Has dental claim volume overwhelmed your manual screening process?
No human can filter every variable on every claim submitted to make a determination as to whether a claim merits further review. Even the best human reviewer can’t see the entire picture: who are the abusers and over-utilizers across the claims landscape?In our recent Insights Series webinar “Smart Claim Selection, Big Data & Analytics: Supplement Your Process and Optimize Outcomes,” we discussed smart claim selection using analytics tools on big data sets as a powerful way for payers to supplement an existing review workflow and optimize outcomes — all without disrupting the current review process. Industry-leading dental informatics tools from P&R Dental Strategies make it possible to regain control of the claim review workflow. P&R Dental Strategies’ suite of dental quality, utilization management, network development and fraud and abuse detection solutions are designed to provide the business critical actionable insights you need to meet your goals.
To request a demo of our solutions customized to your business, please complete the form below:
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