Understanding the utilization patterns of dentists just got easier with P&R Dental Strategies' DentSource application. DentSource is a web-based application, which provides dental payers a comprehensive perspective on individual dentist practice patterns by drawing on utilization data as well as claim review data. Designed to increase clarity, DentSource enables a payer to analyze company specific information or to make comparisons to a national database.

This application can support the following dental payer functional areas:

• Marketing - Create reports for specific employer groups that demonstrate optimal network management
• Fraud & Abuse - Identify fraudulent and/or abusive behavior
• Network Development - Profile providers to determine those best suited to your network
• Network Management - Provide education to providers considered "outliers" with certain procedures
• Actuarial - Assess utilization and model future premiums
• Utilization Management - Customize standard claim review guidelines by individual provider denial rates per ADA code

Unique features of DentSource include:

• Easy to use graphical user interface
• Data cube technology for maximum flexibility in slicing and viewing the data
• Assess utilization by patient age, gender, region and specialty
• Create standard reports or customize individual reports for specific needs
• Profile individual providers based on utilization ratios that assess
• Overutilization
• Upcoding
• Unbundling
• Quality of Care
• Fraud and Abuse
• Focused review - claim review based on identification of providers who are upcoding, unbundling or overutilizting ADA codes that are not included in standard referral guidelines
• Create your own utilization ratios or choose from our standard ratios
• Individual provider score based on claim review denial information
• Easy to read graphics enable you to drill-into individual provider detail
• Compare to national and regional benchmarks
• Cross payer longitudinal database for fraud detection