Get renaissance dental for complete teeth protection
that's renaissance dental very tricky when you're looking at discounts because often times if a carrier will look at a group dental practice and in order to get .
Them into their network they may come off of their their core fee schedule and say hey well we'll give you guys a little bit of a higher reimbursement to get you in our network so all of
A sudden you've got multiple fee schedules out there and it's really hard to put your finger on well which ones being used for for my clients at Delta Dental we have one fee schedule for PPO and one .
Fee schedule for a premier providers we just work with two fee schedules it's easier for for analysis it's easier for the the providers to know what they're getting paid and that this
Works better for us and then out of network reimbursement we kind of talked about the Mac versus the percentile
Methodology that can have a big impact on on patience because if they're not going to an in-network provider that are being balanced billed and they're the ones that are bearing
That cost so a little more detail about the provider disruption report and what we need ideally it's just an excel file with the provider name their tin address and billed charges this
Reports going to give you a just a true yes or no of who's who's in a network and who isn't and we look at that in two
Different levels we'll give you a percentage of providers that are in network and then we'll also give you a presided
Percentage of what billed charges are in network and the billed charges is important because we want identify those
Fentists that people are going to so if we we don't have a dentist that was visited once in a year versus one
Them into their network they may come off of their their core fee schedule and say hey well we'll give you guys a little bit of a higher reimbursement to get you in our network so all of
A sudden you've got multiple fee schedules out there and it's really hard to put your finger on well which ones being used for for my clients at Delta Dental we have one fee schedule for PPO and one .
Fee schedule for a premier providers we just work with two fee schedules it's easier for for analysis it's easier for the the providers to know what they're getting paid and that this
Works better for us and then out of network reimbursement we kind of talked about the Mac versus the percentile
Methodology that can have a big impact on on patience because if they're not going to an in-network provider that are being balanced billed and they're the ones that are bearing
That cost so a little more detail about the provider disruption report and what we need ideally it's just an excel file with the provider name their tin address and billed charges this
Reports going to give you a just a true yes or no of who's who's in a network and who isn't and we look at that in two
Different levels we'll give you a percentage of providers that are in network and then we'll also give you a presided
Percentage of what billed charges are in network and the billed charges is important because we want identify those
Fentists that people are going to so if we we don't have a dentist that was visited once in a year versus one
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