For Dental Payers:
SmartClaimSelect™:
Targeted, Data-Driven Review
SmartClaimSelect™ integrates deep data insights with optional AI-powered image review to detect fraud, waste, and abuse (FWA), strengthen adjudication, and improve operational efficiency without increasing administrative overhead.
Targeted, Data-Driven Review for Smarter Adjudication.
The Power of Precision:
SmartClaimSelect™ does not treat every claim equally. It pairs deep data insights with optional AI technology to create a cost-effective filter for your claims workflow.
1. Powered by DentaBase®
Leveraging the industry’s largest multi-payer dental claims database, our proprietary engine analyzes claims against billions of records to detect statistical outliers and new trends in behavior.
2. Rank-Ordering Risk
The system automatically flags high-risk claims while enabling confident, frictionless auto-adjudication of the remaining low-risk claims.
3. Targeted AI Deployment
Why pay for AI analysis on a healthy claim? Fluent’s advanced AI image-review technology is deployed only against high-risk outliers, ensuring you only pay for the necessary image analysis.
KEY BENEFITS:
✅ Reduce FWA: Catch outliers before payment is made.✅ Lower Costs: Stop paying for unnecessary reviews on clean claims.
✅ Dynamic Analytics: Our engine updates daily to detect new fraud trends.
✅ Provider Satisfaction: Accelerate payments for the vast majority of compliant claims.
SmartClaimSelectTM
Utilization Review.
Reinvented.
Powered by DentaBase®, the industry’s largest multi-payer dental claims database, and Fluent’s unique, AI/ML-driven analytics platform.
SmartClaimSelect™ uses a sophisticated, proprietary rules‑based pattern detection engine to flag and rank-order only high‑risk statistical outliers during adjudication, enabling confident and frictionless auto‑adjudication of the remaining claims.
The platform’s dynamic analytics are applied daily to detect and report any changes and new trends in outlier behavior.
With SmartClaimSelect™,
UR teams spend less time reviewing:
Fewer backlogs
Happier providers
Smarter allocation
of review resources
Higher ROI
LEARN MORE
Contact Us
End-to-end utilization review optimization in a single, technology-enabled clinical decision support tool. SmartClaimSelectTM can help your team maximize review effectiveness and enhance your ROI.