Dental administration company Scion Dental has launched its Enterprise System benefit management software.
The system offers 24/7 processing of incoming claims and prompt review of authorizations to deliver faster reimbursement resolution, as well as higher provider and member satisfaction, according to the company.
The software features an integrated system architecture and customized packages of business rules that establish workflows to investigate questionable claims and delegate immediate review. The design allows the claims processing system to perform automated cross-checks and relationship edits, as well as audits on all claims based on each client's requirements.
Designed for complex processing, the Enterprise System routinely achieves autoadjudication rates of nearly 99%, while continuing to instill a careful process for dental review when certain claims require an expert level of analysis, according to Scion.