DENTAL CLAIM ACCURACY

Prevent incorrect dental claim payments before they occur

Identify suspect dental claims early and improve payment integrity with a prepay solution that combines powerful analytics with industry expertise

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DENTAL CLAIM ACCURACY RESULTS

Drive comprehensive prepay review for dental claims with Cotiviti

>3%

additional savings off dental spend by avoiding payment of inappropriate claims*

100%

of flagged claims reviewed, rather than simply looking at suspect providers

Flag suspect dental claims before payment

Prevent waste, abuse, and errors prepayment while detecting both known and emerging fraud schemes with Cotiviti’s Dental Claim Accuracy solution. Our solution uses advanced algorithms to flag suspect claims for deeper review, which are then evaluated by experienced experts—including licensed dentists—before final adjudication. The result is better speed and efficiency to support timely processing without disrupting provider payments.

26+

Years of clinical experience behind every dental review

Discover the value of Dental Claim Accuracy

Experience the benefits of working with professionals who have focused on dental claim accuracy for over 26 years.

Capture incremental savings

Combine advanced claim editing with certified dental experts, generating an average of more than 3% incremental savings after primary editing.*

Avoid pay-and-chase

Prevent FWA and provider abrasion simultaneously through a comprehensive prepay model that stops incorrect payments upfront.

Streamline processes

Simplify operations by combining automated editing, clinical review, appeals support.

Enhance transparency

Leverage Payment Clarity® reporting and transparency tools help minimize IT and administrative burden.

DENTAL EXPERTISE

Count on Cotiviti expertise for dental payment integrity

Payment integrity is at the core of what we do. Cotiviti not only identifies suspect dental claims early in the process, but also applies an intensive clinical review to uncover emerging patterns of fraud, waste, and abuse.

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