Put Big Data to Work.

Optimize now and prepare for the unexpected. The Utilization Management Optimization Report is a first step any dental benefits organization can take towards a more analytics-informed, optimized and efficient utilization management program.

Our UM Optimization Report takes an objective, data-driven look at your operations to uncover inefficiencies and show you where you can begin to optimize. This turnkey report provides easy-to-understand, actionable recommendations that any dental payer organization can implement to see immediate improvements.

We leverage big data from the most comprehensive dental database, DentaBase® our vast, multi-payer dental claims database containing data on over 200,000 active U.S. dentists and billions of dental claim records. This report benchmarks your utilization management operations and provides answers to the big questions:

  • Is my utilization management as effective as it could be?
  • Is my benefit plan aligned with best practices?
  • What codes should I include or not in my utilization management?
  • Are there opportunities for incremental savings?
  • And more…

Contact us to learn more

See how a Utilization Management Optimization Report can make your organization more efficient.

What You Get in the Utilization Management Optimization Report

Identification of reviewable clinical procedures for utilization review

Evaluation of traditional platform edits

Insight on emerging trends

Benefit plan alignment

(Exclusions, limitations and/or frequency limits, where applicable.)

Optimized utilization review outcomes

Benchmark comparisons to DentaBase averages

A Powerful Report that Analyzes Every Aspect of Your Utilization Management

What does the UM Optimization Report look for? We break it down to the individual CDT code and evaluate your:

  • Clinical criteria and current guidelines
  • Contract limitation, exclusions and frequency limits
  • Benchmark comparisons to Utilization Review outcomes
  • Edit/processor effectiveness
  • Standard documentation requirements for clinical review (where applicable) and comparison of clinical review guidelines/criteria
Utilization management process image

There are optimization and savings opportunities in your current utilization management program. Ask us about the Utilization Management Optimization Report and uncover them.