The benefits of deploying CRMS in your utilization review program:

  • Images and attachments are loaded, stored, and accessible to your review team.
  • Review Images right in the system: image access for your team is alongside related claims data — everything your clinicians need all in one place.
  • Audit trail and notes capability supports comment capture by your team.
  • Supports dental consultant use and feedback on artificial intelligence image review (requires subscription to our ProntoAI™ solution).

With CRMS, you can enjoy:

  • Intuitive, time-saving user interface that unlocks added efficiency from this transactional workflow platform.
  • Secure, HIPAA-compliant data management and workflow platform stores, tracks and reports the status of every claim under review.
  • Best-in-class customer service and support to guide your organization to maintaining a successful utilization review program.

Contact us to schedule a demo

See how the Claim Review Management System can improve your claim review process.

Key Features of the Claim Review Management System

Create Information Request Letters and other supporting activities

Check Claim Status, including Turn Around Time (TAT) monitoring

View plan rules

CDT Code list for easy reference by reviewer

Extensive reporting for QA monitoring, including easy-to-use dashboard

Client query tool

The Claim Review Management System is the result of over 25 years of dental claim review experience.

As a turnkey productivity solution, the Claim Review Management System lets your clinicians spend time on clinical issues, not administrative issues. P&R’s highly acclaimed, web-based system 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. It’s the same tool our own Professional Claim Review service consultants use to manage their claim review workload!

See how CRMS can help your team maximize utilization review effectiveness and enhance your ROI. Contact us for more information.

Get in touch