When insurers try to negotiate after paying only part of a claim, many dental offices do not realize the contract already set the final price.
A quiet clause in many PPO contracts lets insurers change rules without notice, and most dental teams never see it happen.
The 85% Rule is forcing dental insurers to show where premium dollars actually go, and that changes everything for PPO negotiations.
Low PPO reimbursements might be hurting more than your revenue, they may be quietly reshaping your entire practice culture.
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