Utilization Review

P&R Dental Strategies’ highly acclaimed Utilization Review solutions deploy advanced technology, deep clinical expertise and excellent customer service help your analyze, manage and control your dental benefit costs.

P&R Dental Strategies’ utilization management procedures have been accredited by URAC since 2010. URAC’s Health Utilization Management accreditation ensures that all organizations conducting utilization review follow a clinically sound process and respect patients’ and providers’ rights while giving payers reasonable guidelines to follow. Accreditation ensures the adequacy of health utilization management programs through evaluation against broadly recognized standards and measures.

Eliminate Unnecessary Reimbursements

Are you reimbursing for dental services that are not medically necessary or not properly documented? P&R Dental Strategies' Professional Claim Review draws on the clinical and claims review experience of over 70 highly skilled licensed dentists across the country to help you identify and eliminate reimbursement of unnecessary or improper dental services.
Improve Productivity

Would you like to dramatically improve the productivity of your clinical review team? P&R Dental Strategies' HIPAA-compliant, web-based Claim Review Management System digitizes and streamlines the claims review process from end-to-end, and helps your clinical review team be more accurate, productive and efficient.
Cut Turnaround for Clinical Review

Are you frustrated by long turnaround times during clinical review of dental claims? Improving the quality of submitted images can substantially reduce your clinical review turnaround time, and our Rapid Review Imaging System is the tool to help you do just that.

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.

Eliminate Unnecessary Reimbursements

Improve Productivity

Cut Turnaround for Clinical Review