Fluent™ Launches SmartClaim™ Solutions Suite to Deliver Data-Driven, Cost-Efficient Utilization Review

Fluent™, the leader in oral health analytics, today introduced the SmartClaim™ Solutions Suite, designed to modernize utilization review with a more strategic, cost-efficient approach. Rather than reviewing all claims or relying solely on AI-powered image review, approaches that are often costly and unnecessary, the SmartClaim™ Solutions Suite targets only the claims that truly warrant deeper scrutiny.

SmartClaimSelect™: Targeted, Data-Driven Review

SmartClaimSelect™ integrates deep data insights with optional AI-powered image review to detect fraud, waste, and abuse (FWA), strengthen adjudication, and improve operational efficiency without increasing administrative overhead.

“Payers need powerful, data-driven tools that bring clarity and efficiency to evolving and increasing FWA risks,” said Paul Sheils, CEO of Fluent. “SmartClaimSelect™ pairs deep data insights with the option for advanced AI-powered image review technology to help payers intercept FWA while accelerating provider payment in a cost-effective manner.”

Powered by DentaBase®, the industry’s largest multi-payer dental claims database, and Fluent’s unique, AI/ML-driven analytics platform, SmartClaimSelect™ uses a sophisticated, proprietary rules‑based pattern detection engine to flag and rank-order only high‑risk statistical outliers during adjudication, enabling confident and frictionless auto‑adjudication of the remaining claims. The platform’s dynamic analytics are applied daily to detect and report any changes and new trends in outlier behavior.

Fluent’s advanced, optional AI image-review technology can then be deployed against those high-risk statistical outlier claims, ensuring that only the necessary dental images are obtained for a cost-effective, scalable deployment of the AI-powered image analysis engine.

SmartClaimFocus™: Streamlined Focused Review

SmartClaimFocus™ helps payers identify suspicious provider behavior with a lighter technology lift. This SaaS platform deploys Fluent’s powerful SmartClaim™ rules-based pattern recognition engine to perform sophisticated retrospective reviews of claims, highlighting providers and procedural areas most likely to benefit from focused review, allowing payers to deploy resources where they have the greatest impact.

Whether it’s SmartClaimSelect™ or SmartClaimFocus™, Fluent’s SmartClaim™ Solutions Suite gives payers the most powerful and cost-effective suite of tools in the market to reduce FWA, increase efficiency, and accelerate provider payments.

Learn More:

Website: Visit www.fluent.dental for more information. LinkedIn: https://www.linkedin.com/company/fluentdental Twitter: https://twitter.com/FluentDental Business Inquiries: insights@fluent.dental

About Fluent™

Fluent™ is the trusted oral health analytics platform, leveraging 6.6 billion dental records representing over $1.2 trillion in submitted dental treatment charges. With data from 70+ payers, Fluent delivers analytics across 225,000 dentists, 189,000+ locations, and 110 million commercially insured patients, supporting utilization management, provider lifecycle management, and advanced analytics across the dental ecosystem.

Media Contact:

Ross L. Allred, Fluent, Director of Growth Marketing, 1.609.783.9011, insights@fluent.dental

For more information about Fluent and its dental business intelligence solutions, visit www.fluent.dental.

About Beekman Group

The Beekman Group is a private equity firm, based in New York City, focused on building industry-leading companies in the healthcare, consumer, and business services sectors. The firm partners with management teams who desire to be significant owners and create meaningful value by accelerating organic and acquisition growth initiatives. Beekman manages over $1 billion in assets and has completed over 200 transactions since inception. For more information, please visit www.thebeekmangroup.com.

Contacts

Vincent Aiello, The Beekman Group, Chief Financial Officer, info@thebeekmangroup.com

Contact Information

Ross Allred

Director of Growth Marketing

Fluent

(1) 6097839011

rallred@fluent.dental