What Is Fluent Dental?
Fluent is a dental data analytics and payer services company that has spent nearly three decades building tools for the other side of the dental equation -- the insurance companies. While most dental software serves providers (the dentists), Fluent serves payers (the insurance companies and benefit plan administrators that reimburse dentists).
Fluent's core offering is Professional Claim Review -- outsourced dental utilization review where licensed dentists analyze claims on behalf of payers to ensure services are medically necessary and properly documented. This service has been URAC-accredited since 2010 and handles claim review for dental benefit organizations of all sizes.
Beyond utilization review, Fluent offers a comprehensive suite of payer tools: network development and credentialing, fraud/waste/abuse detection (DentAlert), fee benchmarking (DentaFee), provider quality ratings (DentaQual), member engagement tools, and AI-powered claim review technology (SmartClaim Solutions Suite).
In 2024, Fluent acquired Delegated DDS to expand its credentialing capabilities, reinforcing its position as the comprehensive dental payer solutions platform.
Key Features
Professional Claim Review
Outsourced dental utilization review with URAC accreditation. Licensed dentists review claims for medical necessity and documentation compliance. Scalable to meet volume fluctuations. Coverage across all 50 states.
SmartClaim Solutions Suite
AI-powered utilization review technology that targets only claims warranting deeper scrutiny, rather than reviewing all claims or relying solely on AI image review. More cost-efficient than blanket review approaches.
Network Development Module
Web-based tool for recruiting, building, and managing provider networks. Provider mapping, network strength analysis, and recruitment tools.
Credentialing Platform
NCQA-accredited credentialing services including delegated credentialing, CVO services, and payer enrollment. AI-powered credentialing platform acquired through Delegated DDS.
DentaFee Benchmarking
Fee schedule benchmarking by specialty, CDT code, and ZIP code. Compare in-network and out-of-network allowed amounts against market rates.
DentAlert (Fraud, Waste & Abuse)
Provider profiling and outlier detection. Identifies providers with unusual billing patterns before costly problems arise.
DentaQual Provider Ratings
Objective dental quality and performance measurement. Star ratings and scorecards for member directories to help patients make informed choices.
Member Wellness (go2dental)
Digital wellness tools and educational content for dental plan members. Increases member engagement and satisfaction with dental benefits.
Pros
- 25+ years as the dental utilization review leader -- URAC-accredited since 2010
- Comprehensive payer platform covering claims review, credentialing, network management, and analytics
- Dental-specific -- not a generic healthcare payer tool adapted for dental
- AI-powered SmartClaim targets reviews efficiently rather than reviewing everything
- National coverage with licensed dentists in all 50 states
Cons
- Not for dental practices -- this is a payer/insurance company tool
- Enterprise pricing not published or accessible to individual practices
- Niche audience means limited public reviews or user feedback
- Complex product suite with many branded tools to understand
- Long sales cycles typical of enterprise B2B healthcare contracts