The NovoHealth Dental platform uses NovoDynamics AI to automatically analyze dental insurance claims in real time; assure claim quality; deliver accurate clinical assessments; and detect fraud, waste, and abuse.
Pre-checks every claim to ensure submissions are complete and correct before payer review ➤
Real-time speed, enterprise scale, exceptional accuracy, certified privacy and security compliance, comprehensive analytics , configurable reporting ➤
Reliably uncovers inappropriate radiograph re-use, identifies provider outliers, and detects suspicious utilization patterns ➤
Analyzes radiographs and available data to provide consistent, objective statistical support for disease assessment decisions ➤
NovoHealth Dental immediately analyzes each and every incoming claim before it is routed through the payer’s system. It automatically:
NovoHealth Dental found more than 76% of claims submitted to a major U.S. dental payer had insufficient documentation.
Contact us to learn how much time, effort, and frustration NovoHealth Dental could save your team.
NovoHealth Dental analyzes images and available data to assess medical necessity. It immediately routes clean, compliant claims to the payer’s system for approval and reimbursement. Claims with issues are prioritized for review and are only routed to professional resources when necessary.
NovoHealth Dental uncovered tens of millions of dollars in potential savings for a major U.S. payer — more than 25X the savings human reviewers had found in the set of claims.
Contact us to learn how much money NovoHealth Dental could save your organization.
NovoHealth Dental compares each incoming radiograph to all available images to ascertain whether it may have been previously submitted. NovoHealth Dental:
NovoHealth Dental can help improve focused review processes for payers, as well as reduce risk for DSOs and group practices, by detecting if a provider’s behavior significantly deviates from their peer group or if a provider’s procedure patterns appear suspicious. NovoHealth Dental automatically:
NovoHealth Dental Image Similarity Detection tracked the same radiograph submitted to the same payer by 11 different providers in 6 different states for 10 different patients in 14 different claims over 4 years. Read the full story …
Contact us to learn how NovoHealth Dental could improve your outlier detection and focused review process.