Tag: dental insurance claims

Dental Care

Dental Claims Through the Eyes of the Claim Reviewer

A dental claim reviewer faces a challenging job with an increasing number of claims daily, with peer-to-peer call requests and varying schedules. The turnaround time (TAT) requirements dictate the day’s tasks. Learn more from the eyes of a reviewer and a dental practitioner about the strategies to manage dental review claims like a pro. Continue reading Dental Claims Through the Eyes of the Claim Reviewer

Unknown's avatarDr. Namrata UpadhyayLeave a comment
Dental Care

Dental Claims Through the Eyes of the Claim Reviewer

Dental claim review is a demanding job, often involving hundreds of daily claims. Reviewers analyze complex cases, focusing on “medical necessity” and policy compliance, not necessarily treatment appropriateness. AI is emerging to improve consistency, but human review remains crucial. Detailed documentation and electronic submission with images are key for successful claims. Continue reading Dental Claims Through the Eyes of the Claim Reviewer

Unknown's avatarDr. Namrata UpadhyayLeave a comment