Claims Review®

Automated claim examination, powered by AI.
Claim Review hero image
Utilization management meets efficiency.

Despite prodigious investment in utilization management infrastructure and headcount, dental insurers review fewer than 10% of dental insurance claims––meaning that hundreds of billions in global payouts are made for treatments whose medical necessity has not been validated.

With Claims Review®, Pearl gives insurers the ability to validate every radiograph-supported claim submitted.

Claim review visual
Faster, more complete claims adjudication.

By comparing diagnostic codes against detections from dentistry's most robust computer vision-powered radiologic engine, Claims Review® ensures that no invalid claim is missed while allowing claims examiners to focus on the claims that actually warrant the review of a human expert.

Real-time results
Bespoke configuration
Bitewing, Periapical & Panoramic Radiologic Analysis
Detection and computer vision capabilities
Claims Review evaluates clinical necessity thanks to Pearl's comprehensive array of AI-powered capabilities for image enhancement and pathology, restoration and anatomy detection.
  • Anatomical Segmentation
  • Bone Loss
  • Bone Support
  • Breakdown Percentage
  • Calculus
  • Caries
  • Crowding
  • Crowns (metal)
  • Crowns (non-metal)
  • Divergent Root
  • Edentulous Region
  • Fillings (non-metal)
  • Fillings (metal)
  • Furcation
  • GAN-based enhancement
  • Image Orientation Classification
  • Impaction
  • Implants
  • Malocclusion
  • Mandibular Asymmetry
  • Margin Discrepancy
  • Mesial Tilting
  • Obderation
  • Periapical Radiolucency
  • Radiograph-Type Classification
  • Root Canal
  • Root Length
  • Root Parallelism
  • Spacing
  • Subcrestal Decay
  • Text Detection/Obfuscation
  • Tooth Numbering
  • Tooth-Type Classification
  • Underexposure Classification
  • Widened Periodontal Ligament
  • And more...
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Request a Demo
Submit the form below to learn more about Claims Review and how AI can bring great efficiency, accuracy and automation to your utilization management workflow.
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