Claim Review Management System™

Let your clinicians spend time on clinical issues, not administrative issues. P&R’s highly acclaimed, web-based Claim Review Management System (CRMS) gives your dental consultants all the digital tools necessary to complete a claim review, including access to images, policy information, compliance with state laws and patient history.

Automate the Claim Review Process

Any business anywhere would like to increase productivity and lower costs. There’s a remarkably simple way to do both with P&R’s CRMS platform.  If you automate your review process with CRMS, you’ll instantly see the value in doing so. Dental payers who use CRMS report that they double the number of claims they review per hour and make fewer mistakes.

P&R Dental Strategies’ dental Claim Review Management System (CRMS), Pronto®, analytics products and supporting infrastructure have earned Certified status for information security by HITRUST. The HITRUST CSF Certified status demonstrates that P&R Dental Strategies has met key regulations and industry-defined requirements and is appropriately managing risk.

P&R Dental Strategies’ utilization management procedures, including the Claim Review Management System (CRMS), have been accredited by URAC since 2010. URAC’s Health Utilization Management accreditation ensures that all organizations conducting utilization review follow a clinically sound process and respect patients’ and providers’ rights while giving payers reasonable guidelines to follow. Accreditation ensures the adequacy of health utilization management programs through evaluation against broadly recognized standards and measures.