Dental Editing & FWA

First Real-Time Solution in Dental Benefits

Section 6401 of the Affordable Care Act requires payers to establish a comprehensive compliance program as a condition processing Medicare, Medicaid or CHIP.  Dental is a key benefit in many plans and is subject to that requirement.

For years dental editing and FWA have taken a back seat to claims automation and high-dollar claim audits. Not anymore.

Context's Dental Payment Integrity analytics platform is not utilization audit software. It goes far beyond by analyzing 100% of dental claims for:

  • medical & technical validity
  • utilization
  • coding errors
  • patient history
  • medical necessity
  • CDT markers
  • FWA (fraud, waste, abuse)

This high volume, real-time solution is wholly managed by Context and delivered in the cloud.  The first real-rime Solution available to the dental benefits industry 

Context Dental Payment Integrity is built and maintained by dental experts. It makes dental editing and FWA accessible, affordable and scalable to support any size Payer. Now Payers of all shapes and sizes that process dental claims can be compliant with ACA.      

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