Big News: United Healthcare & United Concordia Elite Plus — What It Means for Your Practice By Shelley, CEO & Founder of PPO Advisors If you’ve been paying attention to the latest insurance developments, you may have heard the announcement about United Healthcare’s new relationship with United Concordia Elite Plus, set to take effect in ...
Fee Schedules Too Good to Be True? What Every Dental Practice Needs to Know By Shelley DeGroff, Founder & CEO of PPO Advisors At PPO Advisors, we work with dental practices across the country who are striving to get the best possible reimbursement rates — and for good reason. Negotiating competitive fees is vital for ...
Taking the Leap: Embracing Out-of-Network Patients in Your Dental Practice Let’s face it: the phrase “Out-of-Network (OON)” can send shivers down even the most seasoned dentist’s spine. If you own a dental practice, the thought of stepping into the OON world might feel like diving into uncharted waters. But here’s the good news: you don’t ...
Attention Dentists and Office Managers! We’ve got some important news that could impact your practice starting in March 2025. Sun Life’s Dental Health Alliance (DHA) and Cigna are teaming up to combine their networks. This means that Sun Life DHA and Cigna PPO providers now have shared access to each other’s networks. Sounds like big ...
Why PPO Advisors Is Worth the Investment: A Commitment to Excellence, Results, and Transparency When it comes to PPO (Preferred Provider Organization) consulting, choosing the right firm can be a game-changer for your practice. Many firms promise quick fixes and cost-effective solutions, but what’s the real cost when you settle for the cheapest option? At ...
As of January 1, 2025, GEHA and Cigna will no longer allow the communication of Cigna’s fee schedules. This change could significantly impact how you serve your GEHA patients, especially if you’re not part of other lease agreements that facilitate communication with GEHA plans. Why does this matter? If your practice relies on Cigna’s fee ...
Transitioning into ownership of a dental practice is an exciting yet challenging journey, especially when it comes to navigating the complexities of insurance credentialing. If you’re acquiring a practice that is contracted with multiple Preferred Provider Organizations (PPOs), understanding the credentialing process is essential for a seamless transition. One common question dentists often ask is, ...
At PPO Advisors, we offer a risk-free PPO analysis to help dental practices understand how their insurance contracts are impacting their business. In this blog post, Shelley DeGroff, CEO of PPO Advisors, explains what you can expect from your risk-free PPO analysis and how it can help improve your practice’s profitability. What Is a PPO ...
As the busy summer season ends, many dental offices start thinking about their goals for the following year. One important task should be reviewing your PPO contracts and UCR (Usual, Customary, and Reasonable) fees. In this blog post, Shelley DeGroff, CEO of PPO Advisors, shares simple steps to help dental practices negotiate higher fees with ...
This year has brought a lot of changes in the way dental insurance networks work, especially with leasing. You might wonder why these changes happen and if it’s something unusual. The short answer is no – it’s actually quite normal. In this blog post, Shelley DeGroff, CEO of PPO Advisors, will explain what network leasing ...