As many US readers know dental insurance is kind of a big deal in the USA, where white teeth are highly prized, more so than a College degree in many cases. This demand creates a market for expensive dental care and sometimes insurance schemes or plans are the best way to pay for that treatment over a period of months, or years. Here’s the word from Overjet, who have implemented the platform approach;
Overjet, the world-leader in dental AI, today introduced the next evolution of its Insurance Intelligence Platform. The AI-powered platform now streamlines clinical workflows from end to end — so dental insurers can operate more efficiently while providing exceptional care to their members. With Overjet, insurers can approve claims an average of five times faster.
Over the last few years, Overjet transformed this process, called utilization review, by using artificial intelligence to automatically approve claims that meet insurers’ guidelines. It also equipped their teams with advanced AI tools — such as image enhancement and precise annotations — to better analyze patients’ X-rays. Now, the Insurance Intelligence Platform can accelerate decisions on all claims, including those that require dental consultants to review. This allows insurers to lower their administrative costs, reimburse dentists faster, and above all, help patients get the care they need.
Specifically, the platform features two groundbreaking enhancements:
● Overjet Connect. Even with AI technology, insurers still rely on human experts across many workflows, from clinical review to member support. Overjet Connect is an AI-powered marketplace that speeds up these workflows. It connects insurers with a URAC-accredited network of licensed professionals, such as dental consultants who can review complex cases. And importantly, this network gives insurers coverage across all US states, with the appropriate licenses for utilization review.
● New AI capabilities. The Insurance Intelligence Platform now lets insurers improve the consistency of their clinical reviews for osseous surgery, bridges, implants, and endodontic procedures, thanks to innovations in machine learning. They are among the more than 350 CDT codes that Overjet reviews automatically.
“Our goal is to give insurers the ultimate force multiplier — so they can improve the experience for members and providers,” said Overjet CEO Wardah Inam. “With AI, insurers can enhance both their speed and their consistency to deliver fantastic coverage. Our platform handles thousands of day-to-day tasks, like approving claims and finding the right resources, so people can focus on skillful work.”
Overjet’s customers include the majority of the ten largest US dental insurers, and collectively cover more than 120 million people. The platform handles 90% of administrative work for these insurers, freeing them up to focus on supporting members and providers.
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