Dental Claims Audits are very similar to our Medical Claims Audits. The specific claims testing includes verification of pricing, benefits, coding, and other industry standards. What makes our Dental Claims Audits particularly effective is our knowledge of dental claims processing standards and detailed benefits testing.
Most Dental Claims Audits do not result significant overpayment recoveries, but they often reveal multiple benefits that are either improperly set-up, or are applied manually, thereby leading to high error frequency. Our comprehensive audit methodology and our willingness to test every benefit outlined in the summary plan documents result in successful, comprehensive dental audits conducted with the same approach and care as our industry-leading medical audits.