Welcome to real world expertise! Our company owners have over 45 years combined experience in the dental industry and we have an experienced, long-term staff that averages 10 years with our company.
Our commitment to Signature Service means all of our clients work with an experienced staff that focuses on the unique needs of the solo dentist. We work with a limited number of clients each month to ensure you get the attention you deserve.
Please check out the brief video to meet Sandi and learn more about what makes our company unique.
We work with solo practice business owners with no more than one location and no more than one Dentist. We do not handle practice purchases, transitions or corporate clients.
Unlock the PPO was founded on the commitment to add value to Established Practices by negotiating the best possible insurance participation for our clients with a focus on PPO strategy in a fast moving industry. We will help you quantify the impact of improving the performance of your PPO contracts. By looking ahead to the impact insurance participation will have on your cash flow and longer-term profits you are already well ahead of the curve! We talk with far too many practices who regret the initial fees they agreed to, often with no negotiations. The good news is that strategy changes are always changing and you have the ability to re-evaluate your practice for better positioning.
Note that it usually takes 90 days for negotiations. Once you have accepted a contract and your application has been submitted it can take a few weeks or several months (sometimes 4-6 months) to be considered in-network by the insurance company so start early!
Want More Details About How We Work with Established Practices?
- We do a third party fee analysis to help set your fees properly and discuss this with you during our first call.
One question we are commonly asked is if you can set your fees high at the beginning then lower them later. The answer is no, do not attempt to artificially inflate fees upfront thinking that you'll get better negotiations and then drop them later. When we are negotiating we are representing to the reps carriers what your real fees are and your cash fees need to represent what you will be billing out on claims going forward. Part of the reason we get good results for our clients is because we've developed a good reputation with reps for being strong advocates for the doctors we work with. This reputation always works in our client's best interest, both from a pure ROI standpoint as well as from a long-term relationship standpoint. There is too much money at state for the long run to risk putting any future increases at risk. Start your contract off right with these carriers and then require them to live up to their end of the contract as well.
During this first call we will also work with you to define your top codes that will be most important for negotiations. Usually about 30 codes make up about 90% of an office’s production so we will work with you on a targeted number of codes to get the best payoff.
- Let the renegotiations begin! We’ll get new offers finalized and then have a second call to review the profit differences, strategy options and make recommendations.
- Once decisions are made, we’ll coordinate the paperwork and follow up to be sure your effective dates are all in place as planned.
- Copies of all final fee schedules and contracts will be placed in a permanent online account for you to access at any time.