The Clinical Advantage: Active Management for Workers’ Compensation & Liability Risk Partners.
We move beyond passive claims processing to ensure clinical integrity. By applying a forensic lens to every file, we ensure claims professionals receive strictly causally related treatment plans—delivering the right care for the right reason.
Expert Clinical Leadership & Oversight
Our clinical operations are strictly governed by an elite internal panel of dental experts who consult directly with our team on every complex file.
Dr. Maria Kunstadter
Dental Director
Licensed Dental Director
Our staff Dental Director brings over 30 years of clinical experience across all realms of dentistry. This leadership ensures that every decision we make is grounded in decades of hands-on patient care and clinical wisdom.
Associate Directors
Supporting our Director is a team of Associate Directors—all licensed dentists with over 10 years of private practice experience. Beyond their clinical skills, they possess specialized knowledge of Risk and Causality market nuances, providing the high-level oversight and peer review necessary for complex claims.
Certified Clinical Staff
Our internal clinical team is comprised of licensed and certified dental experts (RDH, CDA) who each bring a minimum of 10 years of real-world dental experience. Our staff are not administrative clerks; they are seasoned dental professionals who understand the clinical reality behind the codes.
This internal layer of scrutiny guarantees that every report, review, and recommendation is clinically sound before it ever reaches your desk.
Our "Risk-First" Philosophy
We move beyond passive claims processing to active dental injury management.
We operate differently because the stakes in Risk & Causality are higher. We don’t just review paperwork, schedule appointments and provide access to dental providers; we actively manage the clinical event through a forensic lens to ensure the right care is delivered for the right reason.
True cost containment is achieved by managing what is performed, not just repricing the bill. Our clinical integrity protocols include:
Trauma vs. Disease Differentiation (Causality First)
Before treatment reaches your desk, we verify the causal relationship between workplace trauma and proposed care. Our dentists rigorously distinguish between acute injury (the liability) and pre-existing dental disease (the patient’s history).
Mechanism of Injury Validation
We go beyond the X-rays to validate the accident itself. Our experts verify that the observed clinical damage aligns with the reported mechanism of injury, instantly flagging inconsistencies or potential fraud.
Elimination of Unrelated & Pre-Existing Costs
We meticulously identify and remove unrelated procedures—such as routine hygiene or restoration of prior decay—ensuring your financial responsibility is strictly limited to the compensable loss.
Restorability & Prognosis Analysis
We determine if a tooth is truly non-restorable due to the injury or if conservative care is sufficient. This prevents "up-selling" to expensive implants when they are not clinically required by the industrial injury.
Litigation-Grade Documentation
A clinical note is not a legal defense. We provide objective, evidence-based narratives designed to withstand legal scrutiny, helping you settle claims or support denials with confidence.