DCAL™ is a secure and innovative web-based system that allows the claims handler to quickly and efficiently adjudicate dental claims originating in Mexico.Learn More
Providing ongoing monitoring and audit functions as well as the ability to promptly detect offenses related to FWA on the part of Mexican dental providers and billing agencies.Learn More
When compared to reasonable and customary rates the average Mexican dental claim is overbilled by 170%.Learn More
With an average savings of $770 per claim originating from Mexico, utilizing DCAL™ can help your organization combat abusive billing pratices.
Over the course of eight years processing Mexican Dental Claims, we have found the following:
Percentage of Claims Overbilled: 98%
Avg Percentage Over-billed Per Claim: 170%
Avg Savings Per Claim: $770
Percentage of Claims With Possible License Fraud: 58%
Percentage of Claims With Possible T.I.N. Fraud: 45%
Understanding your Mexican dental claim data is important. The system comes with 12 standard reports that allow you to visualize every aspect of your claim data. If the system doesn't meet a specific reporting requirement, we will create custom reports free of charge.
Utilize DCAL™ with no risk as we offer:
Today's regulatory environment dictates that companies institute a robust anti Fraud Waste and Abuse (FWA) program. Utilization of DCAL™ in the adjudication of foreign dental claims prevents financial loss and can be incorporated as part of the company’s compliance plan.
Federal Sentencing Guidelines set forth the 7 elements of an effective compliance program. DCAL™ can be an integral part of an effective compliance program by providing ongoing monitoring and audit functions as well as the ability to promptly detect offenses related to FWA on the part of Mexican dental providers and billing agencies.