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.
"Our clinical operations are strictly governed by an elite internal panel. 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."
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.
Our internal clinical team is comprised of licensed and certified dental experts (RDH, CDA) with minimum 10 years experience. Our staff are seasoned dental professionals who understand the clinical reality behind the codes.
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).
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.
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.
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.
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.
Start applying forensic clinical integrity to your dental referrals today.
