For Dental Payers:
Optimize your utilization review program with powerful transactional workflow tools
The Claim Review Management System™ (CRMS) provides increased value when added to your clinical review process.
Fluent in utilization review workflow
Dramatically improve the productivity of your clinical review team with this easy-to-use, yet powerful, claim review transactional workflow tool.
Secure and compliant
The Claim Review Management System is Fluent’s HIPAA-compliant, web-based system that digitizes and streamlines the claim review process from end-to-end. The CRMS helps your clinical review team be more accurate, productive and efficient.
The benefits of deploying CRMS in your utilization review program:
- Images and attachments are loaded, stored, and accessible to your review team.
- Review Images right in the system: image access for your team is alongside related claims data — everything your clinicians need all in one place.
- Audit trail and notes capability supports comment capture by your team.
- Supports dental consultant use and feedback on artificial intelligence image review (requires subscription to our ProntoAI™ solution).
With CRMS, you can enjoy:
- Intuitive, time-saving user interface that unlocks added efficiency from this transactional workflow platform.
- Secure, HIPAA-compliant data management and workflow platform stores, tracks and reports the status of every claim under review.
- Best-in-class customer service and support to guide your organization to maintaining a successful utilization review program.
Key Features of the Claim Review Management System
Create Information Request Letters and other supporting activities
Check Claim Status, including Turn Around Time (TAT) monitoring
View plan rules
CDT Code list for easy reference by reviewer
Extensive reporting for QA monitoring, including easy-to-use dashboard
Client query tool
The Claim Review Management System is the result of over 25 years of dental claim review experience.
As a turnkey productivity solution, the Claim Review Management System lets your clinicians spend time on clinical issues, not administrative issues.
Fluent’s highly acclaimed, web-based system gives your dental consultants all the digital tools necessary to complete a claim review, including access to images, policy information, compliance with state laws and patient history.
It’s the same tool our own Professional Claim Review service consultants use to manage their claim review workload!
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See how CRMS can help your team maximize utilization review effectiveness and enhance your ROI. Ask us about our Claim Review Management System.