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About Dental + Doctor
In Workers’ Compensation, some injuries may require care from dental providers or other medical specialists who are not part of provider networks. Because these injuries are outside the norm of the usual Workers’ Compensation claim, claims professionals may lack the experience to navigate through clinically complex cases and coordinate end-to-end treatment. Time can be wasted attempting to locate a dentist or medical specialist who will accept a Workers’ compensation claim and who has the requisite understanding of the Workers’ compensation system in terms of treatment and billing. As a result, time is wasted, costs can escalate, and the injured worker’s recovery can be delayed.
One Call Care Dental + Doctor provides clinical oversight and care coordination from the onset of these injuries. In addition to finding a dentist or specialist who will accept a Workers’ Compensation claim, the experienced staff will provide services for the other challenges in managing this type of injury, selecting the right specialist, obtaining the right level of clinical support and advice, and providing assistance with complex cases and setting reserves.
The services of the One Call Care Dental + Doctor team provides complete dental claims management including appropriate provider selection, appointment coordination, and clinical oversight of injury-related claims support that allows claims professionals to:
- Optimize quality of care. One Call Care – Dental + Doctor helps to promptly identify quality, credentialed dentists and medical specialists. For dental cases, clinical experts are assigned to every case, a complete clinical evaluation is performed to identify appropriate treatment plans, and distinguished providers perform peer reviews on high-dollar complex cases. Documentation addressing causality, PIR and MMI is provided.
- Reduce overall claim costs. With dental cases, in-house clinical professionals bring the expertise to assist with these claims, reviewing all treatment plans before services are rendered or costs incurred, and making sure dental claims coverage is only extended for treatment related to the injury.
- Streamline desk level efficiency. Time spent in locating a provider is saved by utilizing qualified dentists and specialists who know Workers’ Compensation. If desired, a claims professional can off load the entire administrative process as well as the completion and submission of state regulatory forms. The process is further streamlined by the scheduling of the initial evaluation and follow up care, including: reschedules, cancellations, and no shows, notification and reminder correspondence; coordination with additional specialists; appointment status updates with supporting provider documentation; and documentation that informs clinical decision-making.
With our improved business flow and access to a distinct line of business, take advantage of increased revenue and referral sources for your practice and we’ll do the rest. Learn more here
Patient scheduling, following-up and the completion of state regulatory forms – we cover it all. When it comes to dental, your job just got easier. Learn more here