In vs. Out Of Network Part 1

Quick Bites for your Dental Office

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Pros and Cons In vs Out of Network:

Being in a network is not this “bad thing”. Many dentists are in-network. I have a personal recommendation I would give my offices: Continue to practice as you are until it jeopardizes either your Quality of care or your quality of life. The second an insurance contract jeopardizes the dentistry you perform- drop them. The second their reimbursements rates are making you choose materials that won’t last as long, use labs that aren’t as good, drop them. The second being in-network causes your blood pressure to get out of control in order to keep up with the number of patients you must see each day. The second it causes you to lie awake at night. The second you're running around your office all day feeling like a hamster on a wheel instead of enjoying why you become a dentist, to help other, then drop them. More new patients are not worth jeopardizing your quality of care or quality of life.

In-Network Pros:

• Great exposure for new patients, especially in an insurance driven world.
• This is especially true for new dentists who are starting from ground zero
• Talking to patients about their co-pays and bills is typically easier and more straightforward. Not as much as a guessing game.

In-Network Cons:

• Renegotiate fee schedules every few years. Credentialing time. More staff time.
• They dictate at times the treatment you can perform. Pay attention to your contracts! If they don’t feel a service is necessary they won’t allow you to charge your patient.
• Low reimbursement rates which ultimately affect your bottom line. Which may lead to you having to decrease your individual time with the patient, work out of multiple rooms, and or change your materials used.

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