PPO strategy and credentialing when you’re buying a dental practice
PPO strategy and credentialing when you’re buying a dental practice
PPO strategy and credentialing when you’re buying a dental practice
The seller’s PPO participation does not transfer automatically. Review inherited plans, fee schedules, and shared-network paths, then build the buyer-side contracting and credentialing plan. Plan for a possible out-of-network gap before and after closing.
Julie · Delicia
Carrier Relations · Executive Consultant
Since
2010
Industry Pioneer
Focus
Privately owned
We do not work with DSOs
Team
~10 yr tenure
Average tenure with Unlock the PPO
In-house
Experienced staff
No overseas outsourcing
Support
Dedicated consultant
Personal support and attention
Since
2010
Industry Pioneer
Focus
Privately owned
We do not work with DSOs
Team
~10 yr tenure
Average tenure with Unlock the PPO
In-house
Experienced staff
No overseas outsourcing
Support
Dedicated consultant
Personal support and attention
Since
2010
Industry Pioneer
Focus
Privately owned
We do not work with DSOs
Team
~10 yr tenure
Average tenure with Unlock the PPO
In-house
Experienced staff
No overseas outsourcing
Support
Dedicated consultant
Personal support and attention
Why practice buyers hire Unlock the PPO
Why practice buyers hire Unlock the PPO
Why practice buyers hire Unlock the PPO
We review authorized seller records, map direct and shared-network participation, build the buyer’s PPO strategy, and lead negotiations, contracting, credentialing, and effective-date follow-up.
We review authorized seller records, map direct and shared-network participation, build the buyer’s PPO strategy, and lead negotiations, contracting, credentialing, and effective-date follow-up.
We review authorized seller records, map direct and shared-network participation, build the buyer’s PPO strategy, and lead negotiations, contracting, credentialing, and effective-date follow-up.
The seller’s direct and shared-network participation, fee schedules, and carrier records may not match the new owner’s goals. We review the available records and explain the buyer-side options. We then lead negotiations and alternatives, contracting, associated credentialing, effective-date tracking, and final team handoff. Plan for a possible out-of-network gap during the transition.
The seller’s direct and shared-network participation, fee schedules, and carrier records may not match the new owner’s goals. We review the available records and explain the buyer-side options. We then lead negotiations and alternatives, contracting, associated credentialing, effective-date tracking, and final team handoff. Plan for a possible out-of-network gap during the transition.
The seller’s direct and shared-network participation, fee schedules, and carrier records may not match the new owner’s goals. We review the available records and explain the buyer-side options. We then lead negotiations and alternatives, contracting, associated credentialing, effective-date tracking, and final team handoff. Plan for a possible out-of-network gap during the transition.
Do not assume the seller’s PPO contracts transfer or terminate automatically. Confirm each buyer-side path with the carrier in writing. Unlock the PPO does not provide legal, tax, valuation, or transaction advice.
Do not assume the seller’s PPO contracts transfer or terminate automatically. Confirm each buyer-side path with the carrier in writing. Unlock the PPO does not provide legal, tax, valuation, or transaction advice.
Do not assume the seller’s PPO contracts transfer or terminate automatically. Confirm each buyer-side path with the carrier in writing. Unlock the PPO does not provide legal, tax, valuation, or transaction advice.
Delicia · Julie
Executive Consultant · Carrier Relations
Dr. Jeena Devasia
McLean, VA
Their team makes a complicated process easy and effective. They also see through the results until the very end.
Privately owned practices only
We do not work with large group practices or DSOs.
One flat project fee
No percentage of increases. No retainer.
How the purchase-transition process works with Unlock the PPO
How the purchase-transition process works with Unlock the PPO
How the purchase-transition process works with Unlock the PPO
You get a buyer-side participation plan, clear calls about the options, and implementation led by the same experienced in-house team. We limit new clients each month so your consultant can stay involved through the ownership transition.
You get a buyer-side participation plan, clear calls about the options, and implementation led by the same experienced in-house team. We limit new clients each month so your consultant can stay involved through the ownership transition.
You get a buyer-side participation plan, clear calls about the options, and implementation led by the same experienced in-house team. We limit new clients each month so your consultant can stay involved through the ownership transition.
Dr. Hiren Patel
Tucker, GA
I learned a lot from this whole process, working with Unlock the PPO has been a game changer for our practice. I was hesitant and uncertain about making changes but after seeing the results I wish we would have done this so much sooner!
Step 1
Step 1
Purchase Context & Authorized Records
Purchase Context & Authorized Records
Purchase Context & Authorized Records
We review the purchase context and authorized contracts, fee schedules, participation reports, and carrier records.
We review the purchase context and authorized contracts, fee schedules, participation reports, and carrier records.
Step 2
Step 2
Participation & Fee Analysis
Participation & Fee Analysis
Participation & Fee Analysis
We map direct and shared-network paths, review inherited fee schedules, and identify buyer-side gaps.
We map direct and shared-network paths, review inherited fee schedules, and identify buyer-side gaps.
Step 3
Step 3
Strategy, Negotiations & Alternatives
Strategy, Negotiations & Alternatives
Strategy, Negotiations & Alternatives
We build the buyer’s participation strategy, pursue appropriate negotiations, and compare practical alternatives.
We build the buyer’s participation strategy, pursue appropriate negotiations, and compare practical alternatives.
Step 4
Step 4
Buyer Decisions
Buyer Decisions
Buyer Decisions
We review the options with you before you choose each buyer-side participation path.
We review the options with you before you choose each buyer-side participation path.
Step 5
Step 5
Implementation, Follow-Up & Handoff
Implementation, Follow-Up & Handoff
Implementation, Follow-Up & Handoff
We lead contracting, associated credentialing, effective-date follow-up, verification, organization, and final team handoff.
We lead contracting, associated credentialing, effective-date follow-up, verification, organization, and final team handoff.
What practice owners say about working with us
What practice owners say about working with us
What practice owners say about working with us
Dr. Mark Harris
Riverside, CA
Incredibly knowledgeable team to help navigate the complex web of insurance and third party administrators.
Dr. Archana Johnson
Olney, MD
The whole team is very helpful and responsive to my questions. We had a great experience.
Dr. Priya Madhiwala
Roswell, GA
The whole team at Unlock the PPO was extremely easy to work with throughout the process. They are all very knowledgeable and made this process very easy for us and communication was excellent too! Highly recommend Unlock the PPO and looking forward to working with them in the future.
Dr. Mark Harris
Riverside, CA
Incredibly knowledgeable team to help navigate the complex web of insurance and third party administrators.
Dr. Priya Madhiwala
Roswell, GA
The whole team at Unlock the PPO was extremely easy to work with throughout the process. They are all very knowledgeable and made this process very easy for us and communication was excellent too! Highly recommend Unlock the PPO and looking forward to working with them in the future.
Dr. Archana Johnson
Olney, MD
The whole team is very helpful and responsive to my questions. We had a great experience.
Dr. Mark Harris
Riverside, CA
Incredibly knowledgeable team to help navigate the complex web of insurance and third party administrators.
Dr. Archana Johnson
Olney, MD
The whole team is very helpful and responsive to my questions. We had a great experience.
Dr. Priya Madhiwala
Roswell, GA
The whole team at Unlock the PPO was extremely easy to work with throughout the process. They are all very knowledgeable and made this process very easy for us and communication was excellent too! Highly recommend Unlock the PPO and looking forward to working with them in the future.
Frequently Asked
Questions
Do PPO contracts transfer when I buy a dental practice?
Can I use the seller’s Tax ID or PPO contracts while my credentialing is pending?
When should PPO participation planning begin during a practice purchase?
What participation records are useful for the analysis?
How do shared networks and TPAs affect an acquisition?
Can Unlock determine whether I should buy the practice?
Can fee schedules be negotiated around an ownership transition?
What changes can trigger new contracting or credentialing work?
What if the seller cannot clearly explain current participation?
How do patient-access considerations affect the strategy?
What happens after the buyer makes participation decisions?
Frequently Asked
Questions
Do PPO contracts transfer when I buy a dental practice?
Can I use the seller’s Tax ID or PPO contracts while my credentialing is pending?
When should PPO participation planning begin during a practice purchase?
What participation records are useful for the analysis?
How do shared networks and TPAs affect an acquisition?
Can Unlock determine whether I should buy the practice?
Can fee schedules be negotiated around an ownership transition?
What changes can trigger new contracting or credentialing work?
What if the seller cannot clearly explain current participation?
How do patient-access considerations affect the strategy?
What happens after the buyer makes participation decisions?
Frequently Asked
Questions
Do PPO contracts transfer when I buy a dental practice?
Can I use the seller’s Tax ID or PPO contracts while my credentialing is pending?
When should PPO participation planning begin during a practice purchase?
What participation records are useful for the analysis?
How do shared networks and TPAs affect an acquisition?
Can Unlock determine whether I should buy the practice?
Can fee schedules be negotiated around an ownership transition?
What changes can trigger new contracting or credentialing work?
What if the seller cannot clearly explain current participation?
How do patient-access considerations affect the strategy?
What happens after the buyer makes participation decisions?
Solving Insurance Participation Challenges
for the Privately Owned Dental Practice
Complete the short intake so we can learn about your practice, goals, and PPO situation.
We will respond within 1–2 business days
Solving Insurance Participation Challenges
for the Privately Owned Dental Practice
Complete the short intake so we can learn about your practice, goals, and PPO situation.
We will respond within 1–2 business days
Solving Insurance Participation Challenges
for the Privately Owned Dental Practice
Complete the short intake so we can learn about your practice, goals, and PPO situation.
We will respond within 1–2 business days