Pronto evaluates all of a payer’s daily claims volume in near real-time to predict which claims have the highest probability of generating savings and should be sent for utilization review. The insight Pronto provides creates additional capacity to review those claims that generate further savings.
- Predict which claims have the highest probability of savings and should be sent for utilization review.
- Reduce clutter in your system by eliminating consultant review of claims that are ultimately approved.
- Improve provider relations by eliminating the “hassle factor” and targeting only those dentists that exhibit outlier behavior.
- Scale and create additional capacity to review other types of claims and gain incremental savings.
- Image-independent evaluation of claims data. No image? Image not of sufficient clinical quality? No problem – Pronto’s smart claim selection engine does not rely on images to do its work.