NADP Knowledge Center
*FREE* How dental insurers can leverage AI for better claim processing
Includes a Live Event on 01/12/2021 at 1:00 PM (CST)
Processing claims efficiently and effectively is a challenge that all dental insurers face today. Insurers are required to evaluate very large volumes of claims and make adjudication decisions within hours or days. Today, rule-based engines are used to auto-approve most claims and other, high value, claims are passed onto dental consultants for manual review. This process is time consuming and expensive and fraught with limitations which allow for significant fraud, waste, and abuse (FWA) estimated at $12.5 billion lost every year.
In this session, Videa’s CEO and Chief Dental Advisor, Florian Hillen and Michael Hahn, DDS will explore how dental payers can leverage AI to identify fraudulent activity, triage claims to better prioritize which ones get manually reviewed, and deploy faster and more consistent utilization management. They will also dive into what dental payers can expect in the near future with Real Time authorization.
In this session you’ll learn:
- The main types of FWA automatically identified with AI
- How AI can be used to better triage claims for faster processing and more efficient use of dental consultants
- How AI can support a faster and more consistent UM process
- A look into quantifying the value of AI
This webinar is sponsored by:
Founder & CEO of VideaHealth
Florian Hillen is the Founder & CEO of VideaHealth, a MIT spinout and leading dental-AI company working closely with the leading providers, clearinghouses, and dental insurers. Previously, he conducted research projects at the intersection of engineering and social science at MIT’s Institute for Data, Systems and Society and Harvard Business School, worked for McKinsey & Company and founded ninu, a digital healthtech start-up. He holds two masters degrees from MIT in Computer Science and Technology & Policy, a bachelors in Management & Technology and has completed the first State exam in Medicine.
Michael Hahn, DDS
Chief Clinical Strategy Advisor at Videa
Michael Hahn, DDS is the chief clinical strategy advisor at Videa. Dr. Hahn is the former Chief Dental Officer at Cigna Dental and Dental Director at Aetna. Dr. Hahn advises Videa on strategy and clinical decisions towards building the most efficient and effective AI solutions for dental insurers.
Dr. Steven Keller (Moderator)
Dr. Steven Keller has been a recognized leader, and one of the pioneers, in the dental insurance industry for over thirty-five years. He was the Founder and President of Consumer Dental Care Co., one of the first dental managed care companies in the Mid-Atlantic area. After the company's acquisition by DentaQuest in 2001, Steve served as DentaQuest's vice president of Business Development until 2009, leading all merger and acquisition initiatives. During his tenure, the company grew from 2 million to 14 million members.
After retiring in 2009, Steve grew a bit restless and returned to work in 2013 as an independent Dental Industry Consultant. Since then, he has successfully represented both Buyers and Sellers of dental insurance companies. He has used his industry insight and broad network of key insurance executives to assist numerous clients, such as a genetic testing company and a manufacturer of dental devices, to find the right audiences for their innovative products. He is also engaged as an advisor to assist in business development and lead generation by a Company that has a proprietary software solution to detect fraud, waste and abuse. In addition, he has assisted companies in strategic planning, provider network development and the purchase and sale of dental practices.
Dr. Keller has been a longtime NADP member and volunteer. He has been a recipient of the Gabryl Award, served on the Board of Directors, chaired the Membership Commission, moderated our Webinar series for the past 4 years, along with serving in many other volunteer positions including:
- NADP Board of Directors
- Chair of the Membership Comm for approximately 10 years
- Gabryl Award winner
- Three previous Star Awards
- Board of NADP Foundation
- Education Commission
- Webinar moderator since 2014
- Non-member - Free!
- Full Voting Member - Free!
- Non-Voting Member - Free!