PPO fee negotiation and participation strategy for established practices
PPO fee negotiation and participation strategy for established practices
PPO fee negotiation and participation strategy for established practices
Review your current PPO participation, improve fees where it makes sense, and make clear decisions about direct and shared-network paths.
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 established practices hire Unlock the PPO
We review your current participation, build a practice-specific strategy, and lead negotiations, contracting, and associated credentialing through implementation.
Every practice has a different mix of plans, patients, and pressure.
For some offices, it is time to add insurance to fuel growth. For others, it is time to reduce PPO participation in a practice that feels too busy and out of control. Other practices keep the mix and focus on better pay for the work already on the books.
Shared-network agreements add confusion for many offices. We explain how direct and shared-network paths affect your options, so you can review the participation decision with the full picture in front of you.
Julie · Delicia
Carrier Relations · Executive Consultant
Dr. Earl Spader
Tucson, Arizona
The team at Unlock the PPO met all of our expectations and more. They made the whole process easy to understand. We are very glad we chose them for insurance navigation and negotiations.
Why established practices hire Unlock the PPO
We review your current participation, build a practice-specific strategy, and lead negotiations, contracting, and associated credentialing through implementation.
Every practice has a different mix of plans, patients, and pressure.
For some offices, it is time to add insurance to fuel growth. For others, it is time to reduce PPO participation in a practice that feels too busy and out of control. Other practices keep the mix and focus on better pay for the work already on the books.
Shared-network agreements add confusion for many offices. We explain how direct and shared-network paths affect your options, so you can review the participation decision with the full picture in front of you.
Julie · Delicia
Carrier Relations · Executive Consultant
Dr. Earl Spader
Tucson, Arizona
The team at Unlock the PPO met all of our expectations and more. They made the whole process easy to understand. We are very glad we chose them for insurance navigation and negotiations.
Why established practices hire Unlock the PPO
We review your current participation, build a practice-specific strategy, and lead negotiations, contracting, and associated credentialing through implementation.
Every practice has a different mix of plans, patients, and pressure.
For some offices, it is time to add insurance to fuel growth. For others, it is time to reduce PPO participation in a practice that feels too busy and out of control. Other practices keep the mix and focus on better pay for the work already on the books.
Shared-network agreements add confusion for many offices. We explain how direct and shared-network paths affect your options, so you can review the participation decision with the full picture in front of you.
Julie · Delicia
Carrier Relations · Executive Consultant
Dr. Earl Spader
Tucson, Arizona
The team at Unlock the PPO met all of our expectations and more. They made the whole process easy to understand. We are very glad we chose them for insurance navigation and negotiations.
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 process works with Unlock the PPO
You get a clear plan, personal calls to understand the options, and implementation led by the same experienced in-house team. We limit new clients each month so your consultant has time to stay involved throughout the work.
Dr. Levon Sukiasian
Massapequa, New York
The entire team was knowledgeable, efficient, extremely helpful, and made the process stress-free. They were always available to answer my questions and give their advice.
Step 1
Fee Review
We review your cash fees with you. This gives you time to make needed adjustments before negotiations begin.
Step 2
Personal Evaluation Call
We meet with you to review current PPO participation and the effect insurance companies have on the practice now.
Step 3
Negotiations & Participation Paths
We pursue fee-schedule increases and evaluate practical direct and shared-network alternatives. Then we organize the options for an informed decision.
Step 4
Collaborative Decisions
Your consultant presents side-by-side comparisons and estimated financial effects. Together, you decide what to add, keep, renegotiate, reroute, reduce, or leave.
Step 5
Implementation & Handoff
We lead the selected implementation. This includes paperwork, contracting, associated credentialing, effective-date follow-up, verification, organization, and a permanent online handoff of final records and fee schedules.
How the process works with Unlock the PPO
You get a clear plan, personal calls to understand the options, and implementation led by the same experienced in-house team. We limit new clients each month so your consultant has time to stay involved throughout the work.
Dr. Levon Sukiasian
Massapequa, New York
The entire team was knowledgeable, efficient, extremely helpful, and made the process stress-free. They were always available to answer my questions and give their advice.
Step 1
Fee Review
We review your cash fees with you. This gives you time to make needed adjustments before negotiations begin.
Step 2
Personal Evaluation Call
We meet with you to review current PPO participation and the effect insurance companies have on the practice now.
Step 3
Negotiations & Participation Paths
We pursue fee-schedule increases and evaluate practical direct and shared-network alternatives. Then we organize the options for an informed decision.
Step 4
Collaborative Decisions
Your consultant presents side-by-side comparisons and estimated financial effects. Together, you decide what to add, keep, renegotiate, reroute, reduce, or leave.
Step 5
Implementation & Handoff
We lead the selected implementation. This includes paperwork, contracting, associated credentialing, effective-date follow-up, verification, organization, and a permanent online handoff of final records and fee schedules.
How the process works with Unlock the PPO
You get a clear plan, personal calls to understand the options, and implementation led by the same experienced in-house team. We limit new clients each month so your consultant has time to stay involved throughout the work.
Dr. Levon Sukiasian
Massapequa, New York
The entire team was knowledgeable, efficient, extremely helpful, and made the process stress-free. They were always available to answer my questions and give their advice.
Step 1
Fee Review
We review your cash fees with you. This gives you time to make needed adjustments before negotiations begin.
Step 2
Personal Evaluation Call
We meet with you to review current PPO participation and the effect insurance companies have on the practice now.
Step 3
Negotiations & Participation Paths
We pursue fee-schedule increases and evaluate practical direct and shared-network alternatives. Then we organize the options for an informed decision.
Step 4
Collaborative Decisions
Your consultant presents side-by-side comparisons and estimated financial effects. Together, you decide what to add, keep, renegotiate, reroute, reduce, or leave.
Step 5
Implementation & Handoff
We lead the selected implementation. This includes paperwork, contracting, associated credentialing, effective-date follow-up, verification, organization, and a permanent online handoff of final records and fee schedules.
Buying a dental practice? See how we support PPO strategy and credentialing through an ownership transition.
Buying a dental practice? See how we support PPO strategy and credentialing through an ownership transition.
What established practice owners say
Dr. Victa Edwards & Dr. Sam Thalji
Bay City, TX
Sandi and her team were knowledgeable, efficient, and extremely helpful. They made the entire process stress-free and were always available to answer questions and provide valuable advice.
Dr. Gulshan Kumar
Brentwood, CA
Unlock the PPO was professional, knowledgeable, and on point. The meetings were well organized, and Sandi was concise and easy to follow despite continually changing insurance information.
Dr. Todd Southall
Sheridan, WY
They walked me through the process, kept me updated each month, and delivered what they promised. As solo practitioners, we are fortunate to have someone like Sandi in our corner.
Dr. Jennifer Lumbley
Flowood, MS
Sandi and her entire staff have been wonderful throughout this journey. They explained how the insurance negotiation process works, and we have received amazing results.
Dr. Vu Nguyen
Seal Beach, CA
Working with Sandi and her staff was effortless, and communication was great.
Dr. Mohammad Armanazi
Mentor, OH
Sandi and the team were fantastic. They were organized, attentive, available for questions, and prompt in responding to emails. They genuinely looked out for my practice.
Dr. John Lee Jr.
Chino Hills, CA
Sandi and her team are pros. They are knowledgeable, efficient, and excellent to work with. Their services were worth every penny.
Dr. Brittaney Glazer
Murphy, TX
I used Sandi and her team when I started my office and called them again when I needed to evaluate my current contracts. They are easy to work with and provide excellent communication.
Dr. Rachel Trueblood
Cedar Park, TX
They guided our office through the complex process of negotiating fees and contracts. Sandi was responsive, and our production increased after the work was complete.
What established practice owners say
Dr. Victa Edwards & Dr. Sam Thalji
Bay City, TX
Sandi and her team were knowledgeable, efficient, and extremely helpful. They made the entire process stress-free and were always available to answer questions and provide valuable advice.
Dr. Jennifer Lumbley
Flowood, MS
Sandi and her entire staff have been wonderful throughout this journey. They explained how the insurance negotiation process works, and we have received amazing results.
Dr. John Lee Jr.
Chino Hills, CA
Sandi and her team are pros. They are knowledgeable, efficient, and excellent to work with. Their services were worth every penny.
Dr. Gulshan Kumar
Brentwood, CA
Unlock the PPO was professional, knowledgeable, and on point. The meetings were well organized, and Sandi was concise and easy to follow despite continually changing insurance information.
Dr. Vu Nguyen
Seal Beach, CA
Working with Sandi and her staff was effortless, and communication was great.
Dr. Brittaney Glazer
Murphy, TX
I used Sandi and her team when I started my office and called them again when I needed to evaluate my current contracts. They are easy to work with and provide excellent communication.
Dr. Todd Southall
Sheridan, WY
They walked me through the process, kept me updated each month, and delivered what they promised. As solo practitioners, we are fortunate to have someone like Sandi in our corner.
Dr. Mohammad Armanazi
Mentor, OH
Sandi and the team were fantastic. They were organized, attentive, available for questions, and prompt in responding to emails. They genuinely looked out for my practice.
Dr. Rachel Trueblood
Cedar Park, TX
They guided our office through the complex process of negotiating fees and contracts. Sandi was responsive, and our production increased after the work was complete.
What established practice owners say
Dr. Victa Edwards & Dr. Sam Thalji
Bay City, TX
Sandi and her team were knowledgeable, efficient, and extremely helpful. They made the entire process stress-free and were always available to answer questions and provide valuable advice.
Dr. John Lee Jr.
Chino Hills, CA
Sandi and her team are pros. They are knowledgeable, efficient, and excellent to work with. Their services were worth every penny.
Dr. Vu Nguyen
Seal Beach, CA
Working with Sandi and her staff was effortless, and communication was great.
Dr. Todd Southall
Sheridan, WY
They walked me through the process, kept me updated each month, and delivered what they promised. As solo practitioners, we are fortunate to have someone like Sandi in our corner.
Dr. Rachel Trueblood
Cedar Park, TX
They guided our office through the complex process of negotiating fees and contracts. Sandi was responsive, and our production increased after the work was complete.
Dr. Jennifer Lumbley
Flowood, MS
Sandi and her entire staff have been wonderful throughout this journey. They explained how the insurance negotiation process works, and we have received amazing results.
Dr. Gulshan Kumar
Brentwood, CA
Unlock the PPO was professional, knowledgeable, and on point. The meetings were well organized, and Sandi was concise and easy to follow despite continually changing insurance information.
Dr. Brittaney Glazer
Murphy, TX
I used Sandi and her team when I started my office and called them again when I needed to evaluate my current contracts. They are easy to work with and provide excellent communication.
Dr. Mohammad Armanazi
Mentor, OH
Sandi and the team were fantastic. They were organized, attentive, available for questions, and prompt in responding to emails. They genuinely looked out for my practice.
Frequently asked questions
When should I renegotiate my PPO contracts?
How long does the PPO negotiation process take?
What can Unlock the PPO do that I can't do myself?
How do I know if my PPO fee schedule is too low?
Do you offer a guarantee?
Which PPOs will negotiate?
Can I drop a PPO contract if the reimbursement is too low?
What if I don't even know what PPOs I have in place now?
I'm too busy or not busy enough...how do I know when to add or drop plans?
What makes Unlock the PPO different from other PPO consulting firms?
Frequently asked questions
When should I renegotiate my PPO contracts?
How long does the PPO negotiation process take?
What can Unlock the PPO do that I can't do myself?
How do I know if my PPO fee schedule is too low?
Do you offer a guarantee?
Which PPOs will negotiate?
Can I drop a PPO contract if the reimbursement is too low?
What if I don't even know what PPOs I have in place now?
I'm too busy or not busy enough...how do I know when to add or drop plans?
What makes Unlock the PPO different from other PPO consulting firms?
Frequently asked questions
When should I renegotiate my PPO contracts?
How long does the PPO negotiation process take?
What can Unlock the PPO do that I can't do myself?
How do I know if my PPO fee schedule is too low?
Do you offer a guarantee?
Which PPOs will negotiate?
Can I drop a PPO contract if the reimbursement is too low?
What if I don't even know what PPOs I have in place now?
I'm too busy or not busy enough...how do I know when to add or drop plans?
What makes Unlock the PPO different from other PPO consulting firms?
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