For Dental Payers:
As a pre-payment “smart claim selection” analytics engine, Pronto deploys hundreds of advanced proprietary algorithms and pattern recognition tools to scan the billions of procedure records in our unique multi-payer dental claims database, DentaBase®. This enables the Pronto engine to predict, in real time, which dental claims are most likely to result in a denial due to insufficient medical necessity or inappropriate billing practices.
We’ve added A.I. image analysis technology to the platform to further enhance the power of the Pronto engine to predict which claims should be immediately released for payment and which should be sent to a dental consultant for utilization review.
The benefits of deploying ProntoAI in your utilization review program are many: