Network Participation Analysis
Dental Network Participation Analysis Built on Your Own Numbers
Dropping, adding, or staying in a network is a financial decision. We do the arithmetic behind it.
The Network Decisions We Analyze
A network decision may stay in place while fee schedules, the mix of procedures, and the patient counts behind each plan continue to change. Practices come to us with a version of the same question:
- We joined a network years ago and don’t know how it affects us today
- A network’s fee schedule changed and no one has recalculated what it now costs us
- We are considering dropping a network but cannot quantify what we would gain or put at risk
- A plan is on offer and we do not know its financial implications or risks
What the Analysis Reviews
Network Fees
The contracted fee schedules your practice is working under, network by network.
Write-Offs
What each agreement writes off against your own fees, rather than against an average.
Procedure Frequencies
Which procedures your practice actually performs, and how often — because a fee schedule only matters in proportion to the work you do under it.
Patient Counts
How many of your patients come to you through each network.
Variable Costs and Collections
We estimate costs that change with the work from your income statements and allow for collection reductions such as card fees and pay-in-full discounts. This gives the comparison a variable-profit basis rather than treating billed fees as income.
What You Get
The Financial Implications
What dropping, adding, or staying in a network would mean, expressed in your practice’s own numbers.
The Risks
The risks of a change, presented alongside its estimated financial implications so you can weigh both before deciding.
A Decision That Stays Yours
We do not tell a practice what its network status should be. We do the arithmetic; the decision is the practice’s.
Separate From Insurance Processing
This analysis stands on its own. It is useful to a practice that has no intention of outsourcing anything, and having it done implies no commitment to anything else. If you do want the claims work handled as well, that is a different service — Proveer’s insurance processing — and it is quoted separately.
Scope, Quote, and What Comes After
The analysis is a focused engagement. Before it starts, we agree which networks and decisions it covers and quote it.
It is complete on its own. If it turns up work beyond its scope, we will tell you, and you can take it further — Continued Support through ongoing practice management, for instance — or not.
Related reading: Should Your Practice Join or Drop a Dental Insurance Network?
Ask Us
Can Proveer help us decide whether to change our network status?
Yes. We review network fees, write-offs, procedure frequencies, and patient counts, estimate variable costs from your income statements, and allow for collection reductions. We present the financial implications and risks of dropping, adding, or staying in a network; the decision stays with you.
Do we have to outsource our insurance processing to have this done?
No. The analysis is a separate engagement. If you also want the claims work done, that is our insurance processing service, and the two fit together — but neither requires the other.
Ready to Talk About What Your Practice Needs?
A free 30-minute phone conversation about your practice, what you need, and whether Proveer can help. No obligation.
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