Most carriers employ experienced dental consultants to review claims for complex dental procedures. These services typically involve fixed bridgework or gum treatments. Sometimes an unrecognized treatment code is used or the fee is many times the usual payment.
Self-administered dental plans often do not have access to an experienced consultant who is knowledgeable about common industry practice and consensus.
We can fill that void by providing you with claims review services, by a consultant with 10 - 20 years of claims experience. We eliminate one of the biggest sources of dissatisfaction by making our consultants available to discuss their recommendations with the treating dentists and patients.