Pearl Protect®

Dental insurance fraud, waste & abuse detection, powered by AI.
Pearl protect hero image
Comprehensive defense against duplicative claims evidence.

Despite manual and data-driven mitigation efforts, fraud, waste and abuse continue to affect roughly 5% of dental insurance claims–– costing payers billions annually. Pearl Protect® helps dental insurers overcome those losses with a patented AI solution that automatically identifies doctored and duplicative radiographic claims evidence.

Assessing every claim submitted both historically and in real time, Pearl Protect® offers a comprehensive and high-precision defense against ongoing FWA while equipping insurers to recuperate payments on fraudulent past claims.

Pearl Protect radiograph
Advanced detection technologies

Detecting image-based dental submission fraud requires a complex, interwoven array of AI capabilities, combining predictive analytics, natural language processing, generative algorithms. deep unsupervised learning, and  state-of-the-art in CV image recognition techniques.

Fingerprinting
Unsupervised learning
Image recognition
Duplicate detection
Near-Duplicate Detection
Fingerprinting
Unsupervised learning
Image recognition
Duplicate detection
Near-Duplicate Detection
Pearl Protect defends against multiple forms of radiograph-related insurance fraud
Submission Barrage
Resubmission Fraud
Doctored Evidence
Pathology Forgery
Duplicative imagery comes in many shapes and sizes.

No matter what method is used to obscure an image's duplicative nature, Pearl Protect® can spot it––even when the image has been manipulated using professional photo-editing software.

Exact Duplication
FMX Padding
Forgery
Cropping
Sharpening
Doctoring
Pearl Protect Analysis
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