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Reviewing dental claims for clinical and coding appropriateness requires extensive internal resources for dental payers—or the scale and expertise of a partner. One national payer with more than 6 million dental members across several lines of business has yielded significant savings by working with Cotiviti to assist with dental claim reviews and reduce waste and abuse.
Download our new case study and learn how this plan achieved:
- A 1.5% savings rate incremental to its internal editing system
- Improved compliance with CMS regulations, state Utilization Management regulations, and ADA guidelines
- Low appeals rate and dental provider abrasion