Stay up to date on the latest news, press releases and product announcements related to Context.

Context4 Healthcare, Inc. announces the release of real-time Dental Payment Integrity – FWA detection in the Cloud

  • Feb 8, 2018, 12:34 PM

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.

About Context4 Healthcare, Inc. Headquartered in Naperville, IL, Context 4 Healthcare has nearly 30 years of experience in software and data product development. Context is a leading provider of real-time healthcare compliance and reimbursement solutions for payment integrity, UCR and Medicare PPS pricing delivered via SaaS. These solutions serve hundreds of payer, provider and health system clients impacting millions of lives globally.