Workforce Dental Solutions provides nationwide dental services, combining clinical expertise, oversight, and care coordination to support attorneys, claims professionals, clinics, employers, and dental practices. Our nationwide network of treating dental partners includes general dentists and all dental specialties, with access to in-person care, teledentistry, and mobile dentistry.
Comprehensive management of dental claims—from initial evaluation through treatment completion. Our Dental Director-led team reviews causation, pre-existing conditions, and proposed treatment to help ensure claim-related care restores the claimant’s pre-injury dental status without unnecessary upgrades.
Dental evaluations to identify oral health concerns that may affect a planned medical surgery. We coordinate the assessment, any recommended dental care, and documentation for the requesting medical team.
Dental reviews and independent examinations to support workers’ compensation, auto, and liability claim decisions. We address causation, injury-related findings, treatment appropriateness, and prognosis through records-based reviews or in-person examinations.
Attorneys, claims professionals, carriers, TPAs, and review organizations seeking dental opinions for workers’ compensation, auto—including personal injury protection (PIP)—and liability matters.
Dental expertise for utilization review and managed-care organizations. Our Dental Director-led team of general and specialty dentists performs reviews in-house, serving as an extension of your utilization review team.
Utilization review companies and managed-care organizations seeking a dedicated dental clinical review partner.
Review responsibilities, determination authority, and applicable requirements are established for each engagement.
Clinically supported projections of anticipated dental treatment and associated costs. We outline treatment stages, timing, and assumptions to help claims professionals evaluate future dental needs and plan for claim resolution.
Claims professionals evaluating anticipated dental expenses, reserves, or settlement considerations.
A simple referral pathway for occupational health clinics, urgent care centers, and emergency departments. We connect claimants with teledental assessment or an appropriate in-person dental evaluation and keep the referring team informed.
Occupational health clinics, urgent care centers, emergency departments, and other clinics referring workplace dental injuries.
A direct pathway to appropriate dental care following a workplace dental injury. We coordinate teledental or in-person evaluation, communicate with designated employer and claims contacts, and support the next steps in care.
Self-insured employers seeking a defined response when an employee sustains a workplace dental injury.
Maritime employers, vessel representatives, and claims teams coordinating dental care for workers at ports, offshore, or returning home.
Virtual access to a licensed dentist for guidance on dental emergencies, palliative treatment, and initial injury assessments. We help claimants receive timely clinical direction and coordinate in-person care when needed.
Claimants, referring clinics, employers, and claims teams seeking prompt dental guidance following an injury or urgent dental concern.
Dental care brought to the claimant when travel or access presents a barrier. We coordinate mobile dental services based on clinical needs, location, and provider availability.
Self-insured employers seeking a defined response when an employee sustains a workplace dental injury.
Administrative support for dental offices treating workers’ compensation claimants. We help manage authorization requests, documentation, billing, and payment follow-up so the practice can focus on providing dental care.
Dental practices seeking administrative assistance with workers’ compensation cases.
The treating dentist remains responsible for clinical decisions and documentation. Service scope and payment arrangements are established in advance.
