every result we claim later is measured against it.
03
Our agents build your opportunity ledger: each leak, the patients or claims behind it, and what it is worth.
04
You approve a short list. Patchwell does the work: recall texts, claim follow-up, balance reminders, vendor renegotiations.
05
Every fix is matched to the money that actually came in, down to the patient, claim or invoice.
06
One page a month: where you started, where you are, the dollars we can prove, and the next three moves.
Who does the work
A group with 500 locations pays a whole team to run this side of the business. Patchwell gives you the same team: specialist agents that go through your numbers every day. Each one has one job and clear limits on what it can do without you.
Keeps your opportunity ledger, works out what matters most this month, and brings you a short list to approve.
Brings you the list
Works insurance claims over 90 days and open patient balances until each one is paid, appealed or closed with a reason.
Acts on your standing orders
Fills cancellations and no-shows, and works the list of patients who said yes to treatment but never booked.
Acts on your standing orders
Checks your fees against your local market and your PPO write-offs, and shows you what each change would mean at your real volume.
Recommends, you decide
Audits supplies, lab, software and card fees, then drafts the renegotiation for each vendor that's overcharging you.
Sends only after your OK
Matches every dollar to the patient, claim or vendor behind it. It's kept apart from the rest of the team, so the agents doing the work never grade it.
Reports only to you
Every outgoing action also passes a compliance check that can block it but can never send anything. And a real person, your Practice Analyst, checks the team's work.
Standing orders
You already run your clinic on standing orders. Patchwell runs your back office the same way. Approve a fix or a message once, set its limits, and it runs inside those limits until you change it or turn it off.
Nothing new leaves your practice without your sign-off. Not a patient text, not a vendor email, not a fee change.
Standing order
Active
Text overdue hygiene patients a recall reminder with a booking link.
WHO
Patients 6+ months past due who agreed to texts
HOW OFTEN
At most once every 14 days
WHEN
Mon to Sat, 9 am to 6 pm
EXPIRES
In 90 days, unless you renew
Signed by the practice owner. One click pauses it.
Checked before it goes
Every outgoing action passes a compliance check for consent, scope and the minimum data it needs. If the check fails, nothing is sent.
Logged, every time
You can see what was done, when, and which approval allowed it.
An off switch
Stop one action or everything with a single click.
Clear lines
No clinical advice, ever. No billing-code changes without a certified coder. Patchwell runs the business side of the practice and nothing else.
The first 90 days
The quickest wins are already sitting in your records. Once those have paid off, we move on to growth: your website, your Google presence, staffing and scheduling.
| The leak | What Patchwell does | Starts |
|---|---|---|
| Treatment accepted, never booked | Works the list until patients are on the schedule | Week 2 |
| Overdue hygiene and recall | Reactivates past-due patients through outreach they agreed to | Week 2 |
| Insurance claims over 90 days | Rebills, appeals, or writes off with a reason on record | Week 2 |
| Patient balances | Statements, text-to-pay and payment plans | Week 3 |
| Fees out of step with your market | Reviews your fee schedule and PPO write-offs | Week 4 |
| Vendors and subscriptions | Audits supplies, lab, software and card fees, then drafts the renegotiation | Week 4 |
| Empty chairs | Fills cancellations and no-shows from a short-notice list | Week 6 |
| Missed calls | Calls back missed new-patient calls and asks happy patients for reviews | Week 8 |
After the first 90 days: marketing
Most practice websites load slowly, fall apart on a phone, and hide the booking button. Patients don't complain about it. They just call the practice down the street. Once your back office is patched, Patchwell rebuilds how you show up online, keeps it working, and counts the new patients it brings in.
The typical practice site
Rebuilt by Patchwell
Built around your practice, your team and your services, then kept current. Fast, accessible and easy to book from.
Pages for the services you want more of, listings that match everywhere, and a Google profile that shows up when people nearby search.
Patchwell asks happy patients for reviews and drafts a reply to every one. Replies never confirm that anyone is a patient.
Missed calls get a call back. Someone browsing at 10 pm can book then and there, without waiting until Monday.
Every page and listing is checked against your state's advertising rules for your profession, and nothing goes live without your sign-off.
How we count
Anyone can point at a good month and take the credit. Our rules are written into your contract, and the software that measures results is kept separate from the agents doing the work. The agents don't grade themselves.
A real person on your account
Every practice gets a named Practice Analyst. They check the agents' work, review anything large or uncertain before it reaches you, and spend 30 minutes with you each month on what to fix next.
A two-minute summary each week, a one-page scorecard each month, and a short list of things waiting for your OK. That's it.
Patchwell doesn't replace your office manager. It gives them a back office to lean on, with clear daily task lists and less chasing.
Who it's for
Now
Solo and single-location group practices running Dentrix, Eaglesoft, Open Dental and more.
Now
Independent clinics, with reminders, declined care, pricing, inventory and pharmacy.
Next
Bookings, memberships, pricing, retail and marketing.
Later
Independent primary care and specialty practices, starting with denials and AR.
Your data
We handle patient data the way a careful practice would, and we put it in writing before we touch any of it.
No. Patchwell connects to the systems you already run. Your team keeps working the way it does now.
No. It takes the chasing and the spreadsheets off their plate, so they can spend their time on patients and the schedule.
That's up to you. Keep them if you like, and Patchwell will show you, in your own numbers, how many new patients they actually bring in. Most owners have never seen that figure.
Never. Every message runs on a standing order you signed, and you can change it, pause it or end it whenever you want.
No clinical advice, ever. Anything that touches billing codes goes to a certified coder first. Tax and legal questions go to your CPA or attorney.
Then you know your practice is running tight, and finding out cost you nothing. You keep the report either way.
A flat monthly fee based on the size of your practice, never a cut of your collections. We'll quote it with your leak report, so you can weigh it against what we found.
In two weeks you get a ledger of every leak we can find, with the patients, claims and vendors behind each one and what it's worth. You also get a frank review of your website and Google listing. It's free, it's read-only, and it's yours to keep.