Most dentists think of each PPO insurance company as its own separate entity. In reality, that is rarely the case.
Many insurance companies are connected through shared networks, leased agreements, and third party administrators. One contract can affect several insurance plans, even when the names on the insurance cards are completely different. This creates a level of complexity that most practices never see.
This complexity is one of the biggest reasons many offices become frustrated when they try to understand their PPO participation. It is difficult to know which company is making the decisions, which contracts are connected, and where there are opportunities to improve reimbursement.
As practice expenses continue to increase, many offices are still working from fee schedules that have not changed in years. The problem is not always that insurance companies refuse to negotiate. The problem is knowing where to negotiate and how each decision can affect the rest of your network.
That is where PPO Profits makes a difference.
Our team spends every day working through these relationships. We review your current contracts, study how your insurance companies are connected, complete a UCR analysis, and develop a strategy that is specific to your practice. We also complete the credentialing paperwork, communicate directly with insurance companies that work with third parties, and verify that approved fee increases are correctly implemented.
Our goal is simple. We want to help your practice receive fair reimbursement for the dentistry you are already providing without adding more work to your team.
You should not have to spend your time trying to untangle a complicated network of insurance relationships. That’s our job.
If you have ever wondered whether your PPO contracts are what they should be, now is a great time to find out. Understanding how these companies are connected could be the first step toward increasing your practice revenue.
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