PPO strategy, contracting, and credentialing for startup dental practices
PPO strategy, contracting, and credentialing for startup dental practices
PPO strategy, contracting, and credentialing for startup dental practices
Before you open, build the right participation mix for your market. We carry those decisions through negotiations, contracting, credentialing, effective dates, and team handoff.
Delicia · Julie
Executive Consultant · Carrier Relations
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 startup practices hire Unlock the PPO
Why startup practices hire Unlock the PPO
Why startup practices hire Unlock the PPO
We provide feedback on practice fees as well as negotiate fees with carriers. We complete credentialing and contracting with all of your chosen networks.
We provide feedback on practice fees as well as negotiate fees with carriers. We complete credentialing and contracting with all of your chosen networks.
We start with the procedure codes that matter most to your office and help you set cash fees before negotiations begin. We review local employers and relevant plans, then build an intentional participation mix for your market. We negotiate and compare final offers so you can make informed decisions.
We start with the procedure codes that matter most to your office and help you set cash fees before negotiations begin. We review local employers and relevant plans, then build an intentional participation mix for your market. We negotiate and compare final offers so you can make informed decisions.
We start with the procedure codes that matter most to your office and help you set cash fees before negotiations begin. We review local employers and relevant plans, then build an intentional participation mix for your market. We negotiate and compare final offers so you can make informed decisions.
Our in-house team carries those decisions through contracting, associated credentialing, effective-date follow-up, and team preparation before opening.
Our in-house team carries those decisions through contracting, associated credentialing, effective-date follow-up, and team preparation before opening.
Our in-house team carries those decisions through contracting, associated credentialing, effective-date follow-up, and team preparation before opening.
Tseday · Tracy
Credentialing Manager · Logistics Manager
Dr. Rambod Fard
Middleton, WI
We were very impressed by the proficiency of everyone (yes, everyone) at Unlock the PPO. They really helped us navigate through the labyrinth of insurance credentialing.
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 startup process works with Unlock the PPO
How the startup process works with Unlock the PPO
How the startup process works with Unlock the PPO
You get a plan for your market, personal review calls, and implementation led by the same experienced in-house team. We limit new clients each month so your consultant can stay involved through opening.
You get a plan for your market, personal review calls, and implementation led by the same experienced in-house team. We limit new clients each month so your consultant can stay involved through opening.
You get a plan for your market, personal review calls, and implementation led by the same experienced in-house team. We limit new clients each month so your consultant can stay involved through opening.
Dr. Casey Thein
Massapequa, New York
Unlock the PPO handled the entire credentialing process for my startup office and I can’t thank them enough for getting me off the ground and running. I knew next to nothing about insurance, But Lisa and her team knew everything and helped me immensely in making the right decisions. Worth every penny.
Step 1
Step 1
Identify Top Codes
Identify Top Codes
Identify Top Codes
We identify the procedure codes that matter most to your planned services and expected production.
We identify the procedure codes that matter most to your planned services and expected production.
Step 2
Step 2
Set Cash Fees
Set Cash Fees
Set Cash Fees
We review your cash fees before negotiations so your starting point supports the practice you plan to build.
We review your cash fees before negotiations so your starting point supports the practice you plan to build.
Step 3
Step 3
Demographic Research
Demographic Research
Demographic Research
We review local employers, market conditions, and relevant plans before recommending a participation mix.
We review local employers, market conditions, and relevant plans before recommending a participation mix.
Step 4
Step 4
Strategy, Negotiations & Decisions
Strategy, Negotiations & Decisions
Strategy, Negotiations & Decisions
We negotiate, compare final offers, and review the options with you before you choose each participation path.
We negotiate, compare final offers, and review the options with you before you choose each participation path.
Step 5
Step 5
Implementation & Handoff
Implementation & Handoff
Implementation & Handoff
We lead contracting, associated credentialing, effective-date follow-up, verification, and team preparation before opening.
We lead contracting, associated credentialing, effective-date follow-up, verification, and team preparation before opening.
Buying an existing practice instead? See PPO strategy and credentialing through an ownership transition.
For more feedback about our services
For more feedback about our services
For more feedback about our services
Dr. Danielle Kerger
Glen Ellyn, IL
I am so pleased I worked with Lisa and Unlock the PPO for my startup. The fees have made a huge difference and were totally worth it.
Dr. Jacqueline Vineyard
Saint Petersburg, FL
Lisa walked me through each step and made difficult insurance decisions easier to understand. The service was personal and helped my startup practice begin on the right foot.
Dr. Alicia King
Fort Lauderdale, FL
Unlock the PPO was the best company I worked with during my startup process. Their service was unmatched, and the team continued to follow up after most of the work was complete.
Dr. Jenise Kwak
Pflugerville, TX
Delicia and her team are detailed and knowledgeable. They guided me through questions and followed up until all credentialing was resolved.
Dr. Amanda Atz
Columbia City, IN
They made a tangled process manageable and took stress off my shoulders. They explained each contract, offered clear recommendations, and helped me make the best decisions for my office.
Dr. Sukhvinder Guram
Westfield, IN
Having Unlock the PPO perform all of my insurance credentialing was one of the best decisions I made when opening my practice.
Dr. Antonia Mauro
Mineola, NY
Lisa and her team made credentialing and fee negotiation as easy as possible. Someone was always available to answer questions and explain the confusing world of insurance.
Dr. Faranak Mahjour
Purcellville, VA
Lisa, Delicia, and their team negotiated fees in my startup practice's best interest. They were knowledgeable, organized, responsive, and kept me informed throughout the work.
Dr. Danielle Kerger
Glen Ellyn, IL
I am so pleased I worked with Lisa and Unlock the PPO for my startup. The fees have made a huge difference and were totally worth it.
Dr. Antonia Mauro
Mineola, NY
Lisa and her team made credentialing and fee negotiation as easy as possible. Someone was always available to answer questions and explain the confusing world of insurance.
Dr. Amanda Atz
Columbia City, IN
They made a tangled process manageable and took stress off my shoulders. They explained each contract, offered clear recommendations, and helped me make the best decisions for my office.
Dr. Alicia King
Fort Lauderdale, FL
Unlock the PPO was the best company I worked with during my startup process. Their service was unmatched, and the team continued to follow up after most of the work was complete.
Dr. Jenise Kwak
Pflugerville, TX
Delicia and her team are detailed and knowledgeable. They guided me through questions and followed up until all credentialing was resolved.
Dr. Jacqueline Vineyard
Saint Petersburg, FL
Lisa walked me through each step and made difficult insurance decisions easier to understand. The service was personal and helped my startup practice begin on the right foot.
Dr. Faranak Mahjour
Purcellville, VA
Lisa, Delicia, and their team negotiated fees in my startup practice's best interest. They were knowledgeable, organized, responsive, and kept me informed throughout the work.
Dr. Sukhvinder Guram
Westfield, IN
Having Unlock the PPO perform all of my insurance credentialing was one of the best decisions I made when opening my practice.
Dr. Danielle Kerger
Glen Ellyn, IL
I am so pleased I worked with Lisa and Unlock the PPO for my startup. The fees have made a huge difference and were totally worth it.
Dr. Jenise Kwak
Pflugerville, TX
Delicia and her team are detailed and knowledgeable. They guided me through questions and followed up until all credentialing was resolved.
Dr. Antonia Mauro
Mineola, NY
Lisa and her team made credentialing and fee negotiation as easy as possible. Someone was always available to answer questions and explain the confusing world of insurance.
Dr. Jacqueline Vineyard
Saint Petersburg, FL
Lisa walked me through each step and made difficult insurance decisions easier to understand. The service was personal and helped my startup practice begin on the right foot.
Dr. Amanda Atz
Columbia City, IN
They made a tangled process manageable and took stress off my shoulders. They explained each contract, offered clear recommendations, and helped me make the best decisions for my office.
Dr. Faranak Mahjour
Purcellville, VA
Lisa, Delicia, and their team negotiated fees in my startup practice's best interest. They were knowledgeable, organized, responsive, and kept me informed throughout the work.
Dr. Alicia King
Fort Lauderdale, FL
Unlock the PPO was the best company I worked with during my startup process. Their service was unmatched, and the team continued to follow up after most of the work was complete.
Dr. Sukhvinder Guram
Westfield, IN
Having Unlock the PPO perform all of my insurance credentialing was one of the best decisions I made when opening my practice.
Frequently Asked
Questions
Why is PPO negotiation/contracting strategy important for a startup dental practice?
How do I know which PPOs to participate in?
How long does it take to become in-network with PPOs?
Do I need to submit my full fee schedule to insurance companies?
Can I change my PPO contracts after my practice opens?
What are the biggest mistakes startup dentists make with PPOs?
What happens if I need to add a second provider after opening?
How will I access my final PPO contracts and effective dates?
What happens after PPO contracts are finalized?
How is Unlock the PPO different from other PPO consultants?
Frequently Asked
Questions
Why is PPO negotiation/contracting strategy important for a startup dental practice?
How do I know which PPOs to participate in?
How long does it take to become in-network with PPOs?
Do I need to submit my full fee schedule to insurance companies?
Can I change my PPO contracts after my practice opens?
What are the biggest mistakes startup dentists make with PPOs?
What happens if I need to add a second provider after opening?
How will I access my final PPO contracts and effective dates?
What happens after PPO contracts are finalized?
How is Unlock the PPO different from other PPO consultants?
Frequently Asked
Questions
Why is PPO negotiation/contracting strategy important for a startup dental practice?
How do I know which PPOs to participate in?
How long does it take to become in-network with PPOs?
Do I need to submit my full fee schedule to insurance companies?
Can I change my PPO contracts after my practice opens?
What are the biggest mistakes startup dentists make with PPOs?
What happens if I need to add a second provider after opening?
How will I access my final PPO contracts and effective dates?
What happens after PPO contracts are finalized?
How is Unlock the PPO different from other PPO consultants?
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