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Financial losses due to fraud, waste, and abuse (FWA) are a significant challenge for dental plans. Cotiviti‘s solution, Dental Claim Accuracy, offers a defense against overpayments and miscoding by applying advanced clinical and coding algorithms to national sourced edits, flagging suspect claims that are then reviewed by our experienced teams of analysts, coding experts, and consultants before final adjudication.
Powered by a highly customizable rules and analytics engine, this solution allows dental plans to identify and clinically validate suspect claims before they are paid, improving payment integrity.
- Increase dental claims payment accuracy
- Reduce cost and efforts of post-pay audit and recovery
- Achieve total dental cost containment in a single solution