Here's another good example of where AI is working in dentistry in a non-clinical application. I'm not ready to turn my life over to our robot overlords yet, but there are definitely non-clinical ways that AI can help us manage our data.
One of those things is coming to dentistry from the ADA. I know I've mentioned the ADA a lot in posts recently, but one of the reasons for that is their increasing communication with members. In the past 6-12 months the ADA has done a much better job of keeping members informed, not only about internal matters, but about the profession in general and how they are working to make it better. This post deals with one of those areas where AI can be a huge benefit to doctors. No one wants *more* paperwork in their office and this should help eliminate some.
For those that are unaware of this, for the past seven years, the ADA has been offering a service called CAQH the works with third party payers in credentialing. Almost every dental insurance company wants to make sure that the doctors they work with are licensed and capable of providing standard of care treatment. To ensure that, doctors are required to go through a credentialing process that involves submitting things like their state license, NPI, DEA registration, and more.
Of course things change so re-credentialing is required on a regular basis. Going through that process for several companies can be arduous and tedious. To help cut the redundancy of going through the process with every company, the ADA set up the CAQH Provider Data Portal. Instead of every dentist sending the same info to every insurance company they deal with, dentists can store their data in the portal and companies can pull it from there. That means a doctor only needs to update their info as required by CAQH (every 120 days) and not go through the same process for every company.
Now the ADA has partnered with LightSpun to bring AI into the process. According to the ADA:
“By integrating advanced AI technology through our collaboration with LightSpun, the ADA can now deliver a solution that builds on the strong dentist utilization of CAQH while introducing AI-powered automation to complete primary source verification and onboarding, significantly reducing administrative burden, duplicative work, and credentialing delays.”
The ADA has reached out to dental insurance plan administrators urging they accept credentialing through the new service. To read the full article from ADA News, you can follow this link.
To learn more about the ADA Delecgated Credentialing Service and the ADA-CAQH Provideer Data portal, you can find all of that info here.
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