Separating the Meat from the Sizzle of AI: A case study of practical considerations for integrating artificial intelligence technology into a utilization review workflow

Wednesday, September 21
2:15 PM – 3:15 PM

From better serving members and improving relationships with providers to discovering operational efficiency gains, there’s good reason for industrywide excitement around the potential impact AI-powered dental image analysis can have on dental payer operations. However, AI-assisted utilization review is not a one-size-fits-all implementation; without careful considerations, it’s easy to get burned by the sizzle of artificial intelligence. To ensure the costs of integrating AI into utilization review (UR) processes are managed and efficiency goals are met, the context of an organization’s current operations needs to be thought through, and the right expectations should be set surrounding every step of implementing AI. In this presentation, P&R Dental Strategies claim and utilization review experts will walk through a real-world case study of an AI-assisted dental utilization review process. P&R will explore cost considerations, successes, learnings around efficiency gains, and other key takeaways. As dental claim review experts, P&R aims to highlight factors that dental payers should consider when implementing AI technology into their utilization review process. In addition, P&R plans to discuss what underlying data and supplemental analytics are required for payer teams to get the most efficiency gains out of AI technology. Plus, P&R will explore the latest progress on the artificial intelligence initiatives they are developing with their strategic partner, Denti.AI Technology Inc.

Michael Urbach
President, P&R Dental Strategies

Mike is the president of new markets of P&R Dental Strategies and is responsible for overseeing all aspects of driving revenue growth for our dental analytics business solutions in new markets. Mike has over 20 years of experience in the healthcare informatics space and has developed and successfully sold a variety of informatics solutions to all stakeholders in the healthcare marketplace, including payers, providers, suppliers and consumers. Mike has worked at large and small informatics companies, including HCIA, Solucient, Pharmetrics and IMS Health. He has a BA from Syracuse University, an MBA, and an MHA from the University of Pittsburgh.