Insurers5 November, 2024

You + AI, Not You vs. AI: The Role of Artificial Intelligence in Dental Consulting

Dr. Sana Changezi, Clinical Manager

You + AI, Not You vs. AI: The Role of Artificial Intelligence in Dental Consulting

Insurers5 November, 2024

Dr. Sana Changezi, Clinical Manager

I’ve spent the last two years working with dental insurance leaders — helping them understand and implement artificial intelligence. So at this point, I’ve heard more or less every question about what role AI should play in dental consulting.

Will AI completely replace our existing process for reviewing claims?

Or will it be just another piece of software that gets in our way?

In reality, the impact of AI is not either end of the spectrum. It won’t turn your whole organization upside down. But it will make your existing review process more accurate, efficient, and consistent. At Overjet, our AI doesn’t replace your team’s expertise — it multiplies your expertise, by letting you scale up your operations with the same high standard.

The future is not you vs. AI. It’s you + AI.

Every day, I get to see firsthand how AI complements insurers in the form of Overjet Connect. As a critical aspect of our Insurance Intelligence Platform, Overjet Connect is a URAC–accredited network of licensed dental consultants, who use our dental AI technology to quickly and precisely review claims.

This technology has transformed claims management from a procedural task into a true strategic advantage, for many of the largest dental insurers in the world. Here’s how Overjet Connect allows their dental leaders to improve their existing workflows, strengthen their relationships with providers, and embrace the future.

The Precision and Efficiency of AI

Taking a step back, we built our Insurance Intelligence Platform specifically to serve as a force multiplier for dental insurers. Overjet leverages machine learning to process vast amounts of claims data, with machine-level accuracy.

As a result, it can instantly flag inconsistencies that could be overlooked in manual reviews. This not only reduces clerical errors; it ultimately lowers your cost per claim. For dental consultants, Overjet translates into an extra layer of verification that enhances adjudication. By catching potential errors or oddities, the platform helps dental consultants focus their expertise where it matters most, ensuring a higher standard of claim review. This allows dental consultants to utilize AI as a valuable adjunct to the review process, rather than a substitute, empowering them to level-up their review skills and capabilities.

With a 5X faster review rate than traditional claim review, Overjet allows your organization to handle claims efficiently and effectively, while significantly improving financial outcomes.

Prioritizing High-Impact Cases

But what about claims that require consultants’ expertise? That’s where I believe Overjet Connect truly shines.

Overjet Connect is structured to support consultants in focusing on high-impact, complex cases. By automating routine claims and approvals, the platform frees up resources, ensuring that consultants can dedicate their skills to cases that demand nuanced judgment. This strategic allocation of resources ensures 99.9% of turnaround time SLAs are consistently met and elevates the quality of reviews, allowing consultants to apply their expertise where it adds the most value.

Scalable, Reliable, and Compliant

Whether your organization is managing seasonal claim surges or expanding its network, Overjet Connect is designed to handle increased workloads seamlessly without sacrificing accuracy. By integrating compliance management across all 50 states within one platform, Overjet Connect empowers organizations to expand operations with confidence. This scalability, combined with a 90% inter-consultant agreement rate, delivers standardized, consistent outcomes across the board.

AI + Dental Consultants: A Unique Value Proposition

What sets Overjet Connect apart is its blend of advanced AI and human expertise. Licensed dental consultants, many of whom are practicing clinicians, further validate AI-driven recommendations with real-world insights, ensuring outcomes that are both data-backed and clinically sound. This collaboration between AI and consultants creates a balanced claims review process, delivering a level of quality and reliability that providers and payers can trust.

Building Provider Trust and Transparency

Strong provider relationships are essential to dental claims management, and Overjet Connect fosters transparency and fairness at every stage. Providers appreciate the data-backed nature of AI recommendations, which reduces disputes and builds confidence in the review process. This balance of AI and clinical oversight enhances accuracy, minimizes errors, and increases provider satisfaction, fostering long-term trust and collaboration.

Strategic Advantage and Future Vision

Adopting AI is not just an upgrade. It’s a strategic necessity. Overjet Connect enables dental organizations to enhance accuracy, reduce costs, and direct consultants’ time to high-value work, positioning them as leaders in the industry. Early adopters of Overjet Connect’s technology are better positioned to capture market share, improve operational efficiency, and strengthen provider relationships.

Looking ahead, Overjet’s commitment to innovation includes expanding its platform’s capabilities as well as clinical offerings, enabling dental organizations to set new standards in claims management. This long-term vision ensures scalable solutions, future growth and adaptability.

The Future of Dental Claims Management

Overjet Connect is more than an AI solution — it’s a complete end-to-end service that enhances claims management, strengthens team expertise, and builds lasting provider relationships. By combining AI-driven precision with the clinical insights of licensed professionals, Overjet Connect sets a new standard for efficiency and quality in dental claims.

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