AICQ is the dental-specific intelligence platform that gives carriers total visibility into their provider network. We don't just audit claims — we fingerprint how providers actually practice, and turn that intelligence into recovery, smarter networks, and better care.
Move the sliders to model your exposure. The default 5% waste rate is conservative — ADA, CMS, and industry studies put dental FWA at 3–10% of claims spend, with up to 95% going undetected by rules-based systems.
2,000,000 lives × $30 PMPM × 12 months = $720M annual claims
Directional estimate for executive conversation. AICQ delivers a carrier-specific ROI model on actual claims data during diligence — not a generic spreadsheet.
We score every dentist in your network across the dimensions that actually predict cost and outcomes — then tier them 1–5 so your team can reward the best, manage the rest. Defensible, evidence-based, and explainable to credentialing.
Four pillars, calibrated to your network's actual practice patterns and benchmarked against ADA, CDC, USPSTF, and PubMed standards.
Recall adherence, fluoride utilization, sealants, exam cadence.
Restoration durability, retreatment rates, complications, appeals.
Procedure mix vs. peers, fee positioning, value-aligned care.
Member retention, treatment plan completion, coordination.
Quality scores update continuously. See providers improving — or degrading — before it becomes a network problem.
Tiering supports targeted fee adjustments, P4P incentives, and value-based contracting — not just pass/fail decisions.
Most platforms inspect claims one at a time. We profile how each provider actually practices across dozens of behavioral signals simultaneously — then run two engines off the same fingerprint: a quality score and an FWA risk score. That shared substrate is why we catch what rules-based systems miss.
Six capabilities, one unified dashboard, one provider profile. The AI assistant lets your team query the entire network in plain English — no SQL, no reports queue.
Behavioral models surface upcoding, unbundling, phantom billing, and overtreatment that static rules will never find.
Every provider scored and tiered using your specific claims data. Reward the best. Manage the rest.
Regional fee benchmarking and network fee indexing. Know exactly where you're overpaying versus market.
Track retreatment rates, complications, restoration durability, and preventive coverage across your full book.
Objective scorecards build tiered networks, P4P incentives, and value-based contracts — the data foundation carriers need.
Investigators get a heat map ranked by estimated dollar impact — not a phone book of unsorted tips.
We took a fundamentally different approach — and that's exactly why we catch what they miss.
No IT project. No multi-year implementation. If you can export claims data today, you can be live with AICQ. We build the ingestion pipeline on our side, map to your formats, and handle every transformation.
837D / 835 EDI · SFTP · API · standard flat files. Your team sends files — we handle the rest.
Every dentist profiled across dozens of behavioral signals simultaneously.
Tier 1–5 quality scoring plus FWA risk ranking with dollar exposure.
Steerage, fee strategy, SIU case files, value-based contract design.
We built AICQ because we saw what was missing. Proven operators across the carrier, technology, and operations sides of dental — building the platform we wished existed.
Great — we catch the 95% it misses. We're a force multiplier, not a replacement. Run a side-by-side and let the dollars decide.
At $30 PMPM, even 5% waste on your book is material. Let us run the math on your numbers — your CFO will be interested.
New company, proven operators with 50+ years across carriers, DSOs, and clinical practice. Shared-savings model — we only get paid when you do.
60–90 days to first actionable insights. No multi-year implementation. No IT project. No timeline risk. Value, fast.
Full HIPAA compliance — BAA, AES-256 encryption, US-only infrastructure. Built to the standards your largest carrier partners already require.
Yes — pilots on a defined subset of your book are standard. Most carriers move to full deployment within six months once they see the dollars.
Three steps to clarity on your exposure — and your savings opportunity.
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