Start paying dental claims the right way, today.
Stop fraud, optimize accuracy and save money.
DentalClaim Insight® is a prepayment fraud, abuse and overpayment prevention service. It’s designed to help you optimize claims payment accuracy, pinpoint fraudulent providers and decrease dental claims costs. By combining our advanced Code Validator Pro® (rules-based) and Fraud Finder Pro® (profiling) applications, you get better technology. By relying on our experienced Dental Coding Specialists, Certified Dental Consultants and investigators, you get better results.
HCI clients have access to the most comprehensive code editing and profiling application ever developed in the dental payor industry Dr. Jeff Davee HealthCare Insight
The Problem
An estimated 3% - 10% of the national outlay for dental care is lost to fraud, abuse and overpayments annually. By 2013, losses could approach $13 billion. That's a loss of $35 million daily.
The Solution
Pay Right. Save Money
Reduce expenditures up to $1 PMPM. Increase profits and payment accuracy.
Get a Dentist. Get Results.
Our clinical validation process delivers less false positives and better results.
Save Time. Go Prepayment.
Avoid “pay and chase” detection with prepayment analysis on 100% of claims.
Smart Models. Smarter Software.
Get access to the most advanced fraud models and SaaS applications available.
Better Support. Better Service.
Get help and appeals support from CDT coding specialists and licensed dentists.
Total Customization. Totally You.
No two payors are alike. Customize your fraud solution down to the last bit and byte.
Real Fast, Real-Time Processing.
You don’t have time to hold up processing. Get real-time protection with real results.
Fraud and Editing. All in One.
Unilke others, we bundle supplemental editing and fraud prevention in one solution.
View DCI Brochure
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