Skip to main content

Provider ResourcesPayer ResourcesFind a Provider

MultiPlan's Dental Payment Integrity Services

Learn about Medical Payment Integrity

Dental Payment Integrity Services

Ensuring payment accuracy for dental claims

Learn about Medical Payment Integrity

Unique, real-time issues detection

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, down coding and other actions to generate 5 - 7% savings by avoiding improper payments.

Dental Payment Integrity Key Benefits

  • Extensive dental claims data knowledge
  • Near real-time data delivery
  • Complements existing adjudication solutions
  • Detects issues early, with precision, while they're still small
  • Clear "pay" and "don't pay" flags with detailed explanations
Learn how Dental Payment Integrity works
Identify improper billing practices with pre-payment review

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. Dental Payment Integrity allows for early issues detection, with precision, and delivers five times more savings than average methods. Let us get your organization started on the path of reclaiming lost dollars on over-paid dental claims.

Uniquely positioned to bring the most savings to dental payers.Only MultiPlan brings a cost management heritage to medical & dental payment integrity. We know payment integrity, we know providers, and we know pre-payment. Let us take your historically retroactive process upstream, and ensure that lost claims savings no longer go unnoticed. Download our Dental Payment Integrity White Paper