Tag Archives: Dental Practice

Are you impacted by the Leased Network Arrangements contained in your Dental Plan contracts? Have you contracted with the major Dental Plans that are primarily network lease arrangements? Is the practice losing credibility with patients because you cannot determine how you will be paid?

Here are some of the indicators of your practice’s participation with Dental Leased Network Arrangements:

1. The practice never contracted directly with a dental plan but the claim is paid as in-network.
2. The primary plan will confirm benefit levels but the actual fees to be paid are based on another Dental Plan’s fee schedule.
3. Claims are paid at different fee levels or randomly paid as both in and out of network.
4. Participation status varies from doctor to doctor in the same practice.
5. Patients tell your front desk that the practice is listed on their Plan’s website and you do not recognize the plan.

The impact of joining the major plans is further complicated by Leased Network Arrangements contained in your participation agreement. We will explore some ways to eliminate participation or utilize the network leases to your advantage in our next post.