Delegated Credentialing

Overjet Delegated Credentialing is an AI-powered solution designed to automate and streamline the entire credentialing workflow for dental providers and DSOs. It eliminates manual processes, accelerates onboarding, and ensures compliance by connecting payers and providers through a unified, intelligent platform.

Features

• End-to-End Credentialing Automation: Covers onboarding, verification, roster management, and recredentialing.
• AI-Powered Verification Checks: Automatically validates licenses, certifications, and provider data.
• Delegated Roster Generation: Creates payer-specific rosters and ingests response files to keep records current.
• Auto-Filled Applications: Generates multiple payer applications with pre-filled provider details and attachments.
• Built-In Committee Workflows: Supports credentialing review processes with integrated tools.
• Sanction & Expiration Monitoring: Tracks provider sanctions and license expirations with proactive alerts.
• Unified Credentialing Suite: Combines all credentialing tasks into one platform for seamless management.

Capabilities

• Real-Time Compliance Monitoring: Ensures providers meet regulatory and payer requirements continuously.
• Scalable Deployment: Supports DSOs of all sizes with flexible credentialing infrastructure.
• Payer Integration: Works directly with insurance companies to streamline delegated credentialing.
• Performance-Based Recredentialing: Uses diagnostic data to validate provider quality and clinical consistency.
• Centralized Data Management: Maintains accurate provider records and simplifies updates.
• Rapid Processing: Reduces credentialing timelines from weeks to seconds.

Benefits

• Accelerated Onboarding: Gets providers in-network faster, improving access to care and revenue flow.
• Reduced Administrative Burden: Minimizes manual tasks and paperwork for staff.
• Improved Compliance: Maintains up-to-date records and reduces risk of payer denials.
• Operational Efficiency: Streamlines credentialing across multiple locations and providers.
• Enhanced Collaboration: Facilitates communication between payers and providers for smoother workflows.
• Cost Savings: Cuts credentialing costs by up to 60% through automation.