Claim services

Claims repricing and data integrity services

Sharpen your competitive edge in dental claims processing by leveraging the dental management expertise of First Dental Health^®.

First Dental Health offers a top-notch claims repricing and data integrity program. All in-network claims are repriced according to the First Dental Health discounted, contracted rate based on both network and provider locations. Each claim field is verified for complete and accurate information including:

Subscriber/patient information

Provider information

Employer information

We review submitted Current Dental Terminology (CDT) codes to help ensure optimized accuracy. This review is contractually and financially binding to all in-network providers. The payer will receive clean, repriced claims ready for benefit adjudication.

Our solid track record in dental claims services is based on:

Electronic data interchange (EDI) inbound and outbound capabilities

Partnerships with all major claims clearinghouses

Annual review of CDT codes on dental procedures and nomenclature

Health Insurance Portability and Accountability Act (HIPAA) compliance

Annual review of First Dental Health contracted provider fees with proven discounts

Industry-leading three business day turnaround

Solutions tailored to the unique needs of dental service providers

Reach out

Have questions?

Click below to get in touch with us.

For more immediate support, call our customer service team at:

800-334-7244

Monday – Friday, 8:00 a.m. to 5:00 p.m. PT