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 Clients, using CDT Codes, identify procedures
prone to over-utilization and forward those claims
to Premier Utilization Review.
Utilization review focuses on reviewing only claims
prone to over utilization such as major restorative, periodontal and
oral surgery procedures. We do more than simply review the
expensive claims.
We sort by CDT code and work with each client to
refine which codes should be evaluated according to your plan
certificate.
These claims account for only 5% of claims, but
nearly 25% of total claim costs.
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