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VBP Dental Claims Processor
Automates value-based-payment dental claim eligibility checks across a multi-stage review pipeline.
Finance
Advanced
30 min
How it’s used
Incoming claims move through nine eligibility stages automatically — coverage, provider network, prior authorization, and more. Only claims that fail a check or fall above the auto-approve threshold reach a human adjudicator, cutting manual review volume sharply.
How it works
1
Claim Intake
New claim record picked up automatically
2
Eligibility Check
Nine-stage coverage and network validation
3
Exception Routing
Failed or high-value claims routed to adjudicator
4
Payout Calculation
Approved claims move to payout
Integrations
Database, REST API