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Much of dental waste, abuse and fraud is low dollar, high volume and too costly to be addressed – even in a post-payment model. MultiPlan’s Dental Payment Integrity services change this through a fully automated, high-precision pre-payment detection system that targets all claims large and small. Our intelligent algorithms mimic the outcome of a review by a dentist trained in informatics and forensics. Detailed reports support denial, downcoding and other actions to generate up to 3% savings by preventing improper payments.
Only MultiPlan’s Dental Payment Integrity services are designed by dental experts and focused on detecting low dollar, high volume, repetitive issues that account for 80-90% of dental waste, abuse and fraud. Our Dental Payment Integrity services detect issues early, with precision, and deliver five times more savings than average methods. Let us help your organization reclaim dollars lost on overpaid dental claims.
Only MultiPlan brings a cost management heritage to payment integrity. We know payment integrity, we know providers, and we know pre-payment. Let us modernize your dated process so you can capitalize on claim savings opportunities that are passing you by today.