An AI-Powered Platform to Optimize the Utilization Management Process
NASHUA, N.H., Sept. 16, 2025 /PRNewswire/ -- Fluent™, the leading provider of intelligent AI-powered oral health analytics software and services, announced the launch of SmartClaimFocus™, a new platform designed to help payers identify Fraud, Waste, & Abuse (FWA) opportunities, strengthen adjudication strategies, and improve utilization management efficiency.
SmartClaimFocus combines dental claims data from DentaBase®, the largest multi-payer dental claims database, and Fluent's AI-powered, algorithm-driven rules engine to reduce noise and sharpen decision-making. By continually analyzing each client's paid claims history in the context of practice pattern benchmarks, the platform identifies the most statistically significant outliers and highlights procedural areas where review will have the most significant impact. This intelligence enables payers to efficiently allocate resources where they'll see the most significant return: reducing unnecessary costs, refining adjudication strategies, and driving smarter, data-backed decision-making.
SmartClaimFocus at a Glance:
- Provider-Level Breakdown: Users can drill down within each procedure rule to see which specific providers are most frequently flagged for risky or outlier behavior, enabling a targeted approach to reviews.
- Rule Prioritization: Rules are ranked by FWA impact, allowing users to focus on the highest-impact opportunities first.
- Focused Review: After pinpointing high-impact risk areas, users can select specific providers and CDT codes for targeted review and monitor review volume and realized savings directly within the platform.
- Processor View: Shows where adjudication processes are intercepting standard FWA processing rules, along with the financial impact, providing granular insight into the effectiveness of specific rules.
- Data Export: All views support data export, making it easy for teams to share information and coordinate follow-up actions.
- FWA Impact: Users can estimate potential impact tied to inactive rules to identify opportunities for increased efficiency and cost savings.
"Payers need tools that bring clarity to complex claims data," said Paul Sheils, CEO of Fluent. "SmartClaimFocus makes it easy to see where savings are being realized, where opportunities are being missed, and how to align resources for the greatest impact. It's about making claim review more strategic, not more complicated."
SmartClaimFocus identifies inappropriate behavior and puts hidden risks front and center, giving payers one platform to detect, prioritize, and act where it matters most. Its launch on the Fluent platform marks a key milestone in Fluent's ongoing innovation, with more products coming soon to further establish Fluent as the go-to source of truth for payer clients.
For more information about Fluent and its dental business intelligence solutions, visit Fluent.Dental.
For business inquiries, please contact:
Fluent Business Development: [email protected]
About Fluent™
Fluent is the trusted oral health analytics platform, uniting deep data, intelligent AI, and expert services to fuel more competent care, operational efficiency, and whole-person health. With a platform built on 6.6 billion dental claims, growing over 10% annually and fed by 70+ national and regional payers, Fluent provides continuous analytics across more than 225,000 dentists, 189,000+ locations, and 110 million commercially insured patients. Fluent supports payers, providers, and suppliers across the dental ecosystem with solutions including utilization management, provider lifecycle management, and advanced analytics, empowering smarter decisions and improved outcomes.
Website: Fluent.Dental
LinkedIn: https://www.linkedin.com/company/fluentdental
Twitter: https://twitter.com/FluentDental
Media Contact:
Ross L. Allred: Fluent Director of Growth Marketing: 1.609.783.9011: [email protected]
About The 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 its inception. For more information, please visit www.thebeekmangroup.com.
Media Contact:
Crystal Smith: The Beekman Group Principal, Investor Relations: [email protected]
Ross Allred
Director of Growth Marketing
Fluent
[email protected]
This release was issued through WebWire®. For more information, visit http://www.webwire.com.
SOURCE Fluent
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