AI: The New Standard for Utilization Review
Overjet’s Clinician-built Claim Intelligence platform, trusted by leading dental insurers, uses industry leading AI to streamline utilization review, providing faster coverage decisions for over 100 million members.
Overjet instantly recommends approval of claims that meet criteria for over 350+ CDT codes, and, for in-depth reviews, is the only dental AI company to power a marketplace for clinical review capacity.
Overjet’s Clinician-built Claim Intelligence platform, trusted by leading dental insurers, uses industry leading AI to streamline utilization review, providing faster coverage decisions for over 100 million members.
Overjet instantly recommends approval of claims that meet criteria for over 350+ CDT codes, and, for in-depth reviews, is the only dental AI company to power a marketplace for clinical review capacity.
Unleash the Power of AI and Partner with the Leading Dental Platform for Payers
AI Recommendations
AI-powered claim approvals or pends based solely on your benefit guidelines. Improve quality and consistency of review by removing subjectivity and high volume manual review
Augmented Workflow
Overjet’s workflow support platform is designed to manage complex aspects of review. Consolidate data and reviewers all in one secure platform to support efficient and accurate final benefit decisions
Marketplace for Accredited Reviewers
Extend your team’s capacity through our platform’s marketplace for licensed clinical review agents. This allows you to tap into additional, pre-vetted capacity of clinical reviewers that leverage the criteria that your plan outlines as a guide. This eliminates overhead costs and ensures claims are reviewed quickly, accurately based on your plans, and compliantly
Gain efficiency with comprehensive, modern & scalable claims administration
No one needs to tell you that insurance companies are in a tough spot: You process a vast number of claims, and when you reject the few that don’t meet necessity criteria, you become the bad guy to patients and providers.
- Millions of dollars spent by each payer for limited review
- Inconsistent decisions lead to high appeals
- 5% fraud, waste, abuse still makes it through
Overjet makes things easier for your team.
We use powerful AI tools to analyze radiographs — the primary means for detecting dental problems — and give you detailed, granular insights about any pathologies that exist to better inform your benefits decisions. The objective system reduces human error, ensures consistency and maximizes efficiency.
790%
Actual ROI achieved in 5 months for SRP and Crowns/CBU (Client with ~8M commercial membership)
$4MM
Net savings 6 months. (Client with ~8M commercial membership)
Unlock the Benefits of Overjet
With AI that Streamlines Utilization Review for Payers, Providers, and Members
Enhance the Quality of Your Claims Review
Enhance the Quality of Your Claims Review
With Overjet’s configurable AI, claims are reviewed objectively based solely on your clinical criteria. Overjet will recommend approval if a claim meets criteria and route more complicated cases for manual clinical review.
Improve Efficiencies and Modernize Your Claims Review in a Single Platform
Improve Efficiencies and Modernize Your Claims Review in a Single Platform
Make Overjet your single source of truth for making final benefit decisions. Equip your dental consultants with an end-to-end claim review platform to manage complex aspect of claim review, keep all your data and reviewers in one place and help enable faster, more consistent benefit decisions
Cost-Effective, Efficient Claims Review with Dental Consulting Services
Cost-Effective, Efficient Claims Review with Dental Consulting Services
Alongside our AI-powered approval recommendations, Overjet is the only dental AI company that offers URAC-accredited utilization review services* to handle the claims review process from end-to-end in compliance with all applicable laws and regulations and minimize operational costs by leveraging a network of dentists with decades of experience.
Strengthen the Payer-Provider Relationship
Strengthen the Payer-Provider Relationship
Overjet’s AI-powered platform automates approvals in minutes, increasing administrative and clinical efficiency while strengthening the provider relationship. Providers will benefit from faster dental benefit payments through efficient claims processing and standardized, consistent reviews that minimize appeals. Overjet’s AI flags missing data and prompts providers for additional information, improving communication and minimizing delays in decisions to provide a stronger member and provider experience.
Discover Why Top Dental Insurers Choose Overjet
Highly configurable industry leading AI
Overjet is the only AI company with a configurable rules engine that learns your benefit guidelines to make objective recommendations on medical necessity with unmatched accuracy and precision.
First-of-its-kind augmented workflow support
Overjet offers a workflow support tool for administrative and clinical reviewers. It increases efficiency and consistency by consolidating data in one place and surfacing insights to streamline manual reviews.
Our Platform: Powerful AI + Marketplace for Review Capacity
Our AI automatically reviews claims based on your plans’ criteria and routes claims for approval. As part of our platform, we also power a marketplace for licensed clinical review agents. This allows you to tap into additional, pre-vetted capacity of clinical reviewers that leverage the criteria that your plan outlines as a guide.
Guardian Life Insurance Company
Guardian Life continues to be committed to facilitating the best oral health care possible for our members. By partnering with Overjet, we are able to leverage AI technology to improve the consistency of our dental claim review process while ensuring that we are able to make decisions based on the most precise clinical data.
Dr. Randi S. Tillman
Former Chief Dental Officer
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See for yourself why Overjet is #1 and trusted by some of the largest insurance companies..