New CDT codes look exciting until insurance quietly assigns them zero value and calls it progress.
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.
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