- HIPAA Compliance
- ADA Certified Standards
- 787-589-8126 · 1-800-636-8045
- Customer Service Mon–Fri • 7 AM – 7 PM
- 636 San Patricio Ave., San Juan, PR
ABOUT US
Who We Are
NetClaim Solutions Inc. is a Management Services Organization (MSO) specializing in the administration of dental benefits for Medicare Advantage, government-sponsored health plans, and commercial lines of business.
With over 15 years of experience in Puerto Rico’s dental market, we specialize in the administration of dental programs, with a strong focus on quality, regulatory compliance, and cost optimization.
VISION
To lead the healthcare industry as a Management Services Organization, where strategic direction, clinical rigor, and technological execution are integrated into an experience-centered model that fosters trust, efficiency, and sustainable outcomes.
WHAT DO WE DO?
Specialized Dental Management Services
At NetClaim Solutions, we are your strategic partner in dental benefits administration.
Strategic and Administrative
- Network Management
- Provider Services and Support
- Contact Center Management
- Regulatory Compliance
Clinical and Operational Management
- Utilization Management
- Quality Management
- Fraud, Waste, and Abuse (FWA) Prevention
- Clinical Operations and Dental Claims Processing
Decision Support & Technology
- Data Management and Administration
- Analytics and Reporting
- Web Communication Platforms and Cloud Solutions
We are committed to advancing quality standards, improving operational efficiency, and supporting the delivery of safe, high-quality dental care.
Certifications
Our certifications demonstrate the company’s commitment to quality, compliance, and operational excellence, ensuring reliable processes aligned with the highest industry standards. We hold prestigious certifications such as HITRUST and URAC, which reinforce our focus on cybersecurity, organizational accountability, and patient safety.
NetClaim Solutions has achieved URAC
Full Accreditation in Health Utilization Management.
These certifications not only validate the reliability of our operations but also strengthen the trust of our clients and partners. By adhering to industry best practices, we foster efficiency, transparency, and excellence in every aspect of our work.
NEWS
Latest News
Stay up to date with the latest news from NetClaim Solutions.
Here you will find updates, announcements, and important communications about our services, innovation, and the dental healthcare industry.
Ready to optimize your dental benefits management?
Our team is available Monday through Friday from 7:00 a.m. to 7:00 p.m.