NAPERVILLE, Ill, (February 8, 2018) – Context 4 Healthcare, Inc., a leading provider of healthcare compliance solutions, announced today the release of Dental Payment Integrity.  The first of its kind in the healthcare benefits industry it combines real-time FWA detection, software-as-a-service (SaaS) and the security of a FedRAMP High certified cloud infrastructure.

Dental fraud, waste and abuse (FWA) is often unchecked as most Payers’ dental insurance lines represent 10% or less of their total business. The National Health Care Anti-Fraud Association (NHCAA) estimates $68 to $226 billion is lost annually to FWA.  That suggests up to $ 22.6 billion is lost annually to dental FWA alone.  This leaves their plan, and their members, completely exposed.

Mark Earles, CEO of Context 4 Healthcare, stated: “Dental FWA detection has been largely ignored in the past due to complexity, cost of detection and claim size.  Context’s technology automates detection across 100% of claims, creating a compelling ROI.  It’s now possible to save millions with minimal cost and effort.”     

Dental Payment Integrity leverages the success of Context’s proven Medical Payment Integrity Platform. With a single web service Payers, TPAs and cost containment vendors can access real-time FWA detection, FWA analytics and reference based pricing.  Integration is simple using a secure web service.  Scalability and performance are virtually unlimited through our elastic cloud infrastructure.  FedRAMP High security provides customers with the highest level of compliance with HIPAA and PHI healthcare regulations.