P&R Dental Strategies’ cross-payer dental claims database, combined with a sophisticated analytics platform provides unique insights into provider outlier behavior.
Predictive Analytics with Pronto™
Pronto™ is a data analytics solution powered by DentaBase™, P&R Dental Strategies’ extensive cross-payer claims database. Pronto’s sophisticated analytics engine evaluates all of a payer’s daily claims volume in near real-time, predicts which claims have the highest probability of delivering savings for the payer and which should be sent for utilization review.
Pronto’s Predictive Savings Analysis…
With P&R Dental Strategies’ utilization management solutions, payers have the tools to profile dental providers, identify and prioritize outlier behavior, manage corrective actions and create actionable reports.
Fraud and Abuse Detection
With P&R Dental Strategies’ fraud and abuse detection solutions, payers have a highly targeted means to detect and identify potential fraud, waste, and abuse.