A dental payment system that works better for everyone
Dental claim processing is complex, time-consuming and often frustrating. Payers and providers must navigate legacy technology, complex rules, unclear regulations and a lack of effective interoperability between payer and provider systems. This can lead to significant inefficiencies like unnecessary denials, a lack of transparency, untimely delays, and abrasion between payers, providers and patients.
Both payers and providers end up spending time and money on administrative tasks and rework instead of focusing on patients and their care. Powered by AI and automation, Optum Real for Dental is facilitating real-time interoperability between payers and providers to help make the system work better for everyone.
Transforming dental claim processing
With real-time exchange of patient visit, claim and payment data between dental payers and providers, Optum Real for Dental helps provide insight into how a payer will likely process a claim, notifies them of likely denials and gives patients a clear picture of how much they’ll owe — before care is delivered.
By streamlining claim processing, Optum Real for Dental helps improve claim denial and appeal rates, reduce administrative costs and minimize back-and-forth between payers and providers.
Key benefits
A smarter way to connect dental payers and providers
Real-time connection in the provider workflow benefits providers, payers and patients alike.
Reduce claim denials
With real-time transparency into payer criteria, dental providers can accurately document the patient visit and code and bill claims at the point of care.
Lower costs
We help streamline routine tasks like eligibility and authorization checks, reducing administrative work and costs for both payers and providers.
Enhance the patient experience
Using planned procedure data, patients get clear answers about what’s covered and what they’ll owe before they receive care, helping improve price transparency and satisfaction.
Related insights
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