Network Directory Accuracy Service | P&R Dental Strategies

Accurate, Compliant and Completely Turnkey

Maintaining & Documenting Directory Accuracy: An Ongoing Challenge

In 32 states, 35% of providers could not be found at the location listed by the plan [1]

Every network management department will benefit from P&R Dental Strategies’ Network Directory Accuracy Service. This turnkey solution maintains and documents directory accuracy by utilizing our exclusive claim review infrastructure and proprietary cross-payer database, DentaBase™.

Advantages

Utilizes DentaBase™ monthly updates
Leverages the P&R Dental Strategies account support infrastructure for provider outreach
Supports compliance with various network accuracy laws, including a documentation trail

What You Get

List of provider/locations to remove from your directory based on actual claims activity in our cross-payer database (list can go to Contract Management for updating)
List of all dentists/locations with actual claims activity at the location in the most recent 30 days of DentaBase™ claims data
Outreach documentation trail (including letter images and phone call documentation) captured for compliance support
OPTIONAL: Augment your insights with a list to incorporate provider-level insights on Overall Abuse Scores and Financial Risk Scores

We maintain and document directory accuracy so you don’t have to.

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¹ HHS, Office of Inspector General, State Standards for Access to Care in Medicaid Managed Care, Washington (2014).

P&R Dental Strategies Learning & Informatics - About the Annual Event

Mark Your Calendar for June 26th – 27th, 2019

By popular demand, on June 26th and 27th, 2019 we’re heading back to The Thompson in Chicago, Illinois for the 4th Annual P&R Dental Strategies Learning & Informatics Summit.

The Windy City’s Gold Coast will be the backdrop for two days of learning and discussion tailored to helping your organization become more data-driven. Registration is now open, so visit the information page and complete the registration form to join us at this exclusive event!

Get Social

Are you on Twitter or LinkedIn? Check out all of our 2019 Learning & Informatics Summit postings by following hashtag #PnRSummit19. You can also stay informed of postings on dental data insights from our Learning & Informatics Discovery Hub by following #DiscoverDentalData.

About P&R Dental Strategies

P&R Dental Strategies is the premier dental insights company delivering customized, actionable business intelligence powered by DentaBase®, our national multi-payer claims database. P&R Dental Strategies’ flexible, cutting-edge technology platform provides an enterprise-level suite of quality measurement, claim review and utilization management, provider profiling, fraud and abuse prevention and network development solutions to customers seeking to contain costs and maximize efficiency across their businesses. P&R Dental Strategies customers can depend on the support of an industry-leading team of dentists, consultants and statisticians to focus on their unique challenges.

Background and Overview

P&R Dental Strategies created the Learning & Informatics Summit in 2016 to introduce professionals at payer organizations to the transformational potential of information science and analytics in their business.

During the Summit, we share current market trends and insights derived from DentaBase®, the largest multi-payer dental database, so attendees can understand what’s on the horizon. Data and trend information conveyed at the Summit is balanced with hands-on learning sessions using game changing business efficiency solutions.

Our goal is for attendees to leave the Summit with a sense of the power of Big Data and a familiarity with the tools needed to help their organizations become more data-driven.