• Mexican Dental Claims Adjudication

    DCAL™ is a secure and innovative web-based system that allows the claims handler to quickly and efficiently adjudicate dental claims originating in Mexico.

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  • Combat Fraud & Abuse

    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.

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  • Reasonable & Customary Rates

    When compared to reasonable and customary rates the average Mexican dental claim is overbilled by 170%.

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Why Use Comply Systems

With an average savings of $770 per claim originating from Mexico, utilizing DCAL™ can help your organization combat abusive billing pratices.

Substantial Savings

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%

Comprehensive Reporting

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.

No Risk

Utilize DCAL™ with no risk as we offer:

  • A multi-million dollar per incident E&O insurance policy
  • Unlimited users
  • Unlimited claims
  • No setup fees
  • No hidden service fees
  • Percentage of savings billing model. Billed monthly based on the savings realized.

Regulatory Fraud Waste and Abuse Compliance

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.



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